MS-DRG 361 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES WITH MCC
MS-DRG 361 is other circulatory system o.r. procedures with mcc, in MDC 05 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.7576, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 7.60 days.
FY2027 payment factors
- Relative weight
- 3.7576
- Geometric mean LOS
- 7.60
- Arithmetic mean LOS
- 10.90
- 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.
Common questions
- What is MS-DRG 361?
- MS-DRG 361 is other circulatory system o.r. procedures with mcc, in MDC 05 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.7576, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 7.60 days.
- What is the relative weight of MS-DRG 361 for FY2027?
- 3.7576. The relative weight is multiplied by the hospital's blended base rate to produce the payment, so above 1.0 means above-average reimbursement for the stay.
- What is the length of stay for MS-DRG 361?
- The FY2027 geometric mean length of stay is 7.60 days and the arithmetic mean is 10.90 days. The geometric mean is the one CMS uses for the post-acute transfer policy, which applies to this DRG.
Other DRGs in MDC 05
The with-MCC, with-CC and without-CC/MCC splits usually sit next to each other here. Those are what a documentation query is actually deciding between, and the weight gap between them is why the query is worth raising.
- 209COMPLEX AORTIC ARCH PROCEDURES11.5212
- 210CARDIAC PACEMAKER REVISION OR DEVICE REPLACEMENT WITH MCC3.2640
- 211CARDIAC PACEMAKER REVISION OR DEVICE REPLACEMENT WITHOUT MCC1.8091
- 212CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES11.4404
- 213ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES5.8483
- 215OTHER HEART ASSIST SYSTEM IMPLANT10.1333
- 216CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC9.8832
- 217CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC6.8061
- 218CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC6.8061
- 219CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC7.6434
- 220CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC5.5066
- 221CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC4.7108
- 228OTHER CARDIOTHORACIC PROCEDURES WITH MCC4.9666
- 229OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC3.4406
- 231CORONARY BYPASS WITH PTCA WITH MCC8.7788
- 232CORONARY BYPASS WITH PTCA WITHOUT MCC6.2171
- 233CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC8.0100
- 234CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC5.5006
- 235CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC5.8487
- 236CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC4.3338
- 239AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC5.0019
- 240AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC2.9446
- 241AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC1.4829
- 242PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC3.1236
- 243PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC2.1079
- 244PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC1.7638
- 245AICD GENERATOR PROCEDURES4.6482
- 250PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC2.3370
- 251PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC1.6635
- 252OTHER VASCULAR PROCEDURES WITH MCC3.4819
- 253OTHER VASCULAR PROCEDURES WITH CC2.6258
- 254OTHER VASCULAR PROCEDURES WITHOUT CC/MCC1.7960
- 255UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC2.8292
- 256UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC1.6715
- 257UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC1.0457
- 263VEIN LIGATION AND STRIPPING3.2416
- 265AICD LEAD PROCEDURES3.2564
- 266ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC5.9309
- 267ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC4.7227
- 268AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC7.1688
Working the claim behind this DRG
A DRG is assigned from the diagnoses and procedures already on the claim, so the questions that decide MS-DRG 361 are coding questions. Look the principal diagnosis up in the full ICD-10-CM tabular list with its Excludes1 and “code first” notes attached, or start from the condition instead of the code in the codes-by-condition index. For the secondary diagnoses that move a case between the with-MCC, with-CC and without-CC/MCC splits, paste the whole set into the free claim scrubber and see which pairs collide before the claim goes out — no account, no card.
The supplies, drugs and devices billed alongside an inpatient stay are HCPCS Level II, listed in full at HCPCS by section. If the claim comes back rejected, the denial code index explains what each CARC actually means and what to do about it, and the decision guides walk the sequencing calls that most often cause one — sepsis and diabetes above all.
Every one of those is free and needs no account. This page is the payment table: it says what MS-DRG 361 is worth. Which medical DRG a set of diagnoses lands in is the workspace’s DRG impact check, from the CMS CC/MCC lists; it does not group surgical cases.