MS-DRG 233Surgical

Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC

Major Diagnostic Category 05·Grouped by procedure·FY 2027

MS-DRG 233 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 8.0100 with a geometric mean length of stay of 11.2 days and an arithmetic mean of 12.4 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:
8.0100 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
11.2 days (used for transfer payments)
Average stay:
12.4 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.

DRGTitleRelative weightMean stay
233Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC (this page)8.010011.2 days
234Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC5.50068.3 days