MS-DRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
MS-DRG 316 is other circulatory system diagnoses without cc/mcc, in MDC 05 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.6677, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 1.80 days. 260 ICD-10-CM principal diagnoses group into MS-DRGs 314–316 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 0.6677
- Geometric mean LOS
- 1.80
- Arithmetic mean LOS
- 2.20
- 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 314–316
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 260 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 314–316 the case lands in. The 24 most-searched:
- R94.31Abnormal electrocardiogram [ECG] [EKG]
- R09.89Other specified symptoms and signs involving the circulatory and respiratory systems
- I27.20Pulmonary hypertension, unspecified
- I95.9Hypotension, unspecified
- I42.9Cardiomyopathy, unspecified
- R03.0Elevated blood-pressure reading, without diagnosis of hypertension
- R58Hemorrhage, not elsewhere classified
- I43Cardiomyopathy in diseases classified elsewhere
- Z95.2Presence of prosthetic heart valve
- I31.39Other pericardial effusion (noninflammatory)
- Z95.828Presence of other vascular implants and grafts
- I42.2Other hypertrophic cardiomyopathy
- R94.39Abnormal result of other cardiovascular function study
- Z94.1Heart transplant status
- Z95.3Presence of xenogenic heart valve
- I27.0Primary pulmonary hypertension
- I27.21Secondary pulmonary arterial hypertension
- I42.1Obstructive hypertrophic cardiomyopathy
- I5ANon-ischemic myocardial injury (non-traumatic)
- I97.89Other postprocedural complications and disorders of the circulatory system, not elsewhere classified
- T82.7XXAInfection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
- D18.09Hemangioma of other sites
- I95.89Other hypotension
- R09.A2Foreign body sensation, throat
236 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 316.
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 2.0873 | +1.4196 |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 0.9508 | +0.2831 |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | 0.6677 |
Choosing the principal diagnosis: Kidney transplant ICD-10 codes.
All FY2027 MS-DRGs · MDC 05