DRG 200

Medical DRG

Pneumothorax with CC

TypeMedicalMDC04Dx Codes14

What is MS-DRG 200?

MS-DRG 200 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04) with a Complication or Comorbidity (CC). It maps to 14 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.0993 with a geometric mean length of stay of 3.1 days and an arithmetic mean of 3.9 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
14 diagnosis
Billable Dx
100%
14 of 14 shown

FY 2026 Payment Data

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

Relative Weight
1.0993
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.1 days
Used for transfer payment calculations
Arithmetic Mean LOS
3.9 days
Average length of stay
Post-Acute Transfer
No
Not subject to the 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
199Pneumothorax with MCC1.76414.8 days
200Pneumothorax with CCThis page1.09933.1 days
201Pneumothorax without CC/MCC0.71512.3 days

Linked ICD-10-CM Diagnosis Mappings

  • J93.0

    Spontaneous tension pneumothorax

    BillableChapter 10
  • J93.11

    Primary spontaneous pneumothorax

    BillableChapter 10
  • J93.12

    Secondary spontaneous pneumothorax

    BillableChapter 10
  • J93.81

    Chronic pneumothorax

    BillableChapter 10
  • J93.82

    Other air leak

    BillableChapter 10
  • J93.83

    Other pneumothorax

    BillableChapter 10
  • J93.9

    Pneumothorax, unspecified

    BillableChapter 10
  • J95.811

    Postprocedural pneumothorax

    BillableChapter 10
  • J95.812

    Postprocedural air leak

    BillableChapter 10
  • J98.2

    Interstitial emphysema

    BillableChapter 10
  • S27.0XXA

    Traumatic pneumothorax, initial encounter

    BillableChapter 19
  • S27.1XXA

    Traumatic hemothorax, initial encounter

    BillableChapter 19
  • S27.2XXA

    Traumatic hemopneumothorax, initial encounter

    BillableChapter 19
  • T79.7XXA

    Traumatic subcutaneous emphysema, initial encounter

    BillableChapter 19