MS-DRG 428: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC

DRGSurgicalMDC 08

MS-DRG 428 is multiple level combined anterior and posterior spinal fusion except cervical without cc/mcc, in MDC 08 (a surgical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 5.9222, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.50 days.

FY2027 payment factors

Relative weight: 5.9222
Geometric mean LOS: 2.50
Arithmetic mean LOS: 2.90
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.

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 428.

426	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC	9.9191	+3.9969
427	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC	6.7049	+0.7827
428	MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC	5.9222

All FY2027 MS-DRGs · MDC 08