Pneumothorax with CC
Major Diagnostic Category 04·Grouped by diagnosis·FY 2027
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 2027 it carries a relative weight of 1.0774 with a geometric mean length of stay of 3.1 days and an arithmetic mean of 3.8 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:
- 1.0774 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.1 days (used for transfer payments)
- Average stay:
- 3.8 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
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 (14)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 200. 100% of the codes listed are billable.
- J93.0Spontaneous tension pneumothorax
- J93.11Primary spontaneous pneumothorax
- J93.12Secondary spontaneous pneumothorax
- J93.81Chronic pneumothorax
- J93.82Other air leak
- J93.83Other pneumothorax
- J93.9Pneumothorax, unspecified
- J95.811Postprocedural pneumothorax
- J95.812Postprocedural air leak
- J98.2Interstitial emphysema
- S27.0XXATraumatic pneumothorax, initial encounter
- S27.1XXATraumatic hemothorax, initial encounter
- S27.2XXATraumatic hemopneumothorax, initial encounter
- T79.7XXATraumatic subcutaneous emphysema, initial encounter