MS-DRG 012Surgical

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

Pre-MDC·Grouped by procedure·FY 2027

MS-DRG 012 is a Surgical Medicare Severity Diagnosis Related Group with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 4.3810 with a geometric mean length of stay of 8.5 days and an arithmetic mean of 9.7 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

FY 2027 payment data

From Table 5 of the FY 2027 IPPS Final Rule (CMS).

Relative weight:: 4.3810 (payment multiplier vs. the average case (1.0))
Geometric mean stay:: 8.5 days (used for transfer payments)
Average stay:: 9.7 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	5.6154	11.7 days
012	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC (this page)	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 012.