Chronic Obstructive Pulmonary Disease without CC/MCC
Major Diagnostic Category 04·Grouped by diagnosis·FY 2027
MS-DRG 192 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04) without a significant Complication or Comorbidity. It maps to 23 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.6288 with a geometric mean length of stay of 2.1 days and an arithmetic mean of 2.5 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:
- 0.6288 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.1 days (used for transfer payments)
- Average stay:
- 2.5 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.
Diagnosis codes (23)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 192. 100% of the codes listed are billable.
- J41.1Mucopurulent chronic bronchitis
- J41.8Mixed simple and mucopurulent chronic bronchitis
- J42Unspecified chronic bronchitis
- J43.0Unilateral pulmonary emphysema [MacLeod's syndrome]
- J43.1Panlobular emphysema
- J43.2Centrilobular emphysema
- J43.8Other emphysema
- J43.9Emphysema, unspecified
- J44.0Chronic obstructive pulmonary disease with (acute) lower respiratory infection
- J44.1Chronic obstructive pulmonary disease with (acute) exacerbation
- J44.81Bronchiolitis obliterans and bronchiolitis obliterans syndrome
- J44.89Other specified chronic obstructive pulmonary disease
- J44.9Chronic obstructive pulmonary disease, unspecified
- J47.0Bronchiectasis with acute lower respiratory infection
- J47.1Bronchiectasis with (acute) exacerbation
- J47.9Bronchiectasis, uncomplicated
- J4A.0Restrictive allograft syndrome
- J4A.8Other chronic lung allograft dysfunction
- J4A.9Chronic lung allograft dysfunction, unspecified
- J68.4Chronic respiratory conditions due to chemicals, gases, fumes and vapors
- J68.8Other respiratory conditions due to chemicals, gases, fumes and vapors
- J68.9Unspecified respiratory condition due to chemicals, gases, fumes and vapors
- Q33.4Congenital bronchiectasis
