Nervous System Neoplasms with MCC
Major Diagnostic Category 01·Grouped by diagnosis·FY 2027
MS-DRG 054 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 01 (MDC 01) with a Major Complication or Comorbidity (MCC). It maps to 61 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.5194 with a geometric mean length of stay of 3.9 days and an arithmetic mean of 5.7 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:
- 1.5194 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.9 days (used for transfer payments)
- Average stay:
- 5.7 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
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 |
|---|---|---|---|
| 054 | Nervous System Neoplasms with MCC (this page) | 1.5194 | 3.9 days |
| 055 | Nervous System Neoplasms without MCC | 1.0296 | 2.9 days |
Diagnosis codes (61)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 054. 100% of the codes listed are billable.
- C70.0Malignant neoplasm of cerebral meninges
- C70.1Malignant neoplasm of spinal meninges
- C70.9Malignant neoplasm of meninges, unspecified
- C71.0Malignant neoplasm of cerebrum, except lobes and ventricles
- C71.1Malignant neoplasm of frontal lobe
- C71.2Malignant neoplasm of temporal lobe
- C71.3Malignant neoplasm of parietal lobe
- C71.4Malignant neoplasm of occipital lobe
- C71.5Malignant neoplasm of cerebral ventricle
- C71.6Malignant neoplasm of cerebellum
- C71.7Malignant neoplasm of brain stem
- C71.8Malignant neoplasm of overlapping sites of brain
- C71.9Malignant neoplasm of brain, unspecified
- C72.0Malignant neoplasm of spinal cord
- C72.1Malignant neoplasm of cauda equina
- C72.20Malignant neoplasm of unspecified olfactory nerve
- C72.21Malignant neoplasm of right olfactory nerve
- C72.22Malignant neoplasm of left olfactory nerve
- C72.30Malignant neoplasm of unspecified optic nerve
- C72.31Malignant neoplasm of right optic nerve
- C72.32Malignant neoplasm of left optic nerve
- C72.40Malignant neoplasm of unspecified acoustic nerve
- C72.41Malignant neoplasm of right acoustic nerve
- C72.42Malignant neoplasm of left acoustic nerve
- C72.50Malignant neoplasm of unspecified cranial nerve
- C72.59Malignant neoplasm of other cranial nerves
- C72.9Malignant neoplasm of central nervous system, unspecified
- C75.3Malignant neoplasm of pineal gland
- C75.4Malignant neoplasm of carotid body
- C75.5Malignant neoplasm of aortic body and other paraganglia
- C79.31Secondary malignant neoplasm of brain
- C79.32Secondary malignant neoplasm of cerebral meninges
- C79.40Secondary malignant neoplasm of unspecified part of nervous system
- C79.49Secondary malignant neoplasm of other parts of nervous system
- D32.0Benign neoplasm of cerebral meninges
- D32.1Benign neoplasm of spinal meninges
- D32.9Benign neoplasm of meninges, unspecified
- D33.0Benign neoplasm of brain, supratentorial
- D33.1Benign neoplasm of brain, infratentorial
- D33.2Benign neoplasm of brain, unspecified
- D33.3Benign neoplasm of cranial nerves
- D33.4Benign neoplasm of spinal cord
- D33.7Benign neoplasm of other specified parts of central nervous system
- D33.9Benign neoplasm of central nervous system, unspecified
- D35.4Benign neoplasm of pineal gland
- D35.5Benign neoplasm of carotid body
- D35.6Benign neoplasm of aortic body and other paraganglia
- D42.0Neoplasm of uncertain behavior of cerebral meninges
- D42.1Neoplasm of uncertain behavior of spinal meninges
- D42.9Neoplasm of uncertain behavior of meninges, unspecified
- D43.0Neoplasm of uncertain behavior of brain, supratentorial
- D43.1Neoplasm of uncertain behavior of brain, infratentorial
- D43.2Neoplasm of uncertain behavior of brain, unspecified
- D43.3Neoplasm of uncertain behavior of cranial nerves
- D43.4Neoplasm of uncertain behavior of spinal cord
- D43.8Neoplasm of uncertain behavior of other specified parts of central nervous system
- D43.9Neoplasm of uncertain behavior of central nervous system, unspecified
- D44.5Neoplasm of uncertain behavior of pineal gland
- D44.6Neoplasm of uncertain behavior of carotid body
- D44.7Neoplasm of uncertain behavior of aortic body and other paraganglia
- D49.6Neoplasm of unspecified behavior of brain
