DRG 293
Medical DRGHeart Failure and Shock without CC/MCC
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.
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
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.
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
