All ICD10 Codes

DRG 004

Surgical DRG

Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures

TypeSurgical

What is MS-DRG 004?

MS-DRG 004 is a Surgical Medicare Severity Diagnosis Related Group. For FY 2026 it carries a relative weight of 13.8514 with a geometric mean length of stay of 22.4 days and an arithmetic mean of 28 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
MDC
Pre-MDC / Multi-MDC
Linked Codes
0 diagnosis
10 procedure

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
13.8514
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
22.4 days
Used for transfer payment calculations
Arithmetic Mean LOS
28 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Linked ICD-10-PCS Procedure Mappings

  • 0B110F4

    Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach

    BillableSection 0
  • 0B110Z4

    Bypass Trachea to Cutaneous, Open Approach

    BillableSection 0
  • 0B113F4

    Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach

    BillableSection 0
  • 0B113Z4

    Bypass Trachea to Cutaneous, Percutaneous Approach

    BillableSection 0
  • 0B114F4

    Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0B114Z4

    Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach

    BillableSection 0
  • 5A1522F

    Extracorporeal Oxygenation, Membrane, Central

    BillableSection 5
  • 5A1522G

    Extracorporeal Oxygenation, Membrane, Peripheral Veno-arterial

    BillableSection 5
  • 5A1522H

    Extracorporeal Oxygenation, Membrane, Peripheral Veno-venous

    BillableSection 5
  • 5A1955Z

    Respiratory Ventilation, Greater than 96 Consecutive Hours

    BillableSection 5