DRG 296

Medical DRG

Cardiac Arrest, Unexplained with MCC

TypeMedicalMDC05Dx Codes3

What is MS-DRG 296?

MS-DRG 296 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 3 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.5619 with a geometric mean length of stay of 2 days and an arithmetic mean of 3.2 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
3 diagnosis
Billable Dx
100%
3 of 3 shown

FY 2026 Payment Data

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

Relative Weight
1.5619
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2 days
Used for transfer payment calculations
Arithmetic Mean LOS
3.2 days
Average length of stay
Post-Acute Transfer
No
Not subject to the 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
296Cardiac Arrest, Unexplained with MCCThis page1.56192 days
297Cardiac Arrest, Unexplained with CC0.63401.3 days
298Cardiac Arrest, Unexplained without CC/MCC0.45511.1 days

Linked ICD-10-CM Diagnosis Mappings

  • I46.2

    Cardiac arrest due to underlying cardiac condition

    BillableChapter 9
  • I46.8

    Cardiac arrest due to other underlying condition

    BillableChapter 9
  • I46.9

    Cardiac arrest, cause unspecified

    BillableChapter 9