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605

MS-DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC

DRGMedicalMDC 09

MS-DRG 605 is trauma to the skin, subcutaneous tissue and breast without mcc, in MDC 09 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.9079, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.60 days. 3,779 ICD-10-CM principal diagnoses group into MS-DRGs 604–605 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
0.9079
Geometric mean LOS
2.60
Arithmetic mean LOS
3.30
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 604–605

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 3,779 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 604–605 the case lands in. The 24 most-searched:

  • S00.83XAContusion of other part of head, initial encounter
  • S81.802AUnspecified open wound, left lower leg, initial encounter
  • S01.01XALaceration without foreign body of scalp, initial encounter
  • S01.81XALaceration without foreign body of other part of head, initial encounter
  • S80.01XAContusion of right knee, initial encounter
  • S80.02XAContusion of left knee, initial encounter
  • S30.0XXAContusion of lower back and pelvis, initial encounter
  • S80.11XAContusion of right lower leg, initial encounter
  • S81.801AUnspecified open wound, right lower leg, initial encounter
  • S91.301AUnspecified open wound, right foot, initial encounter
  • S00.03XAContusion of scalp, initial encounter
  • S00.81XAAbrasion of other part of head, initial encounter
  • S00.93XAContusion of unspecified part of head, initial encounter
  • S20.212AContusion of left front wall of thorax, initial encounter
  • S20.219AContusion of unspecified front wall of thorax, initial encounter
  • S30.11XAContusion of abdominal wall, initial encounter
  • S31.109AUnspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, initial encounter
  • S61.211ALaceration without foreign body of left index finger without damage to nail, initial encounter
  • S61.411ALaceration without foreign body of right hand, initial encounter
  • S61.412ALaceration without foreign body of left hand, initial encounter
  • S80.12XAContusion of left lower leg, initial encounter
  • S81.812ALaceration without foreign body, left lower leg, initial encounter
  • S01.82XALaceration with foreign body of other part of head, initial encounter
  • S01.91XALaceration without foreign body of unspecified part of head, initial encounter

3,755 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 605.

604TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC1.4530+0.5451
605TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC0.9079

All FY2027 MS-DRGs · MDC 09

MS-DRG (IPPS Table 5)FY2027