MS-DRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
MS-DRG 896 is alcohol, drug abuse or dependence without rehabilitation therapy with mcc, in MDC 20 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.6617, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.50 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
- 1.6617
- Geometric mean LOS
- 4.50
- Arithmetic mean LOS
- 6.40
- 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 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.
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 896.
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 1.6617 | |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 0.8584 | -0.8033 |
All FY2027 MS-DRGs · MDC 20