Seizures with MCC
Major Diagnostic Category 01·Grouped by diagnosis·FY 2027
MS-DRG 100 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 62 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.9233 with a geometric mean length of stay of 4.3 days and an arithmetic mean of 6.2 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:
- 1.9233 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 4.3 days (used for transfer payments)
- Average stay:
- 6.2 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 |
|---|---|---|---|
| 100 | Seizures with MCC (this page) | 1.9233 | 4.3 days |
| 101 | Seizures without MCC | 0.8952 | 2.6 days |
Diagnosis codes (62)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 100. 100% of the codes listed are billable.
- G40.001Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus
- G40.009Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus
- G40.011Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus
- G40.019Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus
- G40.101Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus
- G40.109Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus
- G40.111Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus
- G40.119Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus
- G40.201Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus
- G40.209Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus
- G40.211Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus
- G40.219Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
- G40.301Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus
- G40.309Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus
- G40.311Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus
- G40.319Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus
- G40.401Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus
- G40.409Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus
- G40.411Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus
- G40.419Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus
- G40.42Cyclin-Dependent Kinase-Like 5 Deficiency Disorder
- G40.501Epileptic seizures related to external causes, not intractable, with status epilepticus
- G40.509Epileptic seizures related to external causes, not intractable, without status epilepticus
- G40.801Other epilepsy, not intractable, with status epilepticus
- G40.802Other epilepsy, not intractable, without status epilepticus
- G40.803Other epilepsy, intractable, with status epilepticus
- G40.804Other epilepsy, intractable, without status epilepticus
- G40.811Lennox-Gastaut syndrome, not intractable, with status epilepticus
- G40.812Lennox-Gastaut syndrome, not intractable, without status epilepticus
- G40.813Lennox-Gastaut syndrome, intractable, with status epilepticus
- G40.814Lennox-Gastaut syndrome, intractable, without status epilepticus
- G40.821Epileptic spasms, not intractable, with status epilepticus
- G40.822Epileptic spasms, not intractable, without status epilepticus
- G40.823Epileptic spasms, intractable, with status epilepticus
- G40.824Epileptic spasms, intractable, without status epilepticus
- G40.833Dravet syndrome, intractable, with status epilepticus
- G40.834Dravet syndrome, intractable, without status epilepticus
- G40.841KCNQ2-related epilepsy, not intractable, with status epilepticus
- G40.842KCNQ2-related epilepsy, not intractable, without status epilepticus
- G40.843KCNQ2-related epilepsy, intractable, with status epilepticus
- G40.844KCNQ2-related epilepsy, intractable, without status epilepticus
- G40.89Other seizures
- G40.901Epilepsy, unspecified, not intractable, with status epilepticus
- G40.909Epilepsy, unspecified, not intractable, without status epilepticus
- G40.911Epilepsy, unspecified, intractable, with status epilepticus
- G40.919Epilepsy, unspecified, intractable, without status epilepticus
- G40.A01Absence epileptic syndrome, not intractable, with status epilepticus
- G40.A09Absence epileptic syndrome, not intractable, without status epilepticus
- G40.A11Absence epileptic syndrome, intractable, with status epilepticus
- G40.A19Absence epileptic syndrome, intractable, without status epilepticus
- G40.B01Juvenile myoclonic epilepsy, not intractable, with status epilepticus
- G40.B09Juvenile myoclonic epilepsy, not intractable, without status epilepticus
- G40.B11Juvenile myoclonic epilepsy, intractable, with status epilepticus
- G40.B19Juvenile myoclonic epilepsy, intractable, without status epilepticus
- G40.C01Lafora progressive myoclonus epilepsy, not intractable, with status epilepticus
- G40.C09Lafora progressive myoclonus epilepsy, not intractable, without status epilepticus
- G40.C11Lafora progressive myoclonus epilepsy, intractable, with status epilepticus
- G40.C19Lafora progressive myoclonus epilepsy, intractable, without status epilepticus
- R56.00Simple febrile convulsions
- R56.01Complex febrile convulsions
- R56.1Post traumatic seizures
- R56.9Unspecified convulsions
