MS-DRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC

DRGSurgicalMDC 05

MS-DRG 216 is cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc, in MDC 05 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 9.8832, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 10.50 days.

FY2027 payment factors

Relative weight: 9.8832
Geometric mean LOS: 10.50
Arithmetic mean LOS: 13.40
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.

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 216.

216	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	9.8832
217	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC	6.8061	-3.0771
218	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC	6.8061	-3.0771

All FY2027 MS-DRGs · MDC 05