Other Respiratory System Diagnoses without MCC
Major Diagnostic Category 04·Grouped by diagnosis·FY 2027
MS-DRG 206 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04) without a significant Complication or Comorbidity. It maps to 203 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.9257 with a geometric mean length of stay of 2.4 days and an arithmetic mean of 3.1 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:
- 0.9257 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.4 days (used for transfer payments)
- Average stay:
- 3.1 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
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 |
|---|---|---|---|
| 205 | Other Respiratory System Diagnoses with MCC | 1.8244 | 4.3 days |
| 206 | Other Respiratory System Diagnoses without MCC (this page) | 0.9257 | 2.4 days |
Diagnosis codes (203)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 206. 100% of the codes listed are billable.
- E66.2Morbid (severe) obesity with alveolar hypoventilation
- J22Unspecified acute lower respiratory infection
- J68.0Bronchitis and pneumonitis due to chemicals, gases, fumes and vapors
- J68.2Upper respiratory inflammation due to chemicals, gases, fumes and vapors, not elsewhere classified
- J68.3Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors
- J70.0Acute pulmonary manifestations due to radiation
- J70.2Acute drug-induced interstitial lung disorders
- J70.3Chronic drug-induced interstitial lung disorders
- J70.4Drug-induced interstitial lung disorders, unspecified
- J70.5Respiratory conditions due to smoke inhalation
- J70.8Respiratory conditions due to other specified external agents
- J70.9Respiratory conditions due to unspecified external agent
- J94.9Pleural condition, unspecified
- J95.4Chemical pneumonitis due to anesthesia
- J95.5Postprocedural subglottic stenosis
- J95.84Transfusion-related acute lung injury (TRALI)
- J95.851Ventilator associated pneumonia
- J95.859Other complication of respirator [ventilator]
- J95.87Transfusion-associated dyspnea (TAD)
- J95.88Other intraoperative complications of respiratory system, not elsewhere classified
- J95.89Other postprocedural complications and disorders of respiratory system, not elsewhere classified
- J98.11Atelectasis
- J98.19Other pulmonary collapse
- J98.3Compensatory emphysema
- J98.4Other disorders of lung
- J98.6Disorders of diaphragm
- J98.8Other specified respiratory disorders
- J98.9Respiratory disorder, unspecified
- K76.81Hepatopulmonary syndrome
- M94.0Chondrocostal junction syndrome [Tietze]
- N80.B1Endometriosis of pleura
- N80.B2Endometriosis of lung
- N80.B31Superficial endometriosis of diaphragm
- N80.B32Deep endometriosis of diaphragm
- N80.B39Endometriosis of diaphragm, unspecified depth
- Q33.0Congenital cystic lung
- Q33.1Accessory lobe of lung
- Q33.2Sequestration of lung
- Q33.3Agenesis of lung
- Q33.5Ectopic tissue in lung
- Q33.6Congenital hypoplasia and dysplasia of lung
- Q33.8Other congenital malformations of lung
- Q33.9Congenital malformation of lung, unspecified
- Q34.0Anomaly of pleura
- Q34.1Congenital cyst of mediastinum
- Q34.8Other specified congenital malformations of respiratory system
- Q34.9Congenital malformation of respiratory system, unspecified
- Q79.0Congenital diaphragmatic hernia
- Q79.1Other congenital malformations of diaphragm
- R09.01Asphyxia
- R09.02Hypoxemia
- R09.2Respiratory arrest
- R68.3Clubbing of fingers
- R91.1Solitary pulmonary nodule
- R94.2Abnormal results of pulmonary function studies
- S22.31XAFracture of one rib, right side, initial encounter for closed fracture
- S22.32XAFracture of one rib, left side, initial encounter for closed fracture
- S22.39XAFracture of one rib, unspecified side, initial encounter for closed fracture
- S23.41XASprain of ribs, initial encounter
- S23.421ASprain of chondrosternal joint, initial encounter
- S23.428AOther sprain of sternum, initial encounter
- S23.429AUnspecified sprain of sternum, initial encounter
- S26.00XSUnspecified injury of heart with hemopericardium, sequela
- S26.01XSContusion of heart with hemopericardium, sequela
- S26.020SMild laceration of heart with hemopericardium, sequela
- S26.021SModerate laceration of heart with hemopericardium, sequela
- S26.022SMajor laceration of heart with hemopericardium, sequela
- S26.09XSOther injury of heart with hemopericardium, sequela
- S26.10XSUnspecified injury of heart without hemopericardium, sequela
- S26.11XSContusion of heart without hemopericardium, sequela
- S26.12XSLaceration of heart without hemopericardium, sequela
- S26.19XSOther injury of heart without hemopericardium, sequela
- S26.90XSUnspecified injury of heart, unspecified with or without hemopericardium, sequela
- S26.91XSContusion of heart, unspecified with or without hemopericardium, sequela
- S26.92XSLaceration of heart, unspecified with or without hemopericardium, sequela
- S26.99XSOther injury of heart, unspecified with or without hemopericardium, sequela
- S27.0XXSTraumatic pneumothorax, sequela
- S27.1XXSTraumatic hemothorax, sequela
- S27.2XXSTraumatic hemopneumothorax, sequela
- S27.301AUnspecified injury of lung, unilateral, initial encounter
- S27.301SUnspecified injury of lung, unilateral, sequela
- S27.302AUnspecified injury of lung, bilateral, initial encounter
- S27.302SUnspecified injury of lung, bilateral, sequela
- S27.309AUnspecified injury of lung, unspecified, initial encounter
- S27.309SUnspecified injury of lung, unspecified, sequela
- S27.311APrimary blast injury of lung, unilateral, initial encounter
- S27.311SPrimary blast injury of lung, unilateral, sequela
- S27.312APrimary blast injury of lung, bilateral, initial encounter
- S27.312SPrimary blast injury of lung, bilateral, sequela
- S27.319APrimary blast injury of lung, unspecified, initial encounter
- S27.319SPrimary blast injury of lung, unspecified, sequela
- S27.321AContusion of lung, unilateral, initial encounter
- S27.321SContusion of lung, unilateral, sequela
- S27.322AContusion of lung, bilateral, initial encounter
- S27.322SContusion of lung, bilateral, sequela
- S27.329AContusion of lung, unspecified, initial encounter
- S27.329SContusion of lung, unspecified, sequela
- S27.331SLaceration of lung, unilateral, sequela
- S27.332SLaceration of lung, bilateral, sequela
- S27.339SLaceration of lung, unspecified, sequela
- S27.391AOther injuries of lung, unilateral, initial encounter
- S27.391SOther injuries of lung, unilateral, sequela
- S27.392AOther injuries of lung, bilateral, initial encounter
- S27.392SOther injuries of lung, bilateral, sequela
- S27.399AOther injuries of lung, unspecified, initial encounter
- S27.399SOther injuries of lung, unspecified, sequela
- S27.401SUnspecified injury of bronchus, unilateral, sequela
- S27.402SUnspecified injury of bronchus, bilateral, sequela
- S27.409SUnspecified injury of bronchus, unspecified, sequela
- S27.411SPrimary blast injury of bronchus, unilateral, sequela
- S27.412SPrimary blast injury of bronchus, bilateral, sequela
- S27.419SPrimary blast injury of bronchus, unspecified, sequela
- S27.421SContusion of bronchus, unilateral, sequela
- S27.422SContusion of bronchus, bilateral, sequela
- S27.429SContusion of bronchus, unspecified, sequela
- S27.431SLaceration of bronchus, unilateral, sequela
- S27.432SLaceration of bronchus, bilateral, sequela
- S27.439SLaceration of bronchus, unspecified, sequela
- S27.491SOther injury of bronchus, unilateral, sequela
- S27.492SOther injury of bronchus, bilateral, sequela
- S27.499SOther injury of bronchus, unspecified, sequela
- S27.50XAUnspecified injury of thoracic trachea, initial encounter
- S27.50XSUnspecified injury of thoracic trachea, sequela
- S27.51XAPrimary blast injury of thoracic trachea, initial encounter
- S27.51XSPrimary blast injury of thoracic trachea, sequela
- S27.52XAContusion of thoracic trachea, initial encounter
- S27.52XSContusion of thoracic trachea, sequela
- S27.53XALaceration of thoracic trachea, initial encounter
- S27.53XSLaceration of thoracic trachea, sequela
- S27.59XAOther injury of thoracic trachea, initial encounter
- S27.59XSOther injury of thoracic trachea, sequela
- S27.60XAUnspecified injury of pleura, initial encounter
- S27.60XSUnspecified injury of pleura, sequela
- S27.63XALaceration of pleura, initial encounter
- S27.63XSLaceration of pleura, sequela
- S27.69XAOther injury of pleura, initial encounter
- S27.69XSOther injury of pleura, sequela
- S27.802SContusion of diaphragm, sequela
- S27.803SLaceration of diaphragm, sequela
- S27.808SOther injury of diaphragm, sequela
- S27.809SUnspecified injury of diaphragm, sequela
- S27.812SContusion of esophagus (thoracic part), sequela
- S27.813SLaceration of esophagus (thoracic part), sequela
- S27.818SOther injury of esophagus (thoracic part), sequela
- S27.819SUnspecified injury of esophagus (thoracic part), sequela
- S27.892AContusion of other specified intrathoracic organs, initial encounter
- S27.892SContusion of other specified intrathoracic organs, sequela
- S27.893ALaceration of other specified intrathoracic organs, initial encounter
- S27.893SLaceration of other specified intrathoracic organs, sequela
- S27.898AOther injury of other specified intrathoracic organs, initial encounter
- S27.898SOther injury of other specified intrathoracic organs, sequela
- S27.899AUnspecified injury of other specified intrathoracic organs, initial encounter
- S27.899SUnspecified injury of other specified intrathoracic organs, sequela
- S27.9XXSInjury of unspecified intrathoracic organ, sequela
- T17.400AUnspecified foreign body in trachea causing asphyxiation, initial encounter
- T17.408AUnspecified foreign body in trachea causing other injury, initial encounter
- T17.410AGastric contents in trachea causing asphyxiation, initial encounter
- T17.418AGastric contents in trachea causing other injury, initial encounter
- T17.420AFood in trachea causing asphyxiation, initial encounter
- T17.428AFood in trachea causing other injury, initial encounter
- T17.490AOther foreign object in trachea causing asphyxiation, initial encounter
- T17.498AOther foreign object in trachea causing other injury, initial encounter
- T17.500AUnspecified foreign body in bronchus causing asphyxiation, initial encounter
- T17.508AUnspecified foreign body in bronchus causing other injury, initial encounter
- T17.510AGastric contents in bronchus causing asphyxiation, initial encounter
- T17.518AGastric contents in bronchus causing other injury, initial encounter
- T17.520AFood in bronchus causing asphyxiation, initial encounter
- T17.528AFood in bronchus causing other injury, initial encounter
- T17.590AOther foreign object in bronchus causing asphyxiation, initial encounter
- T17.598AOther foreign object in bronchus causing other injury, initial encounter
- T17.800AUnspecified foreign body in other parts of respiratory tract causing asphyxiation, initial encounter
- T17.808AUnspecified foreign body in other parts of respiratory tract causing other injury, initial encounter
- T17.810AGastric contents in other parts of respiratory tract causing asphyxiation, initial encounter
- T17.818AGastric contents in other parts of respiratory tract causing other injury, initial encounter
- T17.820AFood in other parts of respiratory tract causing asphyxiation, initial encounter
- T17.828AFood in other parts of respiratory tract causing other injury, initial encounter
- T17.890AOther foreign object in other parts of respiratory tract causing asphyxiation, initial encounter
- T17.898AOther foreign object in other parts of respiratory tract causing other injury, initial encounter
- T17.900AUnspecified foreign body in respiratory tract, part unspecified causing asphyxiation, initial encounter
- T17.908AUnspecified foreign body in respiratory tract, part unspecified causing other injury, initial encounter
- T17.910AGastric contents in respiratory tract, part unspecified causing asphyxiation, initial encounter
- T17.918AGastric contents in respiratory tract, part unspecified causing other injury, initial encounter
- T17.920AFood in respiratory tract, part unspecified causing asphyxiation, initial encounter
- T17.928AFood in respiratory tract, part unspecified causing other injury, initial encounter
- T17.990AOther foreign object in respiratory tract, part unspecified in causing asphyxiation, initial encounter
- T17.998AOther foreign object in respiratory tract, part unspecified causing other injury, initial encounter
- T27.0XXABurn of larynx and trachea, initial encounter
- T27.1XXABurn involving larynx and trachea with lung, initial encounter
- T27.2XXABurn of other parts of respiratory tract, initial encounter
- T27.3XXABurn of respiratory tract, part unspecified, initial encounter
- T27.4XXACorrosion of larynx and trachea, initial encounter
- T27.5XXACorrosion involving larynx and trachea with lung, initial encounter
- T27.6XXACorrosion of other parts of respiratory tract, initial encounter
- T27.7XXACorrosion of respiratory tract, part unspecified, initial encounter
- T86.810Lung transplant rejection
- T86.811Lung transplant failure
- T86.812Lung transplant infection
- T86.818Other complications of lung transplant
- T86.819Unspecified complication of lung transplant
- U07.0Vaping-related disorder
- Z43.0Encounter for attention to tracheostomy
- Z90.2Acquired absence of lung [part of]
- Z94.2Lung transplant status
