DRG 175

Medical DRG

Pulmonary Embolism with MCC or Acute Cor Pulmonale

TypeMedicalMDC04Dx Codes16

What is MS-DRG 175?

MS-DRG 175 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04) with a Major Complication or Comorbidity (MCC). It maps to 16 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.3736 with a geometric mean length of stay of 3.8 days and an arithmetic mean of 4.9 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
16 diagnosis
Billable Dx
100%
16 of 16 shown

FY 2026 Payment Data

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

Relative Weight
1.3736
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.8 days
Used for transfer payment calculations
Arithmetic Mean LOS
4.9 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Linked ICD-10-CM Diagnosis Mappings

  • I26.01

    Septic pulmonary embolism with acute cor pulmonale

    BillableChapter 9
  • I26.02

    Saddle embolus of pulmonary artery with acute cor pulmonale

    BillableChapter 9
  • I26.03

    Cement embolism of pulmonary artery with acute cor pulmonale

    BillableChapter 9
  • I26.04

    Fat embolism of pulmonary artery with acute cor pulmonale

    BillableChapter 9
  • I26.09

    Other pulmonary embolism with acute cor pulmonale

    BillableChapter 9
  • I26.90

    Septic pulmonary embolism without acute cor pulmonale

    BillableChapter 9
  • I26.92

    Saddle embolus of pulmonary artery without acute cor pulmonale

    BillableChapter 9
  • I26.93

    Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale

    BillableChapter 9
  • I26.94

    Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale

    BillableChapter 9
  • I26.95

    Cement embolism of pulmonary artery without acute cor pulmonale

    BillableChapter 9
  • I26.96

    Fat embolism of pulmonary artery without acute cor pulmonale

    BillableChapter 9
  • I26.99

    Other pulmonary embolism without acute cor pulmonale

    BillableChapter 9
  • I27.82

    Chronic pulmonary embolism

    BillableChapter 9
  • T79.0XXA

    Air embolism (traumatic), initial encounter

    BillableChapter 19
  • T79.1XXA

    Fat embolism (traumatic), initial encounter

    BillableChapter 19
  • T80.0XXA

    Air embolism following infusion, transfusion and therapeutic injection, initial encounter

    BillableChapter 19