MCMedicalCodingSoftware
947

MS-DRG 947: SIGNS AND SYMPTOMS WITH MCC

DRGMedicalMDC 23

MS-DRG 947 is signs and symptoms with mcc, in MDC 23 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.2610, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.60 days. 131 ICD-10-CM principal diagnoses group into MS-DRGs 947–948 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.2610
Geometric mean LOS
3.60
Arithmetic mean LOS
5.10
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 947–948

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 131 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 947–948 the case lands in. The 24 most-searched:

  • R52Pain, unspecified
  • R53.1Weakness
  • R60.0Localized edema
  • R41.3Other amnesia
  • R68.89Other general symptoms and signs
  • R79.89Other specified abnormal findings of blood chemistry
  • R41.82Altered mental status, unspecified
  • R53.83Other fatigue
  • R53.81Other malaise
  • R93.89Abnormal findings on diagnostic imaging of other specified body structures
  • G89.18Other acute postprocedural pain
  • R41.0Disorientation, unspecified
  • R64Cachexia
  • R74.01Elevation of levels of liver transaminase levels
  • R97.20Elevated prostate specific antigen [PSA]
  • G89.3Neoplasm related pain (acute) (chronic)
  • R60.9Edema, unspecified
  • R18.8Other ascites
  • R53.82Chronic fatigue, unspecified
  • R74.8Abnormal levels of other serum enzymes
  • R79.9Abnormal finding of blood chemistry, unspecified
  • G89.11Acute pain due to trauma
  • R41.9Unspecified symptoms and signs involving cognitive functions and awareness
  • R79.1Abnormal coagulation profile

107 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 947.

947SIGNS AND SYMPTOMS WITH MCC1.2610
948SIGNS AND SYMPTOMS WITHOUT MCC0.7835-0.4775

All FY2027 MS-DRGs · MDC 23

MS-DRG (IPPS Table 5)FY2027