MS-DRG 001Surgical
Heart Transplant or Implant of Heart Assist System with MCC
Pre-MDC·Grouped by procedure·FY 2027
MS-DRG 001 is a Surgical Medicare Severity Diagnosis Related Group with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 28.0947 with a geometric mean length of stay of 24.5 days and an arithmetic mean of 35.5 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 28.0947 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 24.5 days (used for transfer payments)
- Average stay:
- 35.5 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
Same condition, other severity levels
CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 001 | Heart Transplant or Implant of Heart Assist System with MCC (this page) | 28.0947 | 24.5 days |
| 002 | Heart Transplant or Implant of Heart Assist System without MCC | 11.0088 | 9.4 days |
Procedure codes (23)
ICD-10-PCS procedures that can group a stay to DRG 001.
- 02HA0QZInsertion of Implantable Heart Assist System into Heart, Open Approach
- 02HA0RSInsertion of Biventricular Short-term External Heart Assist System into Heart, Open Approach
- 02HA0RZInsertion of Short-term External Heart Assist System into Heart, Open Approach
- 02HA3QZInsertion of Implantable Heart Assist System into Heart, Percutaneous Approach
- 02HA3RSInsertion of Biventricular Short-term External Heart Assist System into Heart, Percutaneous Approach
- 02HA3RZInsertion of Short-term External Heart Assist System into Heart, Percutaneous Approach
- 02HA4QZInsertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach
- 02HA4RSInsertion of Biventricular Short-term External Heart Assist System into Heart, Percutaneous Endoscopic Approach
- 02HA4RZInsertion of Short-term External Heart Assist System into Heart, Percutaneous Endoscopic Approach
- 02PW3RZRemoval of Short-term External Heart Assist System from Thoracic Aorta, Descending, Percutaneous Approach
- 02RA0LZReplacement of Heart with Biologic and Synthetic Substitute, Autoregulated Electrohydraulic, Open Approach
- 02RA0MZReplacement of Heart with Synthetic Substitute, Pneumatic, Open Approach
- 02RK0JZReplacement of Right Ventricle with Synthetic Substitute, Open Approach
- 02WA0QZRevision of Implantable Heart Assist System in Heart, Open Approach
- 02WA0RZRevision of Short-term External Heart Assist System in Heart, Open Approach
- 02WA3QZRevision of Implantable Heart Assist System in Heart, Percutaneous Approach
- 02WA3RZRevision of Short-term External Heart Assist System in Heart, Percutaneous Approach
- 02WA4QZRevision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic Approach
- 02WA4RZRevision of Short-term External Heart Assist System in Heart, Percutaneous Endoscopic Approach
- 02WW3RZRevision of Short-term External Heart Assist System in Thoracic Aorta, Descending, Percutaneous Approach
- 02YA0Z0Transplantation of Heart, Allogeneic, Open Approach
- 02YA0Z1Transplantation of Heart, Syngeneic, Open Approach
- 02YA0Z2Transplantation of Heart, Zooplastic, Open Approach