MCMedicalCodingSoftware
840

MS-DRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC

DRGMedicalMDC 17

MS-DRG 840 is lymphoma and non-acute leukemia with mcc, in MDC 17 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.2734, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 6.70 days. 519 ICD-10-CM principal diagnoses group into MS-DRGs 840–842 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
3.2734
Geometric mean LOS
6.70
Arithmetic mean LOS
9.60
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.

Principal diagnoses that group to MS-DRGs 840–842

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 519 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 840–842 the case lands in. The 24 most-searched:

  • D45Polycythemia vera
  • C90.00Multiple myeloma not having achieved remission
  • C91.10Chronic lymphocytic leukemia of B-cell type not having achieved remission
  • C77.0Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
  • C83.30Diffuse large B-cell lymphoma, unspecified site
  • C77.3Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes
  • C77.9Secondary and unspecified malignant neoplasm of lymph node, unspecified
  • C85.90Non-Hodgkin lymphoma, unspecified, unspecified site
  • C77.2Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
  • C83.38Diffuse large B-cell lymphoma, lymph nodes of multiple sites
  • C85.10Unspecified B-cell lymphoma, unspecified site
  • C92.10Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission
  • D47.1Chronic myeloproliferative disease
  • D75.81Myelofibrosis
  • C77.1Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
  • C77.5Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes
  • C83.00Small cell B-cell lymphoma, unspecified site
  • C83.398Diffuse large B-cell lymphoma of other extranodal and solid organ sites
  • C88.00Waldenstrom macroglobulinemia not having achieved remission
  • C81.90Hodgkin lymphoma, unspecified, unspecified site
  • C82.90Follicular lymphoma, unspecified, unspecified site
  • C83.31Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck
  • C83.33Diffuse large B-cell lymphoma, intra-abdominal lymph nodes
  • C83.390Primary central nervous system lymphoma

495 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 840.

840LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC3.2734
841LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC1.5772-1.6962
842LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC0.9953-2.2781

All FY2027 MS-DRGs · MDC 17

MS-DRG (IPPS Table 5)FY2027