DRG 055

Medical DRG

Nervous System Neoplasms without MCC

TypeMedicalMDC01Dx Codes61

What is MS-DRG 055?

MS-DRG 055 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 01 (MDC 01) without a significant Complication or Comorbidity. It maps to 61 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.0196 with a geometric mean length of stay of 2.9 days and an arithmetic mean of 3.9 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
61 diagnosis
Billable Dx
100%
61 of 61 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
1.0196
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.9 days
Used for transfer payment calculations
Arithmetic Mean LOS
3.9 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care 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
054Nervous System Neoplasms with MCC1.52694 days
055Nervous System Neoplasms without MCCThis page1.01962.9 days

Linked ICD-10-CM Diagnosis Mappings

  • C70.0

    Malignant neoplasm of cerebral meninges

    BillableChapter 2
  • C70.1

    Malignant neoplasm of spinal meninges

    BillableChapter 2
  • C70.9

    Malignant neoplasm of meninges, unspecified

    BillableChapter 2
  • C71.0

    Malignant neoplasm of cerebrum, except lobes and ventricles

    BillableChapter 2
  • C71.1

    Malignant neoplasm of frontal lobe

    BillableChapter 2
  • C71.2

    Malignant neoplasm of temporal lobe

    BillableChapter 2
  • C71.3

    Malignant neoplasm of parietal lobe

    BillableChapter 2
  • C71.4

    Malignant neoplasm of occipital lobe

    BillableChapter 2
  • C71.5

    Malignant neoplasm of cerebral ventricle

    BillableChapter 2
  • C71.6

    Malignant neoplasm of cerebellum

    BillableChapter 2
  • C71.7

    Malignant neoplasm of brain stem

    BillableChapter 2
  • C71.8

    Malignant neoplasm of overlapping sites of brain

    BillableChapter 2
  • C71.9

    Malignant neoplasm of brain, unspecified

    BillableChapter 2
  • C72.0

    Malignant neoplasm of spinal cord

    BillableChapter 2
  • C72.1

    Malignant neoplasm of cauda equina

    BillableChapter 2
  • C72.20

    Malignant neoplasm of unspecified olfactory nerve

    BillableChapter 2
  • C72.21

    Malignant neoplasm of right olfactory nerve

    BillableChapter 2
  • C72.22

    Malignant neoplasm of left olfactory nerve

    BillableChapter 2
  • C72.30

    Malignant neoplasm of unspecified optic nerve

    BillableChapter 2
  • C72.31

    Malignant neoplasm of right optic nerve

    BillableChapter 2
  • C72.32

    Malignant neoplasm of left optic nerve

    BillableChapter 2
  • C72.40

    Malignant neoplasm of unspecified acoustic nerve

    BillableChapter 2
  • C72.41

    Malignant neoplasm of right acoustic nerve

    BillableChapter 2
  • C72.42

    Malignant neoplasm of left acoustic nerve

    BillableChapter 2
  • C72.50

    Malignant neoplasm of unspecified cranial nerve

    BillableChapter 2
  • C72.59

    Malignant neoplasm of other cranial nerves

    BillableChapter 2
  • C72.9

    Malignant neoplasm of central nervous system, unspecified

    BillableChapter 2
  • C75.3

    Malignant neoplasm of pineal gland

    BillableChapter 2
  • C75.4

    Malignant neoplasm of carotid body

    BillableChapter 2
  • C75.5

    Malignant neoplasm of aortic body and other paraganglia

    BillableChapter 2
  • C79.31

    Secondary malignant neoplasm of brain

    BillableChapter 2
  • C79.32

    Secondary malignant neoplasm of cerebral meninges

    BillableChapter 2
  • C79.40

    Secondary malignant neoplasm of unspecified part of nervous system

    BillableChapter 2
  • C79.49

    Secondary malignant neoplasm of other parts of nervous system

    BillableChapter 2
  • D32.0

    Benign neoplasm of cerebral meninges

    BillableChapter 2
  • D32.1

    Benign neoplasm of spinal meninges

    BillableChapter 2
  • D32.9

    Benign neoplasm of meninges, unspecified

    BillableChapter 2
  • D33.0

    Benign neoplasm of brain, supratentorial

    BillableChapter 2
  • D33.1

    Benign neoplasm of brain, infratentorial

    BillableChapter 2
  • D33.2

    Benign neoplasm of brain, unspecified

    BillableChapter 2
  • D33.3

    Benign neoplasm of cranial nerves

    BillableChapter 2
  • D33.4

    Benign neoplasm of spinal cord

    BillableChapter 2
  • D33.7

    Benign neoplasm of other specified parts of central nervous system

    BillableChapter 2
  • D33.9

    Benign neoplasm of central nervous system, unspecified

    BillableChapter 2
  • D35.4

    Benign neoplasm of pineal gland

    BillableChapter 2
  • D35.5

    Benign neoplasm of carotid body

    BillableChapter 2
  • D35.6

    Benign neoplasm of aortic body and other paraganglia

    BillableChapter 2
  • D42.0

    Neoplasm of uncertain behavior of cerebral meninges

    BillableChapter 2
  • D42.1

    Neoplasm of uncertain behavior of spinal meninges

    BillableChapter 2
  • D42.9

    Neoplasm of uncertain behavior of meninges, unspecified

    BillableChapter 2
  • D43.0

    Neoplasm of uncertain behavior of brain, supratentorial

    BillableChapter 2
  • D43.1

    Neoplasm of uncertain behavior of brain, infratentorial

    BillableChapter 2
  • D43.2

    Neoplasm of uncertain behavior of brain, unspecified

    BillableChapter 2
  • D43.3

    Neoplasm of uncertain behavior of cranial nerves

    BillableChapter 2
  • D43.4

    Neoplasm of uncertain behavior of spinal cord

    BillableChapter 2
  • D43.8

    Neoplasm of uncertain behavior of other specified parts of central nervous system

    BillableChapter 2
  • D43.9

    Neoplasm of uncertain behavior of central nervous system, unspecified

    BillableChapter 2
  • D44.5

    Neoplasm of uncertain behavior of pineal gland

    BillableChapter 2
  • D44.6

    Neoplasm of uncertain behavior of carotid body

    BillableChapter 2
  • D44.7

    Neoplasm of uncertain behavior of aortic body and other paraganglia

    BillableChapter 2
  • D49.6

    Neoplasm of unspecified behavior of brain

    BillableChapter 2