Major Skin Disorders with MCC
Major Diagnostic Category 09·Grouped by diagnosis·FY 2027
MS-DRG 595 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 09 (MDC 09) with a Major Complication or Comorbidity (MCC). It maps to 115 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 2.0239 with a geometric mean length of stay of 5.4 days and an arithmetic mean of 7.5 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:
- 2.0239 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 5.4 days (used for transfer payments)
- Average stay:
- 7.5 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 |
|---|---|---|---|
| 595 | Major Skin Disorders with MCC (this page) | 2.0239 | 5.4 days |
| 596 | Major Skin Disorders without MCC | 1.1071 | 3.5 days |
Diagnosis codes (115)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 595. 100% of the codes listed are billable.
- B02.9Zoster without complications
- C43.0Malignant melanoma of lip
- C43.20Malignant melanoma of unspecified ear and external auricular canal
- C43.21Malignant melanoma of right ear and external auricular canal
- C43.22Malignant melanoma of left ear and external auricular canal
- C43.30Malignant melanoma of unspecified part of face
- C43.31Malignant melanoma of nose
- C43.39Malignant melanoma of other parts of face
- C43.4Malignant melanoma of scalp and neck
- C43.51Malignant melanoma of anal skin
- C43.52Malignant melanoma of skin of breast
- C43.59Malignant melanoma of other part of trunk
- C43.60Malignant melanoma of unspecified upper limb, including shoulder
- C43.61Malignant melanoma of right upper limb, including shoulder
- C43.62Malignant melanoma of left upper limb, including shoulder
- C43.70Malignant melanoma of unspecified lower limb, including hip
- C43.71Malignant melanoma of right lower limb, including hip
- C43.72Malignant melanoma of left lower limb, including hip
- C43.8Malignant melanoma of overlapping sites of skin
- C43.9Malignant melanoma of skin, unspecified
- C4A.0Merkel cell carcinoma of lip
- C4A.10Merkel cell carcinoma of unspecified eyelid, including canthus
- C4A.111Merkel cell carcinoma of right upper eyelid, including canthus
- C4A.112Merkel cell carcinoma of right lower eyelid, including canthus
- C4A.121Merkel cell carcinoma of left upper eyelid, including canthus
- C4A.122Merkel cell carcinoma of left lower eyelid, including canthus
- C4A.20Merkel cell carcinoma of unspecified ear and external auricular canal
- C4A.21Merkel cell carcinoma of right ear and external auricular canal
- C4A.22Merkel cell carcinoma of left ear and external auricular canal
- C4A.30Merkel cell carcinoma of unspecified part of face
- C4A.31Merkel cell carcinoma of nose
- C4A.39Merkel cell carcinoma of other parts of face
- C4A.4Merkel cell carcinoma of scalp and neck
- C4A.51Merkel cell carcinoma of anal skin
- C4A.52Merkel cell carcinoma of skin of breast
- C4A.59Merkel cell carcinoma of other part of trunk
- C4A.60Merkel cell carcinoma of unspecified upper limb, including shoulder
- C4A.61Merkel cell carcinoma of right upper limb, including shoulder
- C4A.62Merkel cell carcinoma of left upper limb, including shoulder
- C4A.70Merkel cell carcinoma of unspecified lower limb, including hip
- C4A.71Merkel cell carcinoma of right lower limb, including hip
- C4A.72Merkel cell carcinoma of left lower limb, including hip
- C4A.8Merkel cell carcinoma of overlapping sites
- C4A.9Merkel cell carcinoma, unspecified
- D03.0Melanoma in situ of lip
- D03.20Melanoma in situ of unspecified ear and external auricular canal
- D03.21Melanoma in situ of right ear and external auricular canal
- D03.22Melanoma in situ of left ear and external auricular canal
- D03.30Melanoma in situ of unspecified part of face
- D03.39Melanoma in situ of other parts of face
- D03.4Melanoma in situ of scalp and neck
- D03.51Melanoma in situ of anal skin
- D03.52Melanoma in situ of breast (skin) (soft tissue)
- D03.59Melanoma in situ of other part of trunk
- D03.60Melanoma in situ of unspecified upper limb, including shoulder
- D03.61Melanoma in situ of right upper limb, including shoulder
- D03.62Melanoma in situ of left upper limb, including shoulder
- D03.70Melanoma in situ of unspecified lower limb, including hip
- D03.71Melanoma in situ of right lower limb, including hip
- D03.72Melanoma in situ of left lower limb, including hip
- D03.8Melanoma in situ of other sites
- D03.9Melanoma in situ, unspecified
- L00Staphylococcal scalded skin syndrome
- L10.0Pemphigus vulgaris
- L10.1Pemphigus vegetans
- L10.2Pemphigus foliaceous
- L10.3Brazilian pemphigus [fogo selvagem]
- L10.4Pemphigus erythematosus
- L10.5Drug-induced pemphigus
- L10.81Paraneoplastic pemphigus
- L10.89Other pemphigus
- L10.9Pemphigus, unspecified
- L12.0Bullous pemphigoid
- L12.1Cicatricial pemphigoid
- L12.30Acquired epidermolysis bullosa, unspecified
- L12.31Epidermolysis bullosa due to drug
- L12.35Other acquired epidermolysis bullosa
- L12.8Other pemphigoid
- L12.9Pemphigoid, unspecified
- L13.8Other specified bullous disorders
- L13.9Bullous disorder, unspecified
- L14Bullous disorders in diseases classified elsewhere
- L40.0Psoriasis vulgaris
- L40.2Acrodermatitis continua
- L40.3Pustulosis palmaris et plantaris
- L40.4Guttate psoriasis
- L40.8Other psoriasis
- L40.9Psoriasis, unspecified
- L41.0Pityriasis lichenoides et varioliformis acuta
- L41.1Pityriasis lichenoides chronica
- L41.3Small plaque parapsoriasis
- L41.4Large plaque parapsoriasis
- L41.5Retiform parapsoriasis
- L41.8Other parapsoriasis
- L41.9Parapsoriasis, unspecified
- L51.0Nonbullous erythema multiforme
- L51.1Stevens-Johnson syndrome
- L51.2Toxic epidermal necrolysis [Lyell]
- L51.3Stevens-Johnson syndrome-toxic epidermal necrolysis overlap syndrome
- L51.8Other erythema multiforme
- L51.9Erythema multiforme, unspecified
- L52Erythema nodosum
- L53.0Toxic erythema
- L53.1Erythema annulare centrifugum
- L53.2Erythema marginatum
- L53.3Other chronic figurate erythema
- L93.0Discoid lupus erythematosus
- L93.1Subacute cutaneous lupus erythematosus
- L93.2Other local lupus erythematosus
- L94.5Poikiloderma vasculare atrophicans
- Q81.0Epidermolysis bullosa simplex
- Q81.1Epidermolysis bullosa letalis
- Q81.2Epidermolysis bullosa dystrophica
- Q81.8Other epidermolysis bullosa
- Q81.9Epidermolysis bullosa, unspecified
