MS-DRG 175Medical

Pulmonary Embolism with MCC or Acute Cor Pulmonale

Major Diagnostic Category 04·Grouped by diagnosis·FY 2027

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 2027 it carries a relative weight of 1.3652 with a geometric mean length of stay of 3.7 days and an arithmetic mean of 4.8 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:
1.3652 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3.7 days (used for transfer payments)
Average stay:
4.8 days (arithmetic mean)
Post-acute transfer policy:
Yes (early transfers can be paid less)

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.

DRGTitleRelative weightMean stay
175Pulmonary Embolism with MCC or Acute Cor Pulmonale (this page)1.36523.7 days
176Pulmonary Embolism without MCC0.80632.4 days