MCMedicalCodingSoftware
969

MS-DRG 969: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC

DRGSurgicalMDC 25

MS-DRG 969 is hiv with extensive o.r. procedures with mcc, in MDC 25 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 7.1775, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 12.20 days. 1 ICD-10-CM principal diagnoses group into MS-DRGs 969–977 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
7.1775
Geometric mean LOS
12.20
Arithmetic mean LOS
16.60
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 969–977

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 1 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 969–977 the case lands in. The 1 most-searched:

  • B20Human immunodeficiency virus [HIV] disease

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 969.

969HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC7.1775
970HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC3.1469-4.0306

All FY2027 MS-DRGs · MDC 25

MS-DRG (IPPS Table 5)FY2027