Headaches without MCC
Major Diagnostic Category 01·Grouped by diagnosis·FY 2027
MS-DRG 103 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 01 (MDC 01) without a significant Complication or Comorbidity. It maps to 95 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.8220 with a geometric mean length of stay of 2.2 days and an arithmetic mean of 2.8 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:
- 0.8220 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.2 days (used for transfer payments)
- Average stay:
- 2.8 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 |
|---|---|---|---|
| 102 | Headaches with MCC | 1.1201 | 2.9 days |
| 103 | Headaches without MCC (this page) | 0.8220 | 2.2 days |
Diagnosis codes (95)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 103. 100% of the codes listed are billable.
- F07.81Postconcussional syndrome
- G43.001Migraine without aura, not intractable, with status migrainosus
- G43.009Migraine without aura, not intractable, without status migrainosus
- G43.011Migraine without aura, intractable, with status migrainosus
- G43.019Migraine without aura, intractable, without status migrainosus
- G43.101Migraine with aura, not intractable, with status migrainosus
- G43.109Migraine with aura, not intractable, without status migrainosus
- G43.111Migraine with aura, intractable, with status migrainosus
- G43.119Migraine with aura, intractable, without status migrainosus
- G43.401Hemiplegic migraine, not intractable, with status migrainosus
- G43.409Hemiplegic migraine, not intractable, without status migrainosus
- G43.411Hemiplegic migraine, intractable, with status migrainosus
- G43.419Hemiplegic migraine, intractable, without status migrainosus
- G43.501Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus
- G43.509Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus
- G43.511Persistent migraine aura without cerebral infarction, intractable, with status migrainosus
- G43.519Persistent migraine aura without cerebral infarction, intractable, without status migrainosus
- G43.601Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus
- G43.609Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus
- G43.611Persistent migraine aura with cerebral infarction, intractable, with status migrainosus
- G43.619Persistent migraine aura with cerebral infarction, intractable, without status migrainosus
- G43.701Chronic migraine without aura, not intractable, with status migrainosus
- G43.709Chronic migraine without aura, not intractable, without status migrainosus
- G43.711Chronic migraine without aura, intractable, with status migrainosus
- G43.719Chronic migraine without aura, intractable, without status migrainosus
- G43.801Other migraine, not intractable, with status migrainosus
- G43.809Other migraine, not intractable, without status migrainosus
- G43.811Other migraine, intractable, with status migrainosus
- G43.819Other migraine, intractable, without status migrainosus
- G43.821Menstrual migraine, not intractable, with status migrainosus
- G43.829Menstrual migraine, not intractable, without status migrainosus
- G43.831Menstrual migraine, intractable, with status migrainosus
- G43.839Menstrual migraine, intractable, without status migrainosus
- G43.901Migraine, unspecified, not intractable, with status migrainosus
- G43.909Migraine, unspecified, not intractable, without status migrainosus
- G43.911Migraine, unspecified, intractable, with status migrainosus
- G43.919Migraine, unspecified, intractable, without status migrainosus
- G43.A0Cyclical vomiting, in migraine, not intractable
- G43.A1Cyclical vomiting, in migraine, intractable
- G43.B0Ophthalmoplegic migraine, not intractable
- G43.B1Ophthalmoplegic migraine, intractable
- G43.C0Periodic headache syndromes in child or adult, not intractable
- G43.C1Periodic headache syndromes in child or adult, intractable
- G43.D0Abdominal migraine, not intractable
- G43.D1Abdominal migraine, intractable
- G43.E01Chronic migraine with aura, not intractable, with status migrainosus
- G43.E09Chronic migraine with aura, not intractable, without status migrainosus
- G43.E11Chronic migraine with aura, intractable, with status migrainosus
- G43.E19Chronic migraine with aura, intractable, without status migrainosus
- G44.001Cluster headache syndrome, unspecified, intractable
- G44.009Cluster headache syndrome, unspecified, not intractable
- G44.011Episodic cluster headache, intractable
- G44.019Episodic cluster headache, not intractable
- G44.021Chronic cluster headache, intractable
- G44.029Chronic cluster headache, not intractable
- G44.031Episodic paroxysmal hemicrania, intractable
- G44.039Episodic paroxysmal hemicrania, not intractable
- G44.041Chronic paroxysmal hemicrania, intractable
- G44.049Chronic paroxysmal hemicrania, not intractable
- G44.051Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), intractable
- G44.059Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), not intractable
- G44.091Other trigeminal autonomic cephalgias (TAC), intractable
- G44.099Other trigeminal autonomic cephalgias (TAC), not intractable
- G44.1Vascular headache, not elsewhere classified
- G44.201Tension-type headache, unspecified, intractable
- G44.209Tension-type headache, unspecified, not intractable
- G44.211Episodic tension-type headache, intractable
- G44.219Episodic tension-type headache, not intractable
- G44.221Chronic tension-type headache, intractable
- G44.229Chronic tension-type headache, not intractable
- G44.301Post-traumatic headache, unspecified, intractable
- G44.309Post-traumatic headache, unspecified, not intractable
- G44.311Acute post-traumatic headache, intractable
- G44.319Acute post-traumatic headache, not intractable
- G44.321Chronic post-traumatic headache, intractable
- G44.329Chronic post-traumatic headache, not intractable
- G44.40Drug-induced headache, not elsewhere classified, not intractable
- G44.41Drug-induced headache, not elsewhere classified, intractable
- G44.51Hemicrania continua
- G44.52New daily persistent headache (NDPH)
- G44.53Primary thunderclap headache
- G44.59Other complicated headache syndrome
- G44.81Hypnic headache
- G44.82Headache associated with sexual activity
- G44.83Primary cough headache
- G44.84Primary exertional headache
- G44.85Primary stabbing headache
- G44.86Cervicogenic headache
- G44.89Other headache syndrome
- G93.2Benign intracranial hypertension
- G97.1Other reaction to spinal and lumbar puncture
- I67.7Cerebral arteritis, not elsewhere classified
- I68.2Cerebral arteritis in other diseases classified elsewhere
- R51.0Headache with orthostatic component, not elsewhere classified
- R51.9Headache, unspecified
