MCMedicalCodingSoftware
811

MS-DRG 811: RED BLOOD CELL DISORDERS WITH MCC

DRGMedicalMDC 16

MS-DRG 811 is red blood cell disorders with mcc, in MDC 16 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.3988, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.60 days. 134 ICD-10-CM principal diagnoses group into MS-DRGs 811–812 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.3988
Geometric mean LOS
3.60
Arithmetic mean LOS
4.80
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 811–812

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 134 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 811–812 the case lands in. The 24 most-searched:

  • D64.9Anemia, unspecified
  • D62Acute posthemorrhagic anemia
  • D50.0Iron deficiency anemia secondary to blood loss (chronic)
  • D50.9Iron deficiency anemia, unspecified
  • D63.1Anemia in chronic kidney disease
  • D46.9Myelodysplastic syndrome, unspecified
  • D63.8Anemia in other chronic diseases classified elsewhere
  • D50.8Other iron deficiency anemias
  • D51.9Vitamin B12 deficiency anemia, unspecified
  • D57.00Hb-SS disease with crisis, unspecified
  • R71.8Other abnormality of red blood cells
  • D53.9Nutritional anemia, unspecified
  • D57.1Sickle-cell disease without crisis
  • D63.0Anemia in neoplastic disease
  • D64.81Anemia due to antineoplastic chemotherapy
  • D51.0Vitamin B12 deficiency anemia due to intrinsic factor deficiency
  • D51.8Other vitamin B12 deficiency anemias
  • D52.9Folate deficiency anemia, unspecified
  • D58.2Other hemoglobinopathies
  • D64.89Other specified anemias
  • D46.4Refractory anemia, unspecified
  • D50.1Sideropenic dysphagia
  • D51.3Other dietary vitamin B12 deficiency anemia
  • D53.1Other megaloblastic anemias, not elsewhere classified

110 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 811.

811RED BLOOD CELL DISORDERS WITH MCC1.3988
812RED BLOOD CELL DISORDERS WITHOUT MCC0.9234-0.4754

Choosing the principal diagnosis: Anemia ICD-10 codes, Iron deficiency anemia ICD-10 codes.

All FY2027 MS-DRGs · MDC 16

MS-DRG (IPPS Table 5)FY2027