MS-DRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
MS-DRG 205 is other respiratory system diagnoses with mcc, in MDC 04 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.8244, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.30 days. 208 ICD-10-CM principal diagnoses group into MS-DRGs 205–206 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 1.8244
- Geometric mean LOS
- 4.30
- Arithmetic mean LOS
- 6.00
- 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.
Principal diagnoses that group to MS-DRGs 205–206
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 208 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 205–206 the case lands in. The 24 most-searched:
- R91.1Solitary pulmonary nodule
- J98.4Other disorders of lung
- R09.02Hypoxemia
- J22Unspecified acute lower respiratory infection
- J98.8Other specified respiratory disorders
- E66.2Morbid (severe) obesity with alveolar hypoventilation
- J98.11Atelectasis
- J98.6Disorders of diaphragm
- M94.0Chondrocostal junction syndrome [Tietze]
- Z94.2Lung transplant status
- U07.0Vaping-related disorder
- R94.2Abnormal results of pulmonary function studies
- Z43.0Encounter for attention to tracheostomy
- J70.9Respiratory conditions due to unspecified external agent
- J98.9Respiratory disorder, unspecified
- R09.2Respiratory arrest
- Z90.2Acquired absence of lung [part of]
- J68.0Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors
- J68.3Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors
- J95.851Ventilator associated pneumonia
- J95.89Other postprocedural complications and disorders of respiratory system, not elsewhere classified
- R09.01Asphyxia
- S22.32XAFracture of one rib, left side, initial encounter for closed fracture
- T17.598AOther foreign object in bronchus causing other injury, initial encounter
184 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 205.
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 1.8244 | |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 0.9257 | -0.8987 |
Choosing the principal diagnosis: Obesity ICD-10 codes, Kidney transplant ICD-10 codes, COVID-19 ICD-10 codes.
All FY2027 MS-DRGs · MDC 04