DRG 198

Medical DRG

Interstitial Lung Disease without CC/MCC

TypeMedicalMDC04Dx Codes100

What is MS-DRG 198?

MS-DRG 198 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04) without a significant Complication or Comorbidity. It maps to 100 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 0.7162 with a geometric mean length of stay of 2.2 days and an arithmetic mean of 2.7 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

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

FY 2026 Payment Data

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

Relative Weight
0.7162
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.2 days
Used for transfer payment calculations
Arithmetic Mean LOS
2.7 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
196Interstitial Lung Disease with MCC1.88724.8 days
197Interstitial Lung Disease with CC0.94912.9 days
198Interstitial Lung Disease without CC/MCCThis page0.71622.2 days

Linked ICD-10-CM Diagnosis Mappings

  • B44.81

    Allergic bronchopulmonary aspergillosis

    BillableChapter 1
  • B90.9

    Sequelae of respiratory and unspecified tuberculosis

    BillableChapter 1
  • D86.0

    Sarcoidosis of lung

    BillableChapter 3
  • D86.1

    Sarcoidosis of lymph nodes

    BillableChapter 3
  • D86.2

    Sarcoidosis of lung with sarcoidosis of lymph nodes

    BillableChapter 3
  • D86.3

    Sarcoidosis of skin

    BillableChapter 3
  • D86.81

    Sarcoid meningitis

    BillableChapter 3
  • D86.82

    Multiple cranial nerve palsies in sarcoidosis

    BillableChapter 3
  • D86.83

    Sarcoid iridocyclitis

    BillableChapter 3
  • D86.84

    Sarcoid pyelonephritis

    BillableChapter 3
  • D86.85

    Sarcoid myocarditis

    BillableChapter 3
  • D86.86

    Sarcoid arthropathy

    BillableChapter 3
  • D86.87

    Sarcoid myositis

    BillableChapter 3
  • D86.89

    Sarcoidosis of other sites

    BillableChapter 3
  • D86.9

    Sarcoidosis, unspecified

    BillableChapter 3
  • J60

    Coalworker's pneumoconiosis

    BillableChapter 10
  • J61

    Pneumoconiosis due to asbestos and other mineral fibers

    BillableChapter 10
  • J62.0

    Pneumoconiosis due to talc dust

    BillableChapter 10
  • J62.8

    Pneumoconiosis due to other dust containing silica

    BillableChapter 10
  • J63.0

    Aluminosis (of lung)

    BillableChapter 10
  • J63.1

    Bauxite fibrosis (of lung)

    BillableChapter 10
  • J63.2

    Berylliosis

    BillableChapter 10
  • J63.3

    Graphite fibrosis (of lung)

    BillableChapter 10
  • J63.4

    Siderosis

    BillableChapter 10
  • J63.5

    Stannosis

    BillableChapter 10
  • J63.6

    Pneumoconiosis due to other specified inorganic dusts

    BillableChapter 10
  • J64

    Unspecified pneumoconiosis

    BillableChapter 10
  • J65

    Pneumoconiosis associated with tuberculosis

    BillableChapter 10
  • J66.0

    Byssinosis

    BillableChapter 10
  • J66.1

    Flax-dressers' disease

    BillableChapter 10
  • J66.2

    Cannabinosis

    BillableChapter 10
  • J66.8

    Airway disease due to other specific organic dusts

    BillableChapter 10
  • J67.0

    Farmer's lung

    BillableChapter 10
  • J67.1

    Bagassosis

    BillableChapter 10
  • J67.2

    Bird fancier's lung

    BillableChapter 10
  • J67.3

    Suberosis

    BillableChapter 10
  • J67.4

    Maltworker's lung

    BillableChapter 10
  • J67.5

    Mushroom-worker's lung

    BillableChapter 10
  • J67.6

    Maple-bark-stripper's lung

    BillableChapter 10
  • J67.7

    Air conditioner and humidifier lung

    BillableChapter 10
  • J67.8

    Hypersensitivity pneumonitis due to other organic dusts

    BillableChapter 10
  • J67.9

    Hypersensitivity pneumonitis due to unspecified organic dust

    BillableChapter 10
  • J70.1

    Chronic and other pulmonary manifestations due to radiation

    BillableChapter 10
  • J82.81

    Chronic eosinophilic pneumonia

    BillableChapter 10
  • J82.82

    Acute eosinophilic pneumonia

    BillableChapter 10
  • J82.83

    Eosinophilic asthma

    BillableChapter 10
  • J82.89

    Other pulmonary eosinophilia, not elsewhere classified

    BillableChapter 10
  • J84.01

    Alveolar proteinosis

    BillableChapter 10
  • J84.02

    Pulmonary alveolar microlithiasis

    BillableChapter 10
  • J84.03

    Idiopathic pulmonary hemosiderosis

    BillableChapter 10
  • J84.09

    Other alveolar and parieto-alveolar conditions

    BillableChapter 10
  • J84.10

    Pulmonary fibrosis, unspecified

    BillableChapter 10
  • J84.111

    Idiopathic interstitial pneumonia, not otherwise specified

    BillableChapter 10
  • J84.112

    Idiopathic pulmonary fibrosis

    BillableChapter 10
  • J84.113

    Idiopathic non-specific interstitial pneumonitis

    BillableChapter 10
  • J84.114

    Acute interstitial pneumonitis

    BillableChapter 10
  • J84.115

    Respiratory bronchiolitis interstitial lung disease

    BillableChapter 10
  • J84.116

    Cryptogenic organizing pneumonia

    BillableChapter 10
  • J84.117

    Desquamative interstitial pneumonia

    BillableChapter 10
  • J84.170

    Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere

    BillableChapter 10
  • J84.178

    Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere

    BillableChapter 10
  • J84.2

    Lymphoid interstitial pneumonia

    BillableChapter 10
  • J84.81

    Lymphangioleiomyomatosis

    BillableChapter 10
  • J84.82

    Adult pulmonary Langerhans cell histiocytosis

    BillableChapter 10
  • J84.83

    Surfactant mutations of the lung

    BillableChapter 10
  • J84.841

    Neuroendocrine cell hyperplasia of infancy

    BillableChapter 10
  • J84.842

    Pulmonary interstitial glycogenosis

    BillableChapter 10
  • J84.843

    Alveolar capillary dysplasia with vein misalignment

    BillableChapter 10
  • J84.848

    Other interstitial lung diseases of childhood

    BillableChapter 10
  • J84.89

    Other specified interstitial pulmonary diseases

    BillableChapter 10
  • J84.9

    Interstitial pulmonary disease, unspecified

    BillableChapter 10
  • J99

    Respiratory disorders in diseases classified elsewhere

    BillableChapter 10
  • M05.10

    Rheumatoid lung disease with rheumatoid arthritis of unspecified site

    BillableChapter 13
  • M05.111

    Rheumatoid lung disease with rheumatoid arthritis of right shoulder

    BillableChapter 13
  • M05.112

    Rheumatoid lung disease with rheumatoid arthritis of left shoulder

    BillableChapter 13
  • M05.119

    Rheumatoid lung disease with rheumatoid arthritis of unspecified shoulder

    BillableChapter 13
  • M05.121

    Rheumatoid lung disease with rheumatoid arthritis of right elbow

    BillableChapter 13
  • M05.122

    Rheumatoid lung disease with rheumatoid arthritis of left elbow

    BillableChapter 13
  • M05.129

    Rheumatoid lung disease with rheumatoid arthritis of unspecified elbow

    BillableChapter 13
  • M05.131

    Rheumatoid lung disease with rheumatoid arthritis of right wrist

    BillableChapter 13
  • M05.132

    Rheumatoid lung disease with rheumatoid arthritis of left wrist

    BillableChapter 13
  • M05.139

    Rheumatoid lung disease with rheumatoid arthritis of unspecified wrist

    BillableChapter 13
  • M05.141

    Rheumatoid lung disease with rheumatoid arthritis of right hand

    BillableChapter 13
  • M05.142

    Rheumatoid lung disease with rheumatoid arthritis of left hand

    BillableChapter 13
  • M05.149

    Rheumatoid lung disease with rheumatoid arthritis of unspecified hand

    BillableChapter 13
  • M05.151

    Rheumatoid lung disease with rheumatoid arthritis of right hip

    BillableChapter 13
  • M05.152

    Rheumatoid lung disease with rheumatoid arthritis of left hip

    BillableChapter 13
  • M05.159

    Rheumatoid lung disease with rheumatoid arthritis of unspecified hip

    BillableChapter 13
  • M05.161

    Rheumatoid lung disease with rheumatoid arthritis of right knee

    BillableChapter 13
  • M05.162

    Rheumatoid lung disease with rheumatoid arthritis of left knee

    BillableChapter 13
  • M05.169

    Rheumatoid lung disease with rheumatoid arthritis of unspecified knee

    BillableChapter 13
  • M05.171

    Rheumatoid lung disease with rheumatoid arthritis of right ankle and foot

    BillableChapter 13
  • M05.172

    Rheumatoid lung disease with rheumatoid arthritis of left ankle and foot

    BillableChapter 13
  • M05.179

    Rheumatoid lung disease with rheumatoid arthritis of unspecified ankle and foot

    BillableChapter 13
  • M05.19

    Rheumatoid lung disease with rheumatoid arthritis of multiple sites

    BillableChapter 13
  • M34.81

    Systemic sclerosis with lung involvement

    BillableChapter 13
  • P27.0

    Wilson-Mikity syndrome

    BillableChapter 16
  • P27.1

    Bronchopulmonary dysplasia originating in the perinatal period

    BillableChapter 16
  • P27.8

    Other chronic respiratory diseases originating in the perinatal period

    BillableChapter 16
  • P27.9

    Unspecified chronic respiratory disease originating in the perinatal period

    BillableChapter 16