MS-DRG 286Medical

Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC

Major Diagnostic Category 05·Grouped by diagnosis·FY 2027

MS-DRG 286 is a Medical 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 2.2173 with a geometric mean length of stay of 5.4 days and an arithmetic mean of 7.2 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

FY 2027 payment data

From Table 5 of the FY 2027 IPPS Final Rule (CMS).

Relative weight:: 2.2173 (payment multiplier vs. the average case (1.0))
Geometric mean stay:: 5.4 days (used for transfer payments)
Average stay:: 7.2 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.

DRG	Title	Relative weight	Mean stay
286	Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC (this page)	2.2173	5.4 days
287	Circulatory Disorders Except AMI, with Cardiac Catheterization without MCC	1.0784	2.1 days

Procedure codes (72)

ICD-10-PCS procedures that can group a stay to DRG 286.