Multiple Sclerosis and Cerebellar Ataxia with MCC
Major Diagnostic Category 01·Grouped by diagnosis·FY 2027
MS-DRG 058 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 31 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.8438 with a geometric mean length of stay of 5 days and an arithmetic mean of 6.9 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:
- 1.8438 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 5 days (used for transfer payments)
- Average stay:
- 6.9 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.
Diagnosis codes (31)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 058. 100% of the codes listed are billable.
- G11.0Congenital nonprogressive ataxia
- G11.10Early-onset cerebellar ataxia, unspecified
- G11.11Friedreich ataxia
- G11.19Other early-onset cerebellar ataxia
- G11.2Late-onset cerebellar ataxia
- G11.3Cerebellar ataxia with defective DNA repair
- G11.4Hereditary spastic paraplegia
- G11.5Hypomyelination - hypogonadotropic hypogonadism - hypodontia
- G11.6Leukodystrophy with vanishing white matter disease
- G11.8Other hereditary ataxias
- G11.9Hereditary ataxia, unspecified
- G32.81Cerebellar ataxia in diseases classified elsewhere
- G35.ARelapsing-remitting multiple sclerosis
- G35.B0Primary progressive multiple sclerosis, unspecified
- G35.B1Active primary progressive multiple sclerosis
- G35.B2Non-active primary progressive multiple sclerosis
- G35.C0Secondary progressive multiple sclerosis, unspecified
- G35.C1Active secondary progressive multiple sclerosis
- G35.C2Non-active secondary progressive multiple sclerosis
- G35.DMultiple sclerosis, unspecified
- G36.0Neuromyelitis optica [Devic]
- G36.1Acute and subacute hemorrhagic leukoencephalitis [Hurst]
- G36.8Other specified acute disseminated demyelination
- G36.9Acute disseminated demyelination, unspecified
- G37.0Diffuse sclerosis of central nervous system
- G37.1Central demyelination of corpus callosum
- G37.2Central pontine myelinolysis
- G37.5Concentric sclerosis [Balo] of central nervous system
- G37.81Myelin oligodendrocyte glycoprotein antibody disease
- G37.89Other specified demyelinating diseases of central nervous system
- G37.9Demyelinating disease of central nervous system, unspecified
