Otitis Media and URI without MCC
Major Diagnostic Category 03·Grouped by diagnosis·FY 2027
MS-DRG 153 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 03 (MDC 03) without a significant Complication or Comorbidity. It maps to 192 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.7421 with a geometric mean length of stay of 2.3 days and an arithmetic mean of 2.8 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:
- 0.7421 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.3 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 |
|---|---|---|---|
| 152 | Otitis Media and URI with MCC | 1.1151 | 3.1 days |
| 153 | Otitis Media and URI without MCC (this page) | 0.7421 | 2.3 days |
Diagnosis codes (192)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 153. 100% of the codes listed are billable.
- A54.49Gonococcal infection of other musculoskeletal tissue
- A56.3Chlamydial infection of anus and rectum
- A68.9Relapsing fever, unspecified
- B05.3Measles complicated by otitis media
- B08.4Enteroviral vesicular stomatitis with exanthem
- H61.001Unspecified perichondritis of right external ear
- H61.002Unspecified perichondritis of left external ear
- H61.003Unspecified perichondritis of external ear, bilateral
- H61.009Unspecified perichondritis of external ear, unspecified ear
- H65.00Acute serous otitis media, unspecified ear
- H65.01Acute serous otitis media, right ear
- H65.02Acute serous otitis media, left ear
- H65.03Acute serous otitis media, bilateral
- H65.04Acute serous otitis media, recurrent, right ear
- H65.05Acute serous otitis media, recurrent, left ear
- H65.06Acute serous otitis media, recurrent, bilateral
- H65.07Acute serous otitis media, recurrent, unspecified ear
- H65.111Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
- H65.112Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear
- H65.113Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral
- H65.114Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear
- H65.115Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear
- H65.116Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
- H65.117Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear
- H65.119Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear
- H65.191Other acute nonsuppurative otitis media, right ear
- H65.192Other acute nonsuppurative otitis media, left ear
- H65.193Other acute nonsuppurative otitis media, bilateral
- H65.194Other acute nonsuppurative otitis media, recurrent, right ear
- H65.195Other acute nonsuppurative otitis media, recurrent, left ear
- H65.196Other acute nonsuppurative otitis media, recurrent, bilateral
- H65.197Other acute nonsuppurative otitis media recurrent, unspecified ear
- H65.199Other acute nonsuppurative otitis media, unspecified ear
- H65.20Chronic serous otitis media, unspecified ear
- H65.21Chronic serous otitis media, right ear
- H65.22Chronic serous otitis media, left ear
- H65.23Chronic serous otitis media, bilateral
- H65.30Chronic mucoid otitis media, unspecified ear
- H65.31Chronic mucoid otitis media, right ear
- H65.32Chronic mucoid otitis media, left ear
- H65.33Chronic mucoid otitis media, bilateral
- H65.411Chronic allergic otitis media, right ear
- H65.412Chronic allergic otitis media, left ear
- H65.413Chronic allergic otitis media, bilateral
- H65.419Chronic allergic otitis media, unspecified ear
- H65.491Other chronic nonsuppurative otitis media, right ear
- H65.492Other chronic nonsuppurative otitis media, left ear
- H65.493Other chronic nonsuppurative otitis media, bilateral
- H65.499Other chronic nonsuppurative otitis media, unspecified ear
- H65.90Unspecified nonsuppurative otitis media, unspecified ear
- H65.91Unspecified nonsuppurative otitis media, right ear
- H65.92Unspecified nonsuppurative otitis media, left ear
- H65.93Unspecified nonsuppurative otitis media, bilateral
- H66.001Acute suppurative otitis media without spontaneous rupture of ear drum, right ear
- H66.002Acute suppurative otitis media without spontaneous rupture of ear drum, left ear
- H66.003Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral
- H66.004Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear
- H66.005Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear
- H66.006Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral
- H66.007Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear
- H66.009Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear
- H66.011Acute suppurative otitis media with spontaneous rupture of ear drum, right ear
- H66.012Acute suppurative otitis media with spontaneous rupture of ear drum, left ear
- H66.013Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral
- H66.014Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear
- H66.015Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear
- H66.016Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral
- H66.017Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear
- H66.019Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear
- H66.10Chronic tubotympanic suppurative otitis media, unspecified
- H66.11Chronic tubotympanic suppurative otitis media, right ear
- H66.12Chronic tubotympanic suppurative otitis media, left ear
- H66.13Chronic tubotympanic suppurative otitis media, bilateral
- H66.20Chronic atticoantral suppurative otitis media, unspecified ear
- H66.21Chronic atticoantral suppurative otitis media, right ear
- H66.22Chronic atticoantral suppurative otitis media, left ear
- H66.23Chronic atticoantral suppurative otitis media, bilateral
- H66.3X1Other chronic suppurative otitis media, right ear
- H66.3X2Other chronic suppurative otitis media, left ear
- H66.3X3Other chronic suppurative otitis media, bilateral
- H66.3X9Other chronic suppurative otitis media, unspecified ear
- H66.40Suppurative otitis media, unspecified, unspecified ear
- H66.41Suppurative otitis media, unspecified, right ear
- H66.42Suppurative otitis media, unspecified, left ear
- H66.43Suppurative otitis media, unspecified, bilateral
- H66.90Otitis media, unspecified, unspecified ear
- H66.91Otitis media, unspecified, right ear
- H66.92Otitis media, unspecified, left ear
- H66.93Otitis media, unspecified, bilateral
- H67.1Otitis media in diseases classified elsewhere, right ear
- H67.2Otitis media in diseases classified elsewhere, left ear
- H67.3Otitis media in diseases classified elsewhere, bilateral
- H67.9Otitis media in diseases classified elsewhere, unspecified ear
- H68.001Unspecified Eustachian salpingitis, right ear
- H68.002Unspecified Eustachian salpingitis, left ear
- H68.003Unspecified Eustachian salpingitis, bilateral
- H68.009Unspecified Eustachian salpingitis, unspecified ear
- H68.011Acute Eustachian salpingitis, right ear
- H68.012Acute Eustachian salpingitis, left ear
- H68.013Acute Eustachian salpingitis, bilateral
- H68.019Acute Eustachian salpingitis, unspecified ear
- H68.021Chronic Eustachian salpingitis, right ear
- H68.022Chronic Eustachian salpingitis, left ear
- H68.023Chronic Eustachian salpingitis, bilateral
- H68.029Chronic Eustachian salpingitis, unspecified ear
- H70.001Acute mastoiditis without complications, right ear
- H70.002Acute mastoiditis without complications, left ear
- H70.003Acute mastoiditis without complications, bilateral
- H70.009Acute mastoiditis without complications, unspecified ear
- H70.011Subperiosteal abscess of mastoid, right ear
- H70.012Subperiosteal abscess of mastoid, left ear
- H70.013Subperiosteal abscess of mastoid, bilateral
- H70.019Subperiosteal abscess of mastoid, unspecified ear
- H70.091Acute mastoiditis with other complications, right ear
- H70.092Acute mastoiditis with other complications, left ear
- H70.093Acute mastoiditis with other complications, bilateral
- H70.099Acute mastoiditis with other complications, unspecified ear
- H70.10Chronic mastoiditis, unspecified ear
- H70.11Chronic mastoiditis, right ear
- H70.12Chronic mastoiditis, left ear
- H70.13Chronic mastoiditis, bilateral
- H70.201Unspecified petrositis, right ear
- H70.202Unspecified petrositis, left ear
- H70.203Unspecified petrositis, bilateral
- H70.209Unspecified petrositis, unspecified ear
- H70.211Acute petrositis, right ear
- H70.212Acute petrositis, left ear
- H70.213Acute petrositis, bilateral
- H70.219Acute petrositis, unspecified ear
- H70.221Chronic petrositis, right ear
- H70.222Chronic petrositis, left ear
- H70.223Chronic petrositis, bilateral
- H70.229Chronic petrositis, unspecified ear
- H70.90Unspecified mastoiditis, unspecified ear
- H70.91Unspecified mastoiditis, right ear
- H70.92Unspecified mastoiditis, left ear
- H70.93Unspecified mastoiditis, bilateral
- H73.001Acute myringitis, right ear
- H73.002Acute myringitis, left ear
- H73.003Acute myringitis, bilateral
- H73.009Acute myringitis, unspecified ear
- H73.011Bullous myringitis, right ear
- H73.012Bullous myringitis, left ear
- H73.013Bullous myringitis, bilateral
- H73.019Bullous myringitis, unspecified ear
- H73.091Other acute myringitis, right ear
- H73.092Other acute myringitis, left ear
- H73.093Other acute myringitis, bilateral
- H73.099Other acute myringitis, unspecified ear
- H73.10Chronic myringitis, unspecified ear
- H73.11Chronic myringitis, right ear
- H73.12Chronic myringitis, left ear
- H73.13Chronic myringitis, bilateral
- H73.20Unspecified myringitis, unspecified ear
- H73.21Unspecified myringitis, right ear
- H73.22Unspecified myringitis, left ear
- H73.23Unspecified myringitis, bilateral
- I99.9Unspecified disorder of circulatory system
- J01.00Acute maxillary sinusitis, unspecified
- J01.01Acute recurrent maxillary sinusitis
- J01.10Acute frontal sinusitis, unspecified
- J01.11Acute recurrent frontal sinusitis
- J01.20Acute ethmoidal sinusitis, unspecified
- J01.21Acute recurrent ethmoidal sinusitis
- J01.30Acute sphenoidal sinusitis, unspecified
- J01.31Acute recurrent sphenoidal sinusitis
- J01.40Acute pansinusitis, unspecified
- J01.41Acute recurrent pansinusitis
- J01.80Other acute sinusitis
- J01.81Other acute recurrent sinusitis
- J01.90Acute sinusitis, unspecified
- J01.91Acute recurrent sinusitis, unspecified
- J04.11Acute tracheitis with obstruction
- J11.1Influenza due to unidentified influenza virus with other respiratory manifestations
- J30.0Vasomotor rhinitis
- J30.1Allergic rhinitis due to pollen
- J30.2Other seasonal allergic rhinitis
- J30.5Allergic rhinitis due to food
- J30.81Allergic rhinitis due to animal (cat) (dog) hair and dander
- J30.89Other allergic rhinitis
- J30.9Allergic rhinitis, unspecified
- J31.0Chronic rhinitis
- J32.0Chronic maxillary sinusitis
- J32.1Chronic frontal sinusitis
- J32.2Chronic ethmoidal sinusitis
- J32.3Chronic sphenoidal sinusitis
- J32.4Chronic pansinusitis
- J32.8Other chronic sinusitis
- J32.9Chronic sinusitis, unspecified
- J34.9Unspecified disorder of nose and nasal sinuses
- T70.0XXAOtitic barotrauma, initial encounter
- T70.1XXASinus barotrauma, initial encounter
