DRG 293

Medical DRG

Heart Failure and Shock without CC/MCC

TypeMedicalMDC05Dx Codes29

What is MS-DRG 293?

MS-DRG 293 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) without a significant Complication or Comorbidity. It maps to 29 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 0.5660 with a geometric mean length of stay of 2.1 days and an arithmetic mean of 2.5 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
29 diagnosis
Billable Dx
100%
29 of 29 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
0.5660
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.1 days
Used for transfer payment calculations
Arithmetic Mean LOS
2.5 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
291Heart Failure and Shock with MCC1.28383.8 days
292Heart Failure and Shock with CC0.84902.9 days
293Heart Failure and Shock without CC/MCCThis page0.56602.1 days

Linked ICD-10-CM Diagnosis Mappings

  • I09.81

    Rheumatic heart failure

    BillableChapter 9
  • I11.0

    Hypertensive heart disease with heart failure

    BillableChapter 9
  • I13.0

    Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

    BillableChapter 9
  • I13.10

    Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

    BillableChapter 9
  • I50.1

    Left ventricular failure, unspecified

    BillableChapter 9
  • I50.20

    Unspecified systolic (congestive) heart failure

    BillableChapter 9
  • I50.21

    Acute systolic (congestive) heart failure

    BillableChapter 9
  • I50.22

    Chronic systolic (congestive) heart failure

    BillableChapter 9
  • I50.23

    Acute on chronic systolic (congestive) heart failure

    BillableChapter 9
  • I50.30

    Unspecified diastolic (congestive) heart failure

    BillableChapter 9
  • I50.31

    Acute diastolic (congestive) heart failure

    BillableChapter 9
  • I50.32

    Chronic diastolic (congestive) heart failure

    BillableChapter 9
  • I50.33

    Acute on chronic diastolic (congestive) heart failure

    BillableChapter 9
  • I50.40

    Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

    BillableChapter 9
  • I50.41

    Acute combined systolic (congestive) and diastolic (congestive) heart failure

    BillableChapter 9
  • I50.42

    Chronic combined systolic (congestive) and diastolic (congestive) heart failure

    BillableChapter 9
  • I50.43

    Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

    BillableChapter 9
  • I50.810

    Right heart failure, unspecified

    BillableChapter 9
  • I50.811

    Acute right heart failure

    BillableChapter 9
  • I50.812

    Chronic right heart failure

    BillableChapter 9
  • I50.813

    Acute on chronic right heart failure

    BillableChapter 9
  • I50.814

    Right heart failure due to left heart failure

    BillableChapter 9
  • I50.82

    Biventricular heart failure

    BillableChapter 9
  • I50.83

    High output heart failure

    BillableChapter 9
  • I50.84

    End stage heart failure

    BillableChapter 9
  • I50.89

    Other heart failure

    BillableChapter 9
  • I50.9

    Heart failure, unspecified

    BillableChapter 9
  • R57.0

    Cardiogenic shock

    BillableChapter 18
  • R57.9

    Shock, unspecified

    BillableChapter 18