MS-DRG 011Surgical
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
Pre-MDC·Grouped by procedure·FY 2027
MS-DRG 011 is a Surgical Medicare Severity Diagnosis Related Group with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 5.6154 with a geometric mean length of stay of 11.7 days and an arithmetic mean of 14.5 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:
- 5.6154 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 11.7 days (used for transfer payments)
- Average stay:
- 14.5 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 |
|---|---|---|---|
| 011 | Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC (this page) | 5.6154 | 11.7 days |
| 012 | Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC | 4.3810 | 8.5 days |
| 013 | Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC | 2.7307 | 6.2 days |
Procedure codes (10)
ICD-10-PCS procedures that can group a stay to DRG 011.
- 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
- 0CTS0ZZResection of Larynx, Open Approach
- 0CTS4ZZResection of Larynx, Percutaneous Endoscopic Approach
- 0CTS7ZZResection of Larynx, Via Natural or Artificial Opening
- 0CTS8ZZResection of Larynx, Via Natural or Artificial Opening Endoscopic
