MS-DRG 081Medical
Nontraumatic Stupor and Coma without MCC
Major Diagnostic Category 01·Grouped by diagnosis·FY 2027
MS-DRG 081 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 01 (MDC 01) without a significant Complication or Comorbidity. It maps to 44 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.8060 with a geometric mean length of stay of 2.8 days and an arithmetic mean of 3.5 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:
- 0.8060 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.8 days (used for transfer payments)
- Average stay:
- 3.5 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 |
|---|---|---|---|
| 080 | Nontraumatic Stupor and Coma with MCC | 1.7472 | 4.6 days |
| 081 | Nontraumatic Stupor and Coma without MCC (this page) | 0.8060 | 2.8 days |
Diagnosis codes (44)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 081. 100% of the codes listed are billable.
- E03.5Myxedema coma
- G93.5Compression of brain
- G93.6Cerebral edema
- G93.82Brain death
- R40.0Somnolence
- R40.1Stupor
- R40.20Unspecified coma
- R40.2110Coma scale, eyes open, never, unspecified time
- R40.2111Coma scale, eyes open, never, in the field [EMT or ambulance]
- R40.2112Coma scale, eyes open, never, at arrival to emergency department
- R40.2113Coma scale, eyes open, never, at hospital admission
- R40.2114Coma scale, eyes open, never, 24 hours or more after hospital admission
- R40.2120Coma scale, eyes open, to pain, unspecified time
- R40.2121Coma scale, eyes open, to pain, in the field [EMT or ambulance]
- R40.2122Coma scale, eyes open, to pain, at arrival to emergency department
- R40.2123Coma scale, eyes open, to pain, at hospital admission
- R40.2124Coma scale, eyes open, to pain, 24 hours or more after hospital admission
- R40.2210Coma scale, best verbal response, none, unspecified time
- R40.2211Coma scale, best verbal response, none, in the field [EMT or ambulance]
- R40.2212Coma scale, best verbal response, none, at arrival to emergency department
- R40.2213Coma scale, best verbal response, none, at hospital admission
- R40.2214Coma scale, best verbal response, none, 24 hours or more after hospital admission
- R40.2220Coma scale, best verbal response, incomprehensible words, unspecified time
- R40.2221Coma scale, best verbal response, incomprehensible words, in the field [EMT or ambulance]
- R40.2222Coma scale, best verbal response, incomprehensible words, at arrival to emergency department
- R40.2223Coma scale, best verbal response, incomprehensible words, at hospital admission
- R40.2224Coma scale, best verbal response, incomprehensible words, 24 hours or more after hospital admission
- R40.2310Coma scale, best motor response, none, unspecified time
- R40.2311Coma scale, best motor response, none, in the field [EMT or ambulance]
- R40.2312Coma scale, best motor response, none, at arrival to emergency department
- R40.2313Coma scale, best motor response, none, at hospital admission
- R40.2314Coma scale, best motor response, none, 24 hours or more after hospital admission
- R40.2320Coma scale, best motor response, extension, unspecified time
- R40.2321Coma scale, best motor response, extension, in the field [EMT or ambulance]
- R40.2322Coma scale, best motor response, extension, at arrival to emergency department
- R40.2323Coma scale, best motor response, extension, at hospital admission
- R40.2324Coma scale, best motor response, extension, 24 hours or more after hospital admission
- R40.2340Coma scale, best motor response, flexion withdrawal, unspecified time
- R40.2341Coma scale, best motor response, flexion withdrawal, in the field [EMT or ambulance]
- R40.2342Coma scale, best motor response, flexion withdrawal, at arrival to emergency department
- R40.2343Coma scale, best motor response, flexion withdrawal, at hospital admission
- R40.2344Coma scale, best motor response, flexion withdrawal, 24 hours or more after hospital admission
- R40.2ANontraumatic coma due to underlying condition
- R40.3Persistent vegetative state