All ICD10 Codes
MS-DRG 191Medical

Chronic Obstructive Pulmonary Disease with CC

Major Diagnostic Category 04·Grouped by diagnosis·FY 2027

MS-DRG 191 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04) with a Complication or Comorbidity (CC). It maps to 23 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.8261 with a geometric mean length of stay of 2.6 days and an arithmetic mean of 3.2 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:
0.8261 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
2.6 days (used for transfer payments)
Average stay:
3.2 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
190Chronic Obstructive Pulmonary Disease with MCC1.07483.3 days
191Chronic Obstructive Pulmonary Disease with CC (this page)0.82612.6 days
192Chronic Obstructive Pulmonary Disease without CC/MCC0.62882.1 days

Diagnosis codes (23)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 191. 100% of the codes listed are billable.