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201

MS-DRG 201: PNEUMOTHORAX WITHOUT CC/MCC

DRGMedicalMDC 04

MS-DRG 201 is pneumothorax without cc/mcc, in MDC 04 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.6782, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.20 days. 14 ICD-10-CM principal diagnoses group into MS-DRGs 199–201 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
0.6782
Geometric mean LOS
2.20
Arithmetic mean LOS
2.70
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 199–201

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 14 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 199–201 the case lands in. The 14 most-searched:

  • J93.9Pneumothorax, unspecified
  • J93.83Other pneumothorax
  • J98.2Interstitial emphysema
  • J93.11Primary spontaneous pneumothorax
  • S27.0XXATraumatic pneumothorax, initial encounter
  • S27.1XXATraumatic hemothorax, initial encounter
  • S27.2XXATraumatic hemopneumothorax, initial encounter
  • J93.0Spontaneous tension pneumothorax
  • J93.12Secondary spontaneous pneumothorax
  • J93.81Chronic pneumothorax
  • J93.82Other air leak
  • J95.811Postprocedural pneumothorax
  • J95.812Postprocedural air leak
  • T79.7XXATraumatic subcutaneous emphysema, initial encounter

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 201.

199PNEUMOTHORAX WITH MCC1.7322+1.0540
200PNEUMOTHORAX WITH CC1.0774+0.3992
201PNEUMOTHORAX WITHOUT CC/MCC0.6782

All FY2027 MS-DRGs · MDC 04

MS-DRG (IPPS Table 5)FY2027