MS-DRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
MS-DRG 870 is septicemia or severe sepsis with mv >96 hours, in MDC 18 (a medical DRG). Its FY2027 relative weight is 6.9408, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 12.50 days. 40 ICD-10-CM principal diagnoses group into MS-DRGs 870–872 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 6.9408
- Geometric mean LOS
- 12.50
- Arithmetic mean LOS
- 14.90
- 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.
Principal diagnoses that group to MS-DRGs 870–872
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 40 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 870–872 the case lands in. The 24 most-searched:
- A41.9Sepsis, unspecified organism
- R65.21Severe sepsis with septic shock
- R65.20Severe sepsis without septic shock
- R78.81Bacteremia
- A41.51Sepsis due to Escherichia coli [E. coli]
- A41.01Sepsis due to Methicillin susceptible Staphylococcus aureus
- A41.02Sepsis due to Methicillin resistant Staphylococcus aureus
- A41.89Other specified sepsis
- A41.59Other Gram-negative sepsis
- A41.50Gram-negative sepsis, unspecified
- A41.52Sepsis due to Pseudomonas
- A41.81Sepsis due to Enterococcus
- B37.7Candidal sepsis
- R57.1Hypovolemic shock
- R57.8Other shock
- A40.1Sepsis due to streptococcus, group B
- A40.3Sepsis due to Streptococcus pneumoniae
- A40.9Streptococcal sepsis, unspecified
- A41.1Sepsis due to other specified staphylococcus
- A41.2Sepsis due to unspecified staphylococcus
- A41.54Sepsis due to Acinetobacter baumannii
- A02.1Salmonella sepsis
- A20.7Septicemic plague
- A22.7Anthrax sepsis
16 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.
Choosing the principal diagnosis: Sepsis ICD-10 codes.
All FY2027 MS-DRGs · MDC 18