Atherosclerosis with MCC
Major Diagnostic Category 05·Grouped by diagnosis·FY 2027
MS-DRG 302 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 63 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.1984 with a geometric mean length of stay of 2.8 days and an arithmetic mean of 4 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:
- 1.1984 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.8 days (used for transfer payments)
- Average stay:
- 4 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 |
|---|---|---|---|
| 302 | Atherosclerosis with MCC (this page) | 1.1984 | 2.8 days |
| 303 | Atherosclerosis without MCC | 0.6612 | 1.8 days |
Diagnosis codes (63)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 302. 100% of the codes listed are billable.
- I25.10Atherosclerotic heart disease of native coronary artery without angina pectoris
- I25.110Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
- I25.111Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
- I25.112Atherosclerotic heart disease of native coronary artery with refractory angina pectoris
- I25.118Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
- I25.119Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
- I25.2Old myocardial infarction
- I25.5Ischemic cardiomyopathy
- I25.6Silent myocardial ischemia
- I25.700Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
- I25.701Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
- I25.702Atherosclerosis of coronary artery bypass graft(s), unspecified, with refractory angina pectoris
- I25.708Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
- I25.709Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris
- I25.710Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
- I25.711Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
- I25.712Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris
- I25.718Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
- I25.719Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris
- I25.720Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
- I25.721Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
- I25.722Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris
- I25.728Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
- I25.729Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
- I25.730Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
- I25.731Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
- I25.732Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris
- I25.738Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
- I25.739Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris
- I25.750Atherosclerosis of native coronary artery of transplanted heart with unstable angina
- I25.751Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
- I25.752Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris
- I25.758Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
- I25.759Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris
- I25.760Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
- I25.761Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
- I25.762Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
- I25.768Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
- I25.769Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris
- I25.790Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
- I25.791Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
- I25.792Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris
- I25.798Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
- I25.799Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
- I25.810Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
- I25.811Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
- I25.812Atherosclerosis of bypass graft of coronary artery of transplanted heart without angina pectoris
- I25.82Chronic total occlusion of coronary artery
- I25.83Coronary atherosclerosis due to lipid rich plaque
- I25.84Coronary atherosclerosis due to calcified coronary lesion
- I25.85Chronic coronary microvascular dysfunction
- I25.89Other forms of chronic ischemic heart disease
- I25.9Chronic ischemic heart disease, unspecified
- I51.3Intracardiac thrombosis, not elsewhere classified
- I51.7Cardiomegaly
- I51.89Other ill-defined heart diseases
- I51.9Heart disease, unspecified
- I52Other heart disorders in diseases classified elsewhere
- I87.8Other specified disorders of veins
- I87.9Disorder of vein, unspecified
- I99.8Other disorder of circulatory system
- I99.9Unspecified disorder of circulatory system
- R93.1Abnormal findings on diagnostic imaging of heart and coronary circulation
