DRG 152

Medical DRG

Otitis Media and URI with MCC

TypeMedicalMDC03Dx Codes192

What is MS-DRG 152?

MS-DRG 152 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 192 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.1822 with a geometric mean length of stay of 3.2 days and an arithmetic mean of 4.4 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
192 diagnosis
Billable Dx
100%
192 of 192 shown

FY 2026 Payment Data

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

Relative Weight
1.1822
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.2 days
Used for transfer payment calculations
Arithmetic Mean LOS
4.4 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
152Otitis Media and URI with MCCThis page1.18223.2 days
153Otitis Media and URI without MCC0.73822.2 days

Linked ICD-10-CM Diagnosis Mappings

  • A54.49

    Gonococcal infection of other musculoskeletal tissue

    BillableChapter 1
  • A56.3

    Chlamydial infection of anus and rectum

    BillableChapter 1
  • A68.9

    Relapsing fever, unspecified

    BillableChapter 1
  • B05.3

    Measles complicated by otitis media

    BillableChapter 1
  • B08.4

    Enteroviral vesicular stomatitis with exanthem

    BillableChapter 1
  • H61.001

    Unspecified perichondritis of right external ear

    BillableChapter 8
  • H61.002

    Unspecified perichondritis of left external ear

    BillableChapter 8
  • H61.003

    Unspecified perichondritis of external ear, bilateral

    BillableChapter 8
  • H61.009

    Unspecified perichondritis of external ear, unspecified ear

    BillableChapter 8
  • H65.00

    Acute serous otitis media, unspecified ear

    BillableChapter 8
  • H65.01

    Acute serous otitis media, right ear

    BillableChapter 8
  • H65.02

    Acute serous otitis media, left ear

    BillableChapter 8
  • H65.03

    Acute serous otitis media, bilateral

    BillableChapter 8
  • H65.04

    Acute serous otitis media, recurrent, right ear

    BillableChapter 8
  • H65.05

    Acute serous otitis media, recurrent, left ear

    BillableChapter 8
  • H65.06

    Acute serous otitis media, recurrent, bilateral

    BillableChapter 8
  • H65.07

    Acute serous otitis media, recurrent, unspecified ear

    BillableChapter 8
  • H65.111

    Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear

    BillableChapter 8
  • H65.112

    Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear

    BillableChapter 8
  • H65.113

    Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral

    BillableChapter 8
  • H65.114

    Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear

    BillableChapter 8
  • H65.115

    Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear

    BillableChapter 8
  • H65.116

    Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral

    BillableChapter 8
  • H65.117

    Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear

    BillableChapter 8
  • H65.119

    Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear

    BillableChapter 8
  • H65.191

    Other acute nonsuppurative otitis media, right ear

    BillableChapter 8
  • H65.192

    Other acute nonsuppurative otitis media, left ear

    BillableChapter 8
  • H65.193

    Other acute nonsuppurative otitis media, bilateral

    BillableChapter 8
  • H65.194

    Other acute nonsuppurative otitis media, recurrent, right ear

    BillableChapter 8
  • H65.195

    Other acute nonsuppurative otitis media, recurrent, left ear

    BillableChapter 8
  • H65.196

    Other acute nonsuppurative otitis media, recurrent, bilateral

    BillableChapter 8
  • H65.197

    Other acute nonsuppurative otitis media recurrent, unspecified ear

    BillableChapter 8
  • H65.199

    Other acute nonsuppurative otitis media, unspecified ear

    BillableChapter 8
  • H65.20

    Chronic serous otitis media, unspecified ear

    BillableChapter 8
  • H65.21

    Chronic serous otitis media, right ear

    BillableChapter 8
  • H65.22

    Chronic serous otitis media, left ear

    BillableChapter 8
  • H65.23

    Chronic serous otitis media, bilateral

    BillableChapter 8
  • H65.30

    Chronic mucoid otitis media, unspecified ear

    BillableChapter 8
  • H65.31

    Chronic mucoid otitis media, right ear

    BillableChapter 8
  • H65.32

    Chronic mucoid otitis media, left ear

    BillableChapter 8
  • H65.33

    Chronic mucoid otitis media, bilateral

    BillableChapter 8
  • H65.411

    Chronic allergic otitis media, right ear

    BillableChapter 8
  • H65.412

    Chronic allergic otitis media, left ear

    BillableChapter 8
  • H65.413

    Chronic allergic otitis media, bilateral

    BillableChapter 8
  • H65.419

    Chronic allergic otitis media, unspecified ear

    BillableChapter 8
  • H65.491

    Other chronic nonsuppurative otitis media, right ear

    BillableChapter 8
  • H65.492

    Other chronic nonsuppurative otitis media, left ear

    BillableChapter 8
  • H65.493

    Other chronic nonsuppurative otitis media, bilateral

    BillableChapter 8
  • H65.499

    Other chronic nonsuppurative otitis media, unspecified ear

    BillableChapter 8
  • H65.90

    Unspecified nonsuppurative otitis media, unspecified ear

    BillableChapter 8
  • H65.91

    Unspecified nonsuppurative otitis media, right ear

    BillableChapter 8
  • H65.92

    Unspecified nonsuppurative otitis media, left ear

    BillableChapter 8
  • H65.93

    Unspecified nonsuppurative otitis media, bilateral

    BillableChapter 8
  • H66.001

    Acute suppurative otitis media without spontaneous rupture of ear drum, right ear

    BillableChapter 8
  • H66.002

    Acute suppurative otitis media without spontaneous rupture of ear drum, left ear

    BillableChapter 8
  • H66.003

    Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral

    BillableChapter 8
  • H66.004

    Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear

    BillableChapter 8
  • H66.005

    Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear

    BillableChapter 8
  • H66.006

    Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral

    BillableChapter 8
  • H66.007

    Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear

    BillableChapter 8
  • H66.009

    Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear

    BillableChapter 8
  • H66.011

    Acute suppurative otitis media with spontaneous rupture of ear drum, right ear

    BillableChapter 8
  • H66.012

    Acute suppurative otitis media with spontaneous rupture of ear drum, left ear

    BillableChapter 8
  • H66.013

    Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral

    BillableChapter 8
  • H66.014

    Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear

    BillableChapter 8
  • H66.015

    Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear

    BillableChapter 8
  • H66.016

    Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral

    BillableChapter 8
  • H66.017

    Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear

    BillableChapter 8
  • H66.019

    Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear

    BillableChapter 8
  • H66.10

    Chronic tubotympanic suppurative otitis media, unspecified

    BillableChapter 8
  • H66.11

    Chronic tubotympanic suppurative otitis media, right ear

    BillableChapter 8
  • H66.12

    Chronic tubotympanic suppurative otitis media, left ear

    BillableChapter 8
  • H66.13

    Chronic tubotympanic suppurative otitis media, bilateral

    BillableChapter 8
  • H66.20

    Chronic atticoantral suppurative otitis media, unspecified ear

    BillableChapter 8
  • H66.21

    Chronic atticoantral suppurative otitis media, right ear

    BillableChapter 8
  • H66.22

    Chronic atticoantral suppurative otitis media, left ear

    BillableChapter 8
  • H66.23

    Chronic atticoantral suppurative otitis media, bilateral

    BillableChapter 8
  • H66.3X1

    Other chronic suppurative otitis media, right ear

    BillableChapter 8
  • H66.3X2

    Other chronic suppurative otitis media, left ear

    BillableChapter 8
  • H66.3X3

    Other chronic suppurative otitis media, bilateral

    BillableChapter 8
  • H66.3X9

    Other chronic suppurative otitis media, unspecified ear

    BillableChapter 8
  • H66.40

    Suppurative otitis media, unspecified, unspecified ear

    BillableChapter 8
  • H66.41

    Suppurative otitis media, unspecified, right ear

    BillableChapter 8
  • H66.42

    Suppurative otitis media, unspecified, left ear

    BillableChapter 8
  • H66.43

    Suppurative otitis media, unspecified, bilateral

    BillableChapter 8
  • H66.90

    Otitis media, unspecified, unspecified ear

    BillableChapter 8
  • H66.91

    Otitis media, unspecified, right ear

    BillableChapter 8
  • H66.92

    Otitis media, unspecified, left ear

    BillableChapter 8
  • H66.93

    Otitis media, unspecified, bilateral

    BillableChapter 8
  • H67.1

    Otitis media in diseases classified elsewhere, right ear

    BillableChapter 8
  • H67.2

    Otitis media in diseases classified elsewhere, left ear

    BillableChapter 8
  • H67.3

    Otitis media in diseases classified elsewhere, bilateral

    BillableChapter 8
  • H67.9

    Otitis media in diseases classified elsewhere, unspecified ear

    BillableChapter 8
  • H68.001

    Unspecified Eustachian salpingitis, right ear

    BillableChapter 8
  • H68.002

    Unspecified Eustachian salpingitis, left ear

    BillableChapter 8
  • H68.003

    Unspecified Eustachian salpingitis, bilateral

    BillableChapter 8
  • H68.009

    Unspecified Eustachian salpingitis, unspecified ear

    BillableChapter 8
  • H68.011

    Acute Eustachian salpingitis, right ear

    BillableChapter 8
  • H68.012

    Acute Eustachian salpingitis, left ear

    BillableChapter 8
  • H68.013

    Acute Eustachian salpingitis, bilateral

    BillableChapter 8
  • H68.019

    Acute Eustachian salpingitis, unspecified ear

    BillableChapter 8
  • H68.021

    Chronic Eustachian salpingitis, right ear

    BillableChapter 8
  • H68.022

    Chronic Eustachian salpingitis, left ear

    BillableChapter 8
  • H68.023

    Chronic Eustachian salpingitis, bilateral

    BillableChapter 8
  • H68.029

    Chronic Eustachian salpingitis, unspecified ear

    BillableChapter 8
  • H70.001

    Acute mastoiditis without complications, right ear

    BillableChapter 8
  • H70.002

    Acute mastoiditis without complications, left ear

    BillableChapter 8
  • H70.003

    Acute mastoiditis without complications, bilateral

    BillableChapter 8
  • H70.009

    Acute mastoiditis without complications, unspecified ear

    BillableChapter 8
  • H70.011

    Subperiosteal abscess of mastoid, right ear

    BillableChapter 8
  • H70.012

    Subperiosteal abscess of mastoid, left ear

    BillableChapter 8
  • H70.013

    Subperiosteal abscess of mastoid, bilateral

    BillableChapter 8
  • H70.019

    Subperiosteal abscess of mastoid, unspecified ear

    BillableChapter 8
  • H70.091

    Acute mastoiditis with other complications, right ear

    BillableChapter 8
  • H70.092

    Acute mastoiditis with other complications, left ear

    BillableChapter 8
  • H70.093

    Acute mastoiditis with other complications, bilateral

    BillableChapter 8
  • H70.099

    Acute mastoiditis with other complications, unspecified ear

    BillableChapter 8
  • H70.10

    Chronic mastoiditis, unspecified ear

    BillableChapter 8
  • H70.11

    Chronic mastoiditis, right ear

    BillableChapter 8
  • H70.12

    Chronic mastoiditis, left ear

    BillableChapter 8
  • H70.13

    Chronic mastoiditis, bilateral

    BillableChapter 8
  • H70.201

    Unspecified petrositis, right ear

    BillableChapter 8
  • H70.202

    Unspecified petrositis, left ear

    BillableChapter 8
  • H70.203

    Unspecified petrositis, bilateral

    BillableChapter 8
  • H70.209

    Unspecified petrositis, unspecified ear

    BillableChapter 8
  • H70.211

    Acute petrositis, right ear

    BillableChapter 8
  • H70.212

    Acute petrositis, left ear

    BillableChapter 8
  • H70.213

    Acute petrositis, bilateral

    BillableChapter 8
  • H70.219

    Acute petrositis, unspecified ear

    BillableChapter 8
  • H70.221

    Chronic petrositis, right ear

    BillableChapter 8
  • H70.222

    Chronic petrositis, left ear

    BillableChapter 8
  • H70.223

    Chronic petrositis, bilateral

    BillableChapter 8
  • H70.229

    Chronic petrositis, unspecified ear

    BillableChapter 8
  • H70.90

    Unspecified mastoiditis, unspecified ear

    BillableChapter 8
  • H70.91

    Unspecified mastoiditis, right ear

    BillableChapter 8
  • H70.92

    Unspecified mastoiditis, left ear

    BillableChapter 8
  • H70.93

    Unspecified mastoiditis, bilateral

    BillableChapter 8
  • H73.001

    Acute myringitis, right ear

    BillableChapter 8
  • H73.002

    Acute myringitis, left ear

    BillableChapter 8
  • H73.003

    Acute myringitis, bilateral

    BillableChapter 8
  • H73.009

    Acute myringitis, unspecified ear

    BillableChapter 8
  • H73.011

    Bullous myringitis, right ear

    BillableChapter 8
  • H73.012

    Bullous myringitis, left ear

    BillableChapter 8
  • H73.013

    Bullous myringitis, bilateral

    BillableChapter 8
  • H73.019

    Bullous myringitis, unspecified ear

    BillableChapter 8
  • H73.091

    Other acute myringitis, right ear

    BillableChapter 8
  • H73.092

    Other acute myringitis, left ear

    BillableChapter 8
  • H73.093

    Other acute myringitis, bilateral

    BillableChapter 8
  • H73.099

    Other acute myringitis, unspecified ear

    BillableChapter 8
  • H73.10

    Chronic myringitis, unspecified ear

    BillableChapter 8
  • H73.11

    Chronic myringitis, right ear

    BillableChapter 8
  • H73.12

    Chronic myringitis, left ear

    BillableChapter 8
  • H73.13

    Chronic myringitis, bilateral

    BillableChapter 8
  • H73.20

    Unspecified myringitis, unspecified ear

    BillableChapter 8
  • H73.21

    Unspecified myringitis, right ear

    BillableChapter 8
  • H73.22

    Unspecified myringitis, left ear

    BillableChapter 8
  • H73.23

    Unspecified myringitis, bilateral

    BillableChapter 8
  • I99.9

    Unspecified disorder of circulatory system

    BillableChapter 9
  • J01.00

    Acute maxillary sinusitis, unspecified

    BillableChapter 10
  • J01.01

    Acute recurrent maxillary sinusitis

    BillableChapter 10
  • J01.10

    Acute frontal sinusitis, unspecified

    BillableChapter 10
  • J01.11

    Acute recurrent frontal sinusitis

    BillableChapter 10
  • J01.20

    Acute ethmoidal sinusitis, unspecified

    BillableChapter 10
  • J01.21

    Acute recurrent ethmoidal sinusitis

    BillableChapter 10
  • J01.30

    Acute sphenoidal sinusitis, unspecified

    BillableChapter 10
  • J01.31

    Acute recurrent sphenoidal sinusitis

    BillableChapter 10
  • J01.40

    Acute pansinusitis, unspecified

    BillableChapter 10
  • J01.41

    Acute recurrent pansinusitis

    BillableChapter 10
  • J01.80

    Other acute sinusitis

    BillableChapter 10
  • J01.81

    Other acute recurrent sinusitis

    BillableChapter 10
  • J01.90

    Acute sinusitis, unspecified

    BillableChapter 10
  • J01.91

    Acute recurrent sinusitis, unspecified

    BillableChapter 10
  • J04.11

    Acute tracheitis with obstruction

    BillableChapter 10
  • J11.1

    Influenza due to unidentified influenza virus with other respiratory manifestations

    BillableChapter 10
  • J30.0

    Vasomotor rhinitis

    BillableChapter 10
  • J30.1

    Allergic rhinitis due to pollen

    BillableChapter 10
  • J30.2

    Other seasonal allergic rhinitis

    BillableChapter 10
  • J30.5

    Allergic rhinitis due to food

    BillableChapter 10
  • J30.81

    Allergic rhinitis due to animal (cat) (dog) hair and dander

    BillableChapter 10
  • J30.89

    Other allergic rhinitis

    BillableChapter 10
  • J30.9

    Allergic rhinitis, unspecified

    BillableChapter 10
  • J31.0

    Chronic rhinitis

    BillableChapter 10
  • J32.0

    Chronic maxillary sinusitis

    BillableChapter 10
  • J32.1

    Chronic frontal sinusitis

    BillableChapter 10
  • J32.2

    Chronic ethmoidal sinusitis

    BillableChapter 10
  • J32.3

    Chronic sphenoidal sinusitis

    BillableChapter 10
  • J32.4

    Chronic pansinusitis

    BillableChapter 10
  • J32.8

    Other chronic sinusitis

    BillableChapter 10
  • J32.9

    Chronic sinusitis, unspecified

    BillableChapter 10
  • J34.9

    Unspecified disorder of nose and nasal sinuses

    BillableChapter 10
  • T70.0XXA

    Otitic barotrauma, initial encounter

    BillableChapter 19
  • T70.1XXA

    Sinus barotrauma, initial encounter

    BillableChapter 19