MS-DRG 176 — PULMONARY EMBOLISM WITHOUT MCC

DRGMedicalMDC 04

FY2026 payment factors

Relative weight: 0.8050
Geometric mean LOS: 2.40
Arithmetic mean LOS: 3.00
Post-acute transfer: Yes

This DRG is subject to the post-acute care transfer policy: a discharge to a qualifying setting below the mean length of stay is paid per diem rather than in full.

Other DRGs in MDC 04

The with-MCC, with-CC and without-CC/MCC splits usually sit next to each other here. Those are what a documentation query is actually deciding between, and the weight gap between them is why the query is worth raising.

163MAJOR CHEST PROCEDURES WITH MCC4.4818
164MAJOR CHEST PROCEDURES WITH CC2.5240
165MAJOR CHEST PROCEDURES WITHOUT CC/MCC1.9142
166OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC3.7377
167OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC1.8034
168OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC1.3664
173ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM2.9764
175PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE1.3736
177RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC1.5627
178RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC0.9760
179RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC0.7550
180RESPIRATORY NEOPLASMS WITH MCC1.7660
181RESPIRATORY NEOPLASMS WITH CC1.0710
182RESPIRATORY NEOPLASMS WITHOUT CC/MCC0.7538
183MAJOR CHEST TRAUMA WITH MCC1.5299
184MAJOR CHEST TRAUMA WITH CC1.0641
185MAJOR CHEST TRAUMA WITHOUT CC/MCC0.7865
186PLEURAL EFFUSION WITH MCC1.5585
187PLEURAL EFFUSION WITH CC0.9891
188PLEURAL EFFUSION WITHOUT CC/MCC0.7172
189PULMONARY EDEMA AND RESPIRATORY FAILURE1.2354
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC1.1077
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC0.8430
192CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC0.6420
193SIMPLE PNEUMONIA AND PLEURISY WITH MCC1.3144
194SIMPLE PNEUMONIA AND PLEURISY WITH CC0.8059
195SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC0.6285
196INTERSTITIAL LUNG DISEASE WITH MCC1.8872
197INTERSTITIAL LUNG DISEASE WITH CC0.9491
198INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC0.7162
199PNEUMOTHORAX WITH MCC1.7641
200PNEUMOTHORAX WITH CC1.0993
201PNEUMOTHORAX WITHOUT CC/MCC0.7151
202BRONCHITIS AND ASTHMA WITH CC/MCC0.9712
203BRONCHITIS AND ASTHMA WITHOUT CC/MCC0.6700
204RESPIRATORY SIGNS AND SYMPTOMS0.8074
205OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC1.8310
206OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC0.9411
207RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS6.4347
208RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS2.7487