MCC List 2027

MS-DRG v44.0 (FY2027, effective October 1, 2026) treats 3,357 ICD-10-CM codes as an MCC (major complication or comorbidity). Reported as a secondary diagnosis, an MCC can move the case to a higher-weighted DRG, unless the principal diagnosis is on that code's exclusion list.

See also the CC list. Every billable code page shows its CC/MCC status. Source: CMS MS-DRG Definitions Manual, Appendix C.

Ch. 1: Certain Infectious and Parasitic Diseases A00-B99150Ch. 3: Diseases of the Blood and Blood-Forming Organs D50-D8953Ch. 4: Endocrine, Nutritional and Metabolic Diseases E00-E8938Ch. 6: Diseases of the Nervous System G00-G9953Ch. 9: Diseases of the Circulatory System I00-I99213Ch. 10: Diseases of the Respiratory System J00-J9976Ch. 11: Diseases of the Digestive System K00-K95147Ch. 12: Diseases of the Skin and Subcutaneous Tissue L00-L9950Ch. 13: Diseases of the Musculoskeletal System and Connective Tissue M00-M995Ch. 14: Diseases of the Genitourinary System N00-N9930Ch. 15: Pregnancy, Childbirth and the Puerperium O00-O9A215Ch. 16: Certain Conditions Originating in the Perinatal Period P00-P96107Ch. 17: Congenital Malformations, Deformations and Chromosomal Abnormalities Q00-Q9949Ch. 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings R00-R9945
Ch. 19: Injury, Poisoning and Certain Other Consequences of External Causes S00-T882,125
Injuries to the head (S00-S09)166Injuries to the neck (S10-S19)137Injuries to the thorax (S20-S29)190Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals (S30-S39)357Injuries to the shoulder and upper arm (S40-S49)141Injuries to the elbow and forearm (S50-S59)336Injuries to the hip and thigh (S70-S79)450Injuries to the knee and lower leg (S80-S89)252Burns and corrosions of multiple and unspecified body regions (T30-T32)88T794Complications of surgical and medical care, not elsewhere classified (T80-T88)4
Ch. 22: Codes for Special Purposes U00-U851