220
MS-DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
DRGSurgicalMDC 05
MS-DRG 220 is cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc, in MDC 05 (a surgical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 5.5066, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 5.30 days.
FY2027 payment factors
- Relative weight
- 5.5066
- Geometric mean LOS
- 5.30
- 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.
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 220.
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | 7.6434 | +2.1368 |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | 5.5066 | |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | 4.7108 | -0.7958 |
All FY2027 MS-DRGs · MDC 05