Acute Myocardial Infarction, Expired with CC
Major Diagnostic Category 05·Grouped by diagnosis·FY 2027
MS-DRG 284 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) with a Complication or Comorbidity (CC). It maps to 18 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.7525 with a geometric mean length of stay of 1.6 days and an arithmetic mean of 2.2 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:
- 0.7525 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 1.6 days (used for transfer payments)
- Average stay:
- 2.2 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
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.
Diagnosis codes (18)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 284. 100% of the codes listed are billable.
- I21.01ST elevation (STEMI) myocardial infarction involving left main coronary artery
- I21.02ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
- I21.09ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
- I21.11ST elevation (STEMI) myocardial infarction involving right coronary artery
- I21.19ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
- I21.21ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
- I21.29ST elevation (STEMI) myocardial infarction involving other sites
- I21.3ST elevation (STEMI) myocardial infarction of unspecified site
- I21.4Non-ST elevation (NSTEMI) myocardial infarction
- I21.9Acute myocardial infarction, unspecified
- I21.A1Myocardial infarction type 2
- I21.A9Other myocardial infarction type
- I21.BMyocardial infarction with coronary microvascular dysfunction
- I22.0Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
- I22.1Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
- I22.2Subsequent non-ST elevation (NSTEMI) myocardial infarction
- I22.8Subsequent ST elevation (STEMI) myocardial infarction of other sites
- I22.9Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
