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299

MS-DRG 299: PERIPHERAL VASCULAR DISORDERS WITH MCC

DRGMedicalMDC 05

MS-DRG 299 is peripheral vascular disorders with mcc, in MDC 05 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.5842, 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. 1,234 ICD-10-CM principal diagnoses group into MS-DRGs 299–301 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.5842
Geometric mean LOS
3.90
Arithmetic mean LOS
5.30
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.

Principal diagnoses that group to MS-DRGs 299–301

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 1,234 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 299–301 the case lands in. The 24 most-searched:

  • I73.9Peripheral vascular disease, unspecified
  • I87.2Venous insufficiency (chronic) (peripheral)
  • I96Gangrene, not elsewhere classified
  • E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
  • E11.59Type 2 diabetes mellitus with other circulatory complications
  • I70.213Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
  • I71.21Aneurysm of the ascending aorta, without rupture
  • I71.40Abdominal aortic aneurysm, without rupture, unspecified
  • I70.0Atherosclerosis of aorta
  • I82.409Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity
  • E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
  • I70.203Unspecified atherosclerosis of native arteries of extremities, bilateral legs
  • I70.223Atherosclerosis of native arteries of extremities with rest pain, bilateral legs
  • I73.89Other specified peripheral vascular diseases
  • I77.1Stricture of artery
  • I77.810Thoracic aortic ectasia
  • I77.9Disorder of arteries and arterioles, unspecified
  • I82.401Acute embolism and thrombosis of unspecified deep veins of right lower extremity
  • I82.402Acute embolism and thrombosis of unspecified deep veins of left lower extremity
  • I70.221Atherosclerosis of native arteries of extremities with rest pain, right leg
  • I70.90Unspecified atherosclerosis
  • I71.43Infrarenal abdominal aortic aneurysm, without rupture
  • I83.813Varicose veins of bilateral lower extremities with pain
  • I83.893Varicose veins of bilateral lower extremities with other complications

1,210 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.

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 299.

299PERIPHERAL VASCULAR DISORDERS WITH MCC1.5842
300PERIPHERAL VASCULAR DISORDERS WITH CC1.0464-0.5378
301PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC0.7133-0.8709

Choosing the principal diagnosis: Type 2 diabetes ICD-10 codes.

All FY2027 MS-DRGs · MDC 05

MS-DRG (IPPS Table 5)FY2027