All ICD10 Codes

DRG 204

Medical DRG

Respiratory Signs and Symptoms

TypeMedicalMDC04Dx Codes30

What is MS-DRG 204?

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 2026 it carries a relative weight of 0.8074 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.

Classification
Medical DRG
Diagnosis-driven grouping
MDC
Major Diagnostic Category 04
Linked Codes
30 diagnosis
Billable Dx
100%
30 of 30 shown

FY 2026 Payment Data

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

Relative Weight
0.8074
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.1 days
Used for transfer payment calculations
Arithmetic Mean LOS
2.7 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Linked ICD-10-CM Diagnosis Mappings

  • G47.19

    Other hypersomnia

    BillableChapter 6
  • R04.2

    Hemoptysis

    BillableChapter 18
  • R04.81

    Acute idiopathic pulmonary hemorrhage in infants

    BillableChapter 18
  • R04.89

    Hemorrhage from other sites in respiratory passages

    BillableChapter 18
  • R04.9

    Hemorrhage from respiratory passages, unspecified

    BillableChapter 18
  • R05.1

    Acute cough

    BillableChapter 18
  • R05.2

    Subacute cough

    BillableChapter 18
  • R05.3

    Chronic cough

    BillableChapter 18
  • R05.4

    Cough syncope

    BillableChapter 18
  • R05.8

    Other specified cough

    BillableChapter 18
  • R05.9

    Cough, unspecified

    BillableChapter 18
  • R06.00

    Dyspnea, unspecified

    BillableChapter 18
  • R06.01

    Orthopnea

    BillableChapter 18
  • R06.02

    Shortness of breath

    BillableChapter 18
  • R06.03

    Acute respiratory distress

    BillableChapter 18
  • R06.09

    Other forms of dyspnea

    BillableChapter 18
  • R06.1

    Stridor

    BillableChapter 18
  • R06.2

    Wheezing

    BillableChapter 18
  • R06.3

    Periodic breathing

    BillableChapter 18
  • R06.4

    Hyperventilation

    BillableChapter 18
  • R06.6

    Hiccough

    BillableChapter 18
  • R06.81

    Apnea, not elsewhere classified

    BillableChapter 18
  • R06.82

    Tachypnea, not elsewhere classified

    BillableChapter 18
  • R06.83

    Snoring

    BillableChapter 18
  • R06.89

    Other abnormalities of breathing

    BillableChapter 18
  • R06.9

    Unspecified abnormalities of breathing

    BillableChapter 18
  • R07.1

    Chest pain on breathing

    BillableChapter 18
  • R07.81

    Pleurodynia

    BillableChapter 18
  • R09.3

    Abnormal sputum

    BillableChapter 18
  • R91.8

    Other nonspecific abnormal finding of lung field

    BillableChapter 18