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180

MS-DRG 180: RESPIRATORY NEOPLASMS WITH MCC

DRGMedicalMDC 04

MS-DRG 180 is respiratory neoplasms with mcc, in MDC 04 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.7806, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.70 days. 64 ICD-10-CM principal diagnoses group into MS-DRGs 180–182 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.7806
Geometric mean LOS
4.70
Arithmetic mean LOS
6.40
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 180–182

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 64 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 180–182 the case lands in. The 24 most-searched:

  • C34.90Malignant neoplasm of unspecified part of unspecified bronchus or lung
  • C34.11Malignant neoplasm of upper lobe, right bronchus or lung
  • C34.12Malignant neoplasm of upper lobe, left bronchus or lung
  • C34.31Malignant neoplasm of lower lobe, right bronchus or lung
  • C34.32Malignant neoplasm of lower lobe, left bronchus or lung
  • C34.91Malignant neoplasm of unspecified part of right bronchus or lung
  • C34.92Malignant neoplasm of unspecified part of left bronchus or lung
  • C78.00Secondary malignant neoplasm of unspecified lung
  • C34.2Malignant neoplasm of middle lobe, bronchus or lung
  • C78.01Secondary malignant neoplasm of right lung
  • C34.81Malignant neoplasm of overlapping sites of right bronchus and lung
  • C78.02Secondary malignant neoplasm of left lung
  • J91.0Malignant pleural effusion
  • D38.1Neoplasm of uncertain behavior of trachea, bronchus and lung
  • D49.1Neoplasm of unspecified behavior of respiratory system
  • C33Malignant neoplasm of trachea
  • C34.00Malignant neoplasm of unspecified main bronchus
  • C34.01Malignant neoplasm of right main bronchus
  • C34.82Malignant neoplasm of overlapping sites of left bronchus and lung
  • C45.0Mesothelioma of pleura
  • C78.1Secondary malignant neoplasm of mediastinum
  • C78.2Secondary malignant neoplasm of pleura
  • C34.10Malignant neoplasm of upper lobe, unspecified bronchus or lung
  • C38.3Malignant neoplasm of mediastinum, part unspecified

40 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.

The severity splits

Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 180.

180RESPIRATORY NEOPLASMS WITH MCC1.7806
181RESPIRATORY NEOPLASMS WITH CC1.0936-0.6870
182RESPIRATORY NEOPLASMS WITHOUT CC/MCC0.7439-1.0367

All FY2027 MS-DRGs · MDC 04

MS-DRG (IPPS Table 5)FY2027