MCMedicalCodingSoftware
946

MS-DRG 946: REHABILITATION WITHOUT CC/MCC

DRGMedicalMDC 23

MS-DRG 946 is rehabilitation without cc/mcc, in MDC 23 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 1.1051, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.00 days. 2 ICD-10-CM principal diagnoses group into MS-DRGs 945–946 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.1051
Geometric mean LOS
4.00
Arithmetic mean LOS
5.30
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 945–946

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 2 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 945–946 the case lands in. The 2 most-searched:

  • Z44.8Encounter for fitting and adjustment of other external prosthetic devices
  • Z44.9Encounter for fitting and adjustment of unspecified external prosthetic device

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 946.

945REHABILITATION WITH CC/MCC1.4749+0.3698
946REHABILITATION WITHOUT CC/MCC1.1051

All FY2027 MS-DRGs · MDC 23

MS-DRG (IPPS Table 5)FY2027