MS-DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC

DRGSurgicalMDC 05

MS-DRG 219 is cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc, in MDC 05 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 7.6434, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 8.00 days.

FY2027 payment factors

Relative weight: 7.6434
Geometric mean LOS: 8.00
Arithmetic mean LOS: 9.70
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 219.

219	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC	7.6434
220	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC	5.5066	-2.1368
221	CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC	4.7108	-2.9326

All FY2027 MS-DRGs · MDC 05