DRG 192

Medical DRG

Chronic Obstructive Pulmonary Disease without CC/MCC

TypeMedicalMDC04Dx Codes23

What is MS-DRG 192?

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 2026 it carries a relative weight of 0.6420 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.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
23 diagnosis
Billable Dx
100%
23 of 23 shown

FY 2026 Payment Data

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

Relative Weight
0.6420
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.1 days
Used for transfer payment calculations
Arithmetic Mean LOS
2.5 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
190Chronic Obstructive Pulmonary Disease with MCC1.10773.3 days
191Chronic Obstructive Pulmonary Disease with CC0.84302.6 days
192Chronic Obstructive Pulmonary Disease without CC/MCCThis page0.64202.1 days

Linked ICD-10-CM Diagnosis Mappings

  • J41.1

    Mucopurulent chronic bronchitis

    BillableChapter 10
  • J41.8

    Mixed simple and mucopurulent chronic bronchitis

    BillableChapter 10
  • J42

    Unspecified chronic bronchitis

    BillableChapter 10
  • J43.0

    Unilateral pulmonary emphysema [MacLeod's syndrome]

    BillableChapter 10
  • J43.1

    Panlobular emphysema

    BillableChapter 10
  • J43.2

    Centrilobular emphysema

    BillableChapter 10
  • J43.8

    Other emphysema

    BillableChapter 10
  • J43.9

    Emphysema, unspecified

    BillableChapter 10
  • J44.0

    Chronic obstructive pulmonary disease with (acute) lower respiratory infection

    BillableChapter 10
  • J44.1

    Chronic obstructive pulmonary disease with (acute) exacerbation

    BillableChapter 10
  • J44.81

    Bronchiolitis obliterans and bronchiolitis obliterans syndrome

    BillableChapter 10
  • J44.89

    Other specified chronic obstructive pulmonary disease

    BillableChapter 10
  • J44.9

    Chronic obstructive pulmonary disease, unspecified

    BillableChapter 10
  • J47.0

    Bronchiectasis with acute lower respiratory infection

    BillableChapter 10
  • J47.1

    Bronchiectasis with (acute) exacerbation

    BillableChapter 10
  • J47.9

    Bronchiectasis, uncomplicated

    BillableChapter 10
  • J4A.0

    Restrictive allograft syndrome

    BillableChapter 10
  • J4A.8

    Other chronic lung allograft dysfunction

    BillableChapter 10
  • J4A.9

    Chronic lung allograft dysfunction, unspecified

    BillableChapter 10
  • J68.4

    Chronic respiratory conditions due to chemicals, gases, fumes and vapors

    BillableChapter 10
  • J68.8

    Other respiratory conditions due to chemicals, gases, fumes and vapors

    BillableChapter 10
  • J68.9

    Unspecified respiratory condition due to chemicals, gases, fumes and vapors

    BillableChapter 10
  • Q33.4

    Congenital bronchiectasis

    BillableChapter 17