MS-DRG 204Medical
Respiratory Signs and Symptoms
Major Diagnostic Category 04·Grouped by diagnosis·FY 2027
MS-DRG 204 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04). It maps to 30 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.8210 with a geometric mean length of stay of 2.1 days and an arithmetic mean of 2.7 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:
- 0.8210 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.1 days (used for transfer payments)
- Average stay:
- 2.7 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
Diagnosis codes (30)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 204. 100% of the codes listed are billable.
- G47.19Other hypersomnia
- R04.2Hemoptysis
- R04.81Acute idiopathic pulmonary hemorrhage in infants
- R04.89Hemorrhage from other sites in respiratory passages
- R04.9Hemorrhage from respiratory passages, unspecified
- R05.1Acute cough
- R05.2Subacute cough
- R05.3Chronic cough
- R05.4Cough syncope
- R05.8Other specified cough
- R05.9Cough, unspecified
- R06.00Dyspnea, unspecified
- R06.01Orthopnea
- R06.02Shortness of breath
- R06.03Acute respiratory distress
- R06.09Other forms of dyspnea
- R06.1Stridor
- R06.2Wheezing
- R06.3Periodic breathing
- R06.4Hyperventilation
- R06.6Hiccough
- R06.81Apnea, not elsewhere classified
- R06.82Tachypnea, not elsewhere classified
- R06.83Snoring
- R06.89Other abnormalities of breathing
- R06.9Unspecified abnormalities of breathing
- R07.1Chest pain on breathing
- R07.81Pleurodynia
- R09.3Abnormal sputum
- R91.8Other nonspecific abnormal finding of lung field