DRG 146

Medical DRG

Ear, Nose, Mouth and Throat Malignancy with MCC

TypeMedicalMDC03Dx Codes9

What is MS-DRG 146?

MS-DRG 146 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 03 (MDC 03) with a Major Complication or Comorbidity (MCC). It maps to 9 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 2.1174 with a geometric mean length of stay of 5.5 days and an arithmetic mean of 8 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
9 diagnosis
Billable Dx
100%
9 of 9 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
2.1174
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
5.5 days
Used for transfer payment calculations
Arithmetic Mean LOS
8 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
146Ear, Nose, Mouth and Throat Malignancy with MCCThis page2.11745.5 days
147Ear, Nose, Mouth and Throat Malignancy with CC1.27153.5 days
148Ear, Nose, Mouth and Throat Malignancy without CC/MCC0.79711.9 days

Linked ICD-10-CM Diagnosis Mappings

  • B99.9

    Unspecified infectious disease

    BillableChapter 1
  • C26.9

    Malignant neoplasm of ill-defined sites within the digestive system

    BillableChapter 2
  • C38.8

    Malignant neoplasm of overlapping sites of heart, mediastinum and pleura

    BillableChapter 2
  • C46.1

    Kaposi's sarcoma of soft tissue

    BillableChapter 2
  • C75.9

    Malignant neoplasm of endocrine gland, unspecified

    BillableChapter 2
  • C96.Z

    Other specified malignant neoplasms of lymphoid, hematopoietic and related tissue

    BillableChapter 2
  • D01.9

    Carcinoma in situ of digestive organ, unspecified

    BillableChapter 2
  • D36.9

    Benign neoplasm, unspecified site

    BillableChapter 2
  • D37.9

    Neoplasm of uncertain behavior of digestive organ, unspecified

    BillableChapter 2