Ear, Nose, Mouth and Throat Malignancy with CC
Major Diagnostic Category 03·Grouped by diagnosis·FY 2027
MS-DRG 147 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 03 (MDC 03) with a Complication or Comorbidity (CC). It maps to 9 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.3055 with a geometric mean length of stay of 3.5 days and an arithmetic mean of 4.9 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:
- 1.3055 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.5 days (used for transfer payments)
- Average stay:
- 4.9 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.
Diagnosis codes (9)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 147. 100% of the codes listed are billable.
- B99.9Unspecified infectious disease
- C26.9Malignant neoplasm of ill-defined sites within the digestive system
- C38.8Malignant neoplasm of overlapping sites of heart, mediastinum and pleura
- C46.1Kaposi's sarcoma of soft tissue
- C75.9Malignant neoplasm of endocrine gland, unspecified
- C96.ZOther specified malignant neoplasms of lymphoid, hematopoietic and related tissue
- D01.9Carcinoma in situ of digestive organ, unspecified
- D36.9Benign neoplasm, unspecified site
- D37.9Neoplasm of uncertain behavior of digestive organ, unspecified
