Bronchitis and Asthma without CC/MCC
Major Diagnostic Category 04·Grouped by diagnosis·FY 2027
MS-DRG 203 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04) without a significant Complication or Comorbidity. It maps to 46 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.6512 with a geometric mean length of stay of 2.1 days and an arithmetic mean of 2.6 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:
- 0.6512 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.1 days (used for transfer payments)
- Average stay:
- 2.6 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.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 202 | Bronchitis and Asthma with CC/MCC | 0.9474 | 2.8 days |
| 203 | Bronchitis and Asthma without CC/MCC (this page) | 0.6512 | 2.1 days |
Diagnosis codes (46)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 203. 100% of the codes listed are billable.
- A37.00Whooping cough due to Bordetella pertussis without pneumonia
- A37.01Whooping cough due to Bordetella pertussis with pneumonia
- A37.10Whooping cough due to Bordetella parapertussis without pneumonia
- A37.11Whooping cough due to Bordetella parapertussis with pneumonia
- A37.80Whooping cough due to other Bordetella species without pneumonia
- A37.81Whooping cough due to other Bordetella species with pneumonia
- A37.90Whooping cough, unspecified species without pneumonia
- A37.91Whooping cough, unspecified species with pneumonia
- J04.10Acute tracheitis without obstruction
- J04.11Acute tracheitis with obstruction
- J20.0Acute bronchitis due to Mycoplasma pneumoniae
- J20.1Acute bronchitis due to Hemophilus influenzae
- J20.2Acute bronchitis due to streptococcus
- J20.3Acute bronchitis due to coxsackievirus
- J20.4Acute bronchitis due to parainfluenza virus
- J20.5Acute bronchitis due to respiratory syncytial virus
- J20.6Acute bronchitis due to rhinovirus
- J20.7Acute bronchitis due to echovirus
- J20.8Acute bronchitis due to other specified organisms
- J20.9Acute bronchitis, unspecified
- J21.0Acute bronchiolitis due to respiratory syncytial virus
- J21.1Acute bronchiolitis due to human metapneumovirus
- J21.8Acute bronchiolitis due to other specified organisms
- J21.9Acute bronchiolitis, unspecified
- J34.9Unspecified disorder of nose and nasal sinuses
- J40Bronchitis, not specified as acute or chronic
- J41.0Simple chronic bronchitis
- J45.20Mild intermittent asthma, uncomplicated
- J45.21Mild intermittent asthma with (acute) exacerbation
- J45.22Mild intermittent asthma with status asthmaticus
- J45.30Mild persistent asthma, uncomplicated
- J45.31Mild persistent asthma with (acute) exacerbation
- J45.32Mild persistent asthma with status asthmaticus
- J45.40Moderate persistent asthma, uncomplicated
- J45.41Moderate persistent asthma with (acute) exacerbation
- J45.42Moderate persistent asthma with status asthmaticus
- J45.50Severe persistent asthma, uncomplicated
- J45.51Severe persistent asthma with (acute) exacerbation
- J45.52Severe persistent asthma with status asthmaticus
- J45.901Unspecified asthma with (acute) exacerbation
- J45.902Unspecified asthma with status asthmaticus
- J45.909Unspecified asthma, uncomplicated
- J45.990Exercise induced bronchospasm
- J45.991Cough variant asthma
- J45.998Other asthma
- J96.92Respiratory failure, unspecified with hypercapnia
