DRG 177

Medical DRG

Respiratory Infections and Inflammations with MCC

TypeMedicalMDC04Dx Codes63

What is MS-DRG 177?

MS-DRG 177 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 63 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.5627 with a geometric mean length of stay of 4.4 days and an arithmetic mean of 5.7 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
63 diagnosis
Billable Dx
100%
63 of 63 shown

FY 2026 Payment Data

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

Relative Weight
1.5627
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
4.4 days
Used for transfer payment calculations
Arithmetic Mean LOS
5.7 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care 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
177Respiratory Infections and Inflammations with MCCThis page1.56274.4 days
178Respiratory Infections and Inflammations with CC0.97603.1 days
179Respiratory Infections and Inflammations without CC/MCC0.75502.4 days

Linked ICD-10-CM Diagnosis Mappings

  • A02.22

    Salmonella pneumonia

    BillableChapter 1
  • A06.5

    Amebic lung abscess

    BillableChapter 1
  • A15.0

    Tuberculosis of lung

    BillableChapter 1
  • A15.4

    Tuberculosis of intrathoracic lymph nodes

    BillableChapter 1
  • A15.5

    Tuberculosis of larynx, trachea and bronchus

    BillableChapter 1
  • A15.6

    Tuberculous pleurisy

    BillableChapter 1
  • A15.7

    Primary respiratory tuberculosis

    BillableChapter 1
  • A15.8

    Other respiratory tuberculosis

    BillableChapter 1
  • A15.9

    Respiratory tuberculosis unspecified

    BillableChapter 1
  • A20.2

    Pneumonic plague

    BillableChapter 1
  • A21.2

    Pulmonary tularemia

    BillableChapter 1
  • A22.1

    Pulmonary anthrax

    BillableChapter 1
  • A31.0

    Pulmonary mycobacterial infection

    BillableChapter 1
  • A42.0

    Pulmonary actinomycosis

    BillableChapter 1
  • A43.0

    Pulmonary nocardiosis

    BillableChapter 1
  • A48.1

    Legionnaires' disease

    BillableChapter 1
  • A52.72

    Syphilis of lung and bronchus

    BillableChapter 1
  • B01.2

    Varicella pneumonia

    BillableChapter 1
  • B05.2

    Measles complicated by pneumonia

    BillableChapter 1
  • B25.0

    Cytomegaloviral pneumonitis

    BillableChapter 1
  • B37.1

    Pulmonary candidiasis

    BillableChapter 1
  • B38.0

    Acute pulmonary coccidioidomycosis

    BillableChapter 1
  • B38.1

    Chronic pulmonary coccidioidomycosis

    BillableChapter 1
  • B38.2

    Pulmonary coccidioidomycosis, unspecified

    BillableChapter 1
  • B39.0

    Acute pulmonary histoplasmosis capsulati

    BillableChapter 1
  • B39.1

    Chronic pulmonary histoplasmosis capsulati

    BillableChapter 1
  • B39.2

    Pulmonary histoplasmosis capsulati, unspecified

    BillableChapter 1
  • B44.0

    Invasive pulmonary aspergillosis

    BillableChapter 1
  • B58.3

    Pulmonary toxoplasmosis

    BillableChapter 1
  • B59

    Pneumocystosis

    BillableChapter 1
  • B66.4

    Paragonimiasis

    BillableChapter 1
  • B67.1

    Echinococcus granulosus infection of lung

    BillableChapter 1
  • E84.0

    Cystic fibrosis with pulmonary manifestations

    BillableChapter 4
  • J10.00

    Influenza due to other identified influenza virus with unspecified type of pneumonia

    BillableChapter 10
  • J10.01

    Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia

    BillableChapter 10
  • J10.08

    Influenza due to other identified influenza virus with other specified pneumonia

    BillableChapter 10
  • J11.00

    Influenza due to unidentified influenza virus with unspecified type of pneumonia

    BillableChapter 10
  • J11.08

    Influenza due to unidentified influenza virus with specified pneumonia

    BillableChapter 10
  • J15.0

    Pneumonia due to Klebsiella pneumoniae

    BillableChapter 10
  • J15.1

    Pneumonia due to Pseudomonas

    BillableChapter 10
  • J15.20

    Pneumonia due to staphylococcus, unspecified

    BillableChapter 10
  • J15.211

    Pneumonia due to Methicillin susceptible Staphylococcus aureus

    BillableChapter 10
  • J15.212

    Pneumonia due to Methicillin resistant Staphylococcus aureus

    BillableChapter 10
  • J15.29

    Pneumonia due to other staphylococcus

    BillableChapter 10
  • J15.5

    Pneumonia due to Escherichia coli

    BillableChapter 10
  • J15.61

    Pneumonia due to Acinetobacter baumannii

    BillableChapter 10
  • J15.69

    Pneumonia due to other Gram-negative bacteria

    BillableChapter 10
  • J15.8

    Pneumonia due to other specified bacteria

    BillableChapter 10
  • J17

    Pneumonia in diseases classified elsewhere

    BillableChapter 10
  • J69.0

    Pneumonitis due to inhalation of food and vomit

    BillableChapter 10
  • J69.1

    Pneumonitis due to inhalation of oils and essences

    BillableChapter 10
  • J69.8

    Pneumonitis due to inhalation of other solids and liquids

    BillableChapter 10
  • J85.0

    Gangrene and necrosis of lung

    BillableChapter 10
  • J85.1

    Abscess of lung with pneumonia

    BillableChapter 10
  • J85.2

    Abscess of lung without pneumonia

    BillableChapter 10
  • J85.3

    Abscess of mediastinum

    BillableChapter 10
  • J86.0

    Pyothorax with fistula

    BillableChapter 10
  • J86.9

    Pyothorax without fistula

    BillableChapter 10
  • J98.51

    Mediastinitis

    BillableChapter 10
  • J98.59

    Other diseases of mediastinum, not elsewhere classified

    BillableChapter 10
  • R76.11

    Nonspecific reaction to tuberculin skin test without active tuberculosis

    BillableChapter 18
  • R76.12

    Nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis

    BillableChapter 18
  • U07.1

    COVID-19

    BillableChapter 22