MS-DRG 116Surgical

Intraocular Procedures with CC/MCC

Major Diagnostic Category 02·Grouped by procedure·FY 2027

MS-DRG 116 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 02 (MDC 02) with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 1.6273 with a geometric mean length of stay of 4 days and an arithmetic mean of 6.1 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:
1.6273 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
4 days (used for transfer payments)
Average stay:
6.1 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.

DRGTitleRelative weightMean stay
116Intraocular Procedures with CC/MCC (this page)1.62734 days
117Intraocular Procedures without CC/MCC1.06201.9 days

Procedure codes (296)

ICD-10-PCS procedures that can group a stay to DRG 116.