DRG 012

Surgical DRG

Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC

TypeSurgical

What is MS-DRG 012?

MS-DRG 012 is a Surgical Medicare Severity Diagnosis Related Group with a Complication or Comorbidity (CC). For FY 2026 it carries a relative weight of 4.2160 with a geometric mean length of stay of 8.6 days and an arithmetic mean of 9.8 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
4.2160
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
8.6 days
Used for transfer payment calculations
Arithmetic Mean LOS
9.8 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC5.454111.4 days
012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCThis page4.21608.6 days
013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC2.88186.5 days

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
  • 0CTS0ZZ

    Resection of Larynx, Open Approach

    BillableSection 0
  • 0CTS4ZZ

    Resection of Larynx, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0CTS7ZZ

    Resection of Larynx, Via Natural or Artificial Opening

    BillableSection 0
  • 0CTS8ZZ

    Resection of Larynx, Via Natural or Artificial Opening Endoscopic

    BillableSection 0