MCMedicalCodingSoftware
447

MS-DRG 447: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC

DRGSurgicalMDC 08

MS-DRG 447 is multiple level spinal fusion except cervical with mcc, in MDC 08 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 6.9667, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 8.10 days.

FY2027 payment factors

Relative weight
6.9667
Geometric mean LOS
8.10
Arithmetic mean LOS
10.30
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 447.

447MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC6.9667
448MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC4.3506-2.6161

All FY2027 MS-DRGs · MDC 08

MS-DRG (IPPS Table 5)FY2027