MCMedicalCodingSoftware
975

MS-DRG 975: HIV WITH MAJOR RELATED CONDITION WITH CC

DRGMedicalMDC 25

MS-DRG 975 is hiv with major related condition with cc, in MDC 25 (a medical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 1.3252, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.90 days. 477 ICD-10-CM principal diagnoses group into MS-DRGs 974–976 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.3252
Geometric mean LOS
3.90
Arithmetic mean LOS
5.40
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 974–976

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 477 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 974–976 the case lands in. The 24 most-searched:

  • J18.9Pneumonia, unspecified organism
  • B20Human immunodeficiency virus [HIV] disease
  • F03.90Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
  • F29Unspecified psychosis not due to a substance or known physiological condition
  • A41.9Sepsis, unspecified organism
  • G93.40Encephalopathy, unspecified
  • G95.9Disease of spinal cord, unspecified
  • G93.41Metabolic encephalopathy
  • U07.1COVID-19
  • F09Unspecified mental disorder due to known physiological condition
  • C83.30Diffuse large B-cell lymphoma, unspecified site
  • F28Other psychotic disorder not due to a substance or known physiological condition
  • A41.51Sepsis due to Escherichia coli [E. coli]
  • B02.29Other postherpetic nervous system involvement
  • C85.90Non-Hodgkin lymphoma, unspecified, unspecified site
  • B00.9Herpesviral infection, unspecified
  • B37.2Candidiasis of skin and nail
  • B59Pneumocystosis
  • C83.38Diffuse large B-cell lymphoma, lymph nodes of multiple sites
  • C85.10Unspecified B-cell lymphoma, unspecified site
  • G95.20Unspecified cord compression
  • J15.9Unspecified bacterial pneumonia
  • J18.8Other pneumonia, unspecified organism
  • A41.01Sepsis due to Methicillin susceptible Staphylococcus aureus

453 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 975.

974HIV WITH MAJOR RELATED CONDITION WITH MCC3.0506+1.7254
975HIV WITH MAJOR RELATED CONDITION WITH CC1.3252
976HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC0.8124-0.5128

Choosing the principal diagnosis: Pneumonia ICD-10 codes, Sepsis ICD-10 codes, COVID-19 ICD-10 codes.

All FY2027 MS-DRGs · MDC 25

MS-DRG (IPPS Table 5)FY2027