MS-DRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
MS-DRG 976 is hiv with major related condition without cc/mcc, in MDC 25 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.8124, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.80 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
- 0.8124
- Geometric mean LOS
- 2.80
- Arithmetic mean LOS
- 3.40
- Post-acute transfer
- No
CMS caps year-over-year weight decreases at 10%. Before the cap this DRG weighs 0.7882; the capped weight above is the one used for payment. 41 DRGs differ this way in FY2027.
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 976.
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | 3.0506 | +2.2382 |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | 1.3252 | +0.5128 |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | 0.8124 |
Choosing the principal diagnosis: Pneumonia ICD-10 codes, Sepsis ICD-10 codes, COVID-19 ICD-10 codes.
All FY2027 MS-DRGs · MDC 25