MS-DRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA

DRGMedicalMDC 20

MS-DRG 894 is alcohol, drug abuse or dependence, left ama, in MDC 20 (a medical DRG). Its FY2027 relative weight is 0.6275, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.00 days. 457 ICD-10-CM principal diagnoses group into MS-DRGs 894–897 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight: 0.6275
Geometric mean LOS: 2.00
Arithmetic mean LOS: 2.70
Post-acute transfer: No

Principal diagnoses that group to MS-DRGs 894–897

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 457 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 894–897 the case lands in. The 24 most-searched:

F10.20Alcohol dependence, uncomplicated
F11.20Opioid dependence, uncomplicated
F10.10Alcohol abuse, uncomplicated
F10.21Alcohol dependence, in remission
F13.20Sedative, hypnotic or anxiolytic dependence, uncomplicated
F10.239Alcohol dependence with withdrawal, unspecified
F10.90Alcohol use, unspecified, uncomplicated
F12.20Cannabis dependence, uncomplicated
F15.20Other stimulant dependence, uncomplicated
F19.10Other psychoactive substance abuse, uncomplicated
F19.20Other psychoactive substance dependence, uncomplicated
F10.11Alcohol abuse, in remission
F10.129Alcohol abuse with intoxication, unspecified
F10.929Alcohol use, unspecified with intoxication, unspecified
F11.10Opioid abuse, uncomplicated
F11.11Opioid abuse, in remission
F11.21Opioid dependence, in remission
F11.90Opioid use, unspecified, uncomplicated
F12.10Cannabis abuse, uncomplicated
F14.20Cocaine dependence, uncomplicated
F15.10Other stimulant abuse, uncomplicated
F10.182Alcohol abuse with alcohol-induced sleep disorder
F10.231Alcohol dependence with withdrawal delirium
F10.27Alcohol dependence with alcohol-induced persisting dementia

433 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.

All FY2027 MS-DRGs · MDC 20