MS-DRG 216Surgical
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
Major Diagnostic Category 05·Grouped by procedure·FY 2027
MS-DRG 216 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 9.8832 with a geometric mean length of stay of 10.5 days and an arithmetic mean of 13.4 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:
- 9.8832 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 10.5 days (used for transfer payments)
- Average stay:
- 13.4 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 |
|---|---|---|---|
| 216 | Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC (this page) | 9.8832 | 10.5 days |
| 217 | Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC | 6.8061 | 3.9 days |
| 218 | Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC | 6.8061 | 3.9 days |