427
MS-DRG 427: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC
DRGSurgicalMDC 08
MS-DRG 427 is multiple level combined anterior and posterior spinal fusion except cervical with cc, in MDC 08 (a surgical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 6.7049, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.70 days.
FY2027 payment factors
- Relative weight
- 6.7049
- Geometric mean LOS
- 3.70
- Arithmetic mean LOS
- 4.40
- 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.
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 427.
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC | 9.9191 | +3.2142 |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | 6.7049 | |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | 5.9222 | -0.7827 |
All FY2027 MS-DRGs · MDC 08