MS-DRG 038Surgical

Extracranial Procedures with CC

Major Diagnostic Category 01·Grouped by procedure·FY 2027

MS-DRG 038 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 01 (MDC 01) with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 1.6296 with a geometric mean length of stay of 1.8 days and an arithmetic mean of 2.6 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:
1.6296 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
1.8 days (used for transfer payments)
Average stay:
2.6 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.

DRGTitleRelative weightMean stay
037Extracranial Procedures with MCC3.42354.9 days
038Extracranial Procedures with CC (this page)1.62961.8 days
039Extracranial Procedures without CC/MCC1.18501.2 days

Procedure codes (1,035)

ICD-10-PCS procedures that can group a stay to DRG 038.

Showing the first 1,000 of 1,035 codes. Use search to find a specific code.