MCMedicalCodingSoftware
289

MS-DRG 289: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC

DRGMedicalMDC 05

MS-DRG 289 is acute and subacute endocarditis with cc, in MDC 05 (a medical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 1.5362, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 5.00 days. 5 ICD-10-CM principal diagnoses group into MS-DRGs 288–290 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.5362
Geometric mean LOS
5.00
Arithmetic mean LOS
6.10
Post-acute transfer
Yes

CMS caps year-over-year weight decreases at 10%. Before the cap this DRG weighs 1.5154; the capped weight above is the one used for payment. 41 DRGs differ this way in FY2027.

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 288–290

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 5 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 288–290 the case lands in. The 5 most-searched:

  • I33.0Acute and subacute infective endocarditis
  • I33.9Acute and subacute endocarditis, unspecified
  • A39.51Meningococcal endocarditis
  • A52.03Syphilitic endocarditis
  • B37.6Candidal endocarditis

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 289.

288ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC2.6315+1.0953
289ACUTE AND SUBACUTE ENDOCARDITIS WITH CC1.5362
290ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC0.8367-0.6995

All FY2027 MS-DRGs · MDC 05

MS-DRG (IPPS Table 5)FY2027