Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC
Major Diagnostic Category 01·Grouped by diagnosis·FY 2027
MS-DRG 097 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 81 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 3.8226 with a geometric mean length of stay of 9 days and an arithmetic mean of 12.2 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:
- 3.8226 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 9 days (used for transfer payments)
- Average stay:
- 12.2 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 |
|---|---|---|---|
| 097 | Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC (this page) | 3.8226 | 9 days |
| 098 | Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC | 2.2706 | 5.8 days |
| 099 | Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC | 1.5256 | 3.9 days |
Diagnosis codes (81)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 097. 100% of the codes listed are billable.
- A06.6Amebic brain abscess
- A27.81Aseptic meningitis in leptospirosis
- A27.89Other forms of leptospirosis
- A50.40Late congenital neurosyphilis, unspecified
- A50.41Late congenital syphilitic meningitis
- A50.42Late congenital syphilitic encephalitis
- A50.43Late congenital syphilitic polyneuropathy
- A50.45Juvenile general paresis
- A50.49Other late congenital neurosyphilis
- A51.41Secondary syphilitic meningitis
- A52.13Late syphilitic meningitis
- A52.14Late syphilitic encephalitis
- A52.2Asymptomatic neurosyphilis
- A80.0Acute paralytic poliomyelitis, vaccine-associated
- A80.1Acute paralytic poliomyelitis, wild virus, imported
- A80.2Acute paralytic poliomyelitis, wild virus, indigenous
- A80.30Acute paralytic poliomyelitis, unspecified
- A80.39Other acute paralytic poliomyelitis
- A80.9Acute poliomyelitis, unspecified
- A82.0Sylvatic rabies
- A82.1Urban rabies
- A82.9Rabies, unspecified
- A83.0Japanese encephalitis
- A83.1Western equine encephalitis
- A83.2Eastern equine encephalitis
- A83.3St Louis encephalitis
- A83.4Australian encephalitis
- A83.5California encephalitis
- A83.6Rocio virus disease
- A83.8Other mosquito-borne viral encephalitis
- A83.9Mosquito-borne viral encephalitis, unspecified
- A84.0Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis]
- A84.1Central European tick-borne encephalitis
- A84.81Powassan virus disease
- A84.89Other tick-borne viral encephalitis
- A84.9Tick-borne viral encephalitis, unspecified
- A85.0Enteroviral encephalitis
- A85.1Adenoviral encephalitis
- A85.2Arthropod-borne viral encephalitis, unspecified
- A85.8Other specified viral encephalitis
- A86Unspecified viral encephalitis
- A88.8Other specified viral infections of central nervous system
- A89Unspecified viral infection of central nervous system
- A92.2Venezuelan equine fever
- B00.4Herpesviral encephalitis
- B00.82Herpes simplex myelitis
- B01.11Varicella encephalitis and encephalomyelitis
- B01.12Varicella myelitis
- B02.24Postherpetic myelitis
- B05.0Measles complicated by encephalitis
- B06.01Rubella encephalitis
- B06.02Rubella meningitis
- B06.09Other neurological complications of rubella
- B10.01Human herpesvirus 6 encephalitis
- B10.09Other human herpesvirus encephalitis
- B26.2Mumps encephalitis
- B37.5Candidal meningitis
- B38.4Coccidioidomycosis meningitis
- B45.1Cerebral cryptococcosis
- B58.2Toxoplasma meningoencephalitis
- G02Meningitis in other infectious and parasitic diseases classified elsewhere
- G03.0Nonpyogenic meningitis
- G03.1Chronic meningitis
- G03.8Meningitis due to other specified causes
- G03.9Meningitis, unspecified
- G04.00Acute disseminated encephalitis and encephalomyelitis, unspecified
- G04.01Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM)
- G04.02Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis
- G04.30Acute necrotizing hemorrhagic encephalopathy, unspecified
- G04.31Postinfectious acute necrotizing hemorrhagic encephalopathy
- G04.32Postimmunization acute necrotizing hemorrhagic encephalopathy
- G04.39Other acute necrotizing hemorrhagic encephalopathy
- G04.81Other encephalitis and encephalomyelitis
- G04.82Acute flaccid myelitis
- G04.89Other myelitis
- G04.90Encephalitis and encephalomyelitis, unspecified
- G04.91Myelitis, unspecified
- G05.3Encephalitis and encephalomyelitis in diseases classified elsewhere
- G05.4Myelitis in diseases classified elsewhere
- G37.3Acute transverse myelitis in demyelinating disease of central nervous system
- G37.4Subacute necrotizing myelitis of central nervous system
