MS-DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
MS-DRG 190 is chronic obstructive pulmonary disease with mcc, in MDC 04 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.0748, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.30 days. 23 ICD-10-CM principal diagnoses group into MS-DRGs 190–192 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 1.0748
- Geometric mean LOS
- 3.30
- Arithmetic mean LOS
- 4.20
- 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.
Principal diagnoses that group to MS-DRGs 190–192
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 23 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 190–192 the case lands in. The 23 most-searched:
- J44.9Chronic obstructive pulmonary disease, unspecified
- J44.1Chronic obstructive pulmonary disease with (acute) exacerbation
- J42Unspecified chronic bronchitis
- J43.9Emphysema, unspecified
- J44.0Chronic obstructive pulmonary disease with (acute) lower respiratory infection
- J44.89Other specified chronic obstructive pulmonary disease
- J47.9Bronchiectasis, uncomplicated
- J43.2Centrilobular emphysema
- J43.8Other emphysema
- J41.1Mucopurulent chronic bronchitis
- J43.1Panlobular emphysema
- J47.0Bronchiectasis with acute lower respiratory infection
- J47.1Bronchiectasis with (acute) exacerbation
- J41.8Mixed simple and mucopurulent chronic bronchitis
- J43.0Unilateral pulmonary emphysema [MacLeod's syndrome]
- J44.81Bronchiolitis obliterans and bronchiolitis obliterans syndrome
- J4A.0Restrictive allograft syndrome
- J4A.8Other chronic lung allograft dysfunction
- J4A.9Chronic lung allograft dysfunction, unspecified
- J68.4Chronic respiratory conditions due to chemicals, gases, fumes and vapors
- J68.8Other respiratory conditions due to chemicals, gases, fumes and vapors
- J68.9Unspecified respiratory condition due to chemicals, gases, fumes and vapors
- Q33.4Congenital bronchiectasis
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 190.
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 1.0748 | |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 0.8261 | -0.2487 |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 0.6288 | -0.4460 |
Choosing the principal diagnosis: COPD ICD-10 codes.
All FY2027 MS-DRGs · MDC 04