All ICD10 Codes
MS-DRG 291Medical

Heart Failure and Shock with MCC

Major Diagnostic Category 05·Grouped by diagnosis·FY 2027

MS-DRG 291 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) with a Major Complication or Comorbidity (MCC). It maps to 29 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.2685 with a geometric mean length of stay of 3.8 days and an arithmetic mean of 4.9 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:
1.2685 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3.8 days (used for transfer payments)
Average stay:
4.9 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
291Heart Failure and Shock with MCC (this page)1.26853.8 days
292Heart Failure and Shock with CC0.86162.9 days
293Heart Failure and Shock without CC/MCC0.54622.1 days

Diagnosis codes (29)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 291. 100% of the codes listed are billable.