MCMedicalCodingSoftware
218

MS-DRG 218: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC

DRGSurgicalMDC 05

MS-DRG 218 is cardiac valve and other major cardiothoracic procedures with cardiac catheterization without cc/mcc, in MDC 05 (a surgical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 6.8061, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.90 days.

FY2027 payment factors

Relative weight
6.8061
Geometric mean LOS
3.90
Arithmetic mean LOS
5.80
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 218.

216CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC9.8832+3.0771
217CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC6.80610.0000
218CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC6.8061

All FY2027 MS-DRGs · MDC 05

MS-DRG (IPPS Table 5)FY2027