MS-DRG 004Surgical
Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures
Pre-MDC·Grouped by procedure·FY 2027
MS-DRG 004 is a Surgical Medicare Severity Diagnosis Related Group. For FY 2027 it carries a relative weight of 13.5832 with a geometric mean length of stay of 22 days and an arithmetic mean of 27.3 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
Advertisements
FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 13.5832 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 22 days (used for transfer payments)
- Average stay:
- 27.3 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
Procedure codes (7)
ICD-10-PCS procedures that can group a stay to DRG 004.
- 0B110F4Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach
- 0B110Z4Bypass Trachea to Cutaneous, Open Approach
- 0B113F4Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach
- 0B113Z4Bypass Trachea to Cutaneous, Percutaneous Approach
- 0B114F4Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach
- 0B114Z4Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach
- 5A1955ZRespiratory Ventilation, Greater than 96 Consecutive Hours