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304

MS-DRG 304: HYPERTENSION WITH MCC

DRGMedicalMDC 05

MS-DRG 304 is hypertension with mcc, in MDC 05 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.2011, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.10 days. 12 ICD-10-CM principal diagnoses group into MS-DRGs 304–305 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.2011
Geometric mean LOS
3.10
Arithmetic mean LOS
4.10
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 304–305

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 12 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 304–305 the case lands in. The 12 most-searched:

  • I10Essential (primary) hypertension
  • I11.9Hypertensive heart disease without heart failure
  • I16.0Hypertensive urgency
  • I16.1Hypertensive emergency
  • I15.2Hypertension secondary to endocrine disorders
  • I15.9Secondary hypertension, unspecified
  • I1A.0Resistant hypertension
  • I16.9Hypertensive crisis, unspecified
  • I15.0Renovascular hypertension
  • I15.1Hypertension secondary to other renal disorders
  • I15.8Other secondary hypertension
  • N26.2Page kidney

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 304.

304HYPERTENSION WITH MCC1.2011
305HYPERTENSION WITHOUT MCC0.7581-0.4430

Choosing the principal diagnosis: Hypertension ICD-10 codes.

All FY2027 MS-DRGs · MDC 05

MS-DRG (IPPS Table 5)FY2027