Non-Malignant Breast Disorders with CC/MCC
Major Diagnostic Category 09·Grouped by diagnosis·FY 2027
MS-DRG 600 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 09 (MDC 09) with a Complication or Comorbidity (CC). It maps to 93 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.9975 with a geometric mean length of stay of 3.1 days and an arithmetic mean of 4.1 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:
- 0.9975 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.1 days (used for transfer payments)
- Average stay:
- 4.1 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 |
|---|---|---|---|
| 600 | Non-Malignant Breast Disorders with CC/MCC (this page) | 0.9975 | 3.1 days |
| 601 | Non-Malignant Breast Disorders without CC/MCC | 0.6017 | 2.3 days |
Diagnosis codes (93)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 600. 100% of the codes listed are billable.
- D49.3Neoplasm of unspecified behavior of breast
- I97.2Postmastectomy lymphedema syndrome
- N60.01Solitary cyst of right breast
- N60.02Solitary cyst of left breast
- N60.09Solitary cyst of unspecified breast
- N60.11Diffuse cystic mastopathy of right breast
- N60.12Diffuse cystic mastopathy of left breast
- N60.19Diffuse cystic mastopathy of unspecified breast
- N60.21Fibroadenosis of right breast
- N60.22Fibroadenosis of left breast
- N60.29Fibroadenosis of unspecified breast
- N60.31Fibrosclerosis of right breast
- N60.32Fibrosclerosis of left breast
- N60.39Fibrosclerosis of unspecified breast
- N60.41Mammary duct ectasia of right breast
- N60.42Mammary duct ectasia of left breast
- N60.49Mammary duct ectasia of unspecified breast
- N60.81Other benign mammary dysplasias of right breast
- N60.82Other benign mammary dysplasias of left breast
- N60.89Other benign mammary dysplasias of unspecified breast
- N60.91Unspecified benign mammary dysplasia of right breast
- N60.92Unspecified benign mammary dysplasia of left breast
- N60.99Unspecified benign mammary dysplasia of unspecified breast
- N61.0Mastitis without abscess
- N61.1Abscess of the breast and nipple
- N61.20Granulomatous mastitis, unspecified breast
- N61.21Granulomatous mastitis, right breast
- N61.22Granulomatous mastitis, left breast
- N61.23Granulomatous mastitis, bilateral breast
- N62Hypertrophy of breast
- N63.0Unspecified lump in unspecified breast
- N63.10Unspecified lump in the right breast, unspecified quadrant
- N63.11Unspecified lump in the right breast, upper outer quadrant
- N63.12Unspecified lump in the right breast, upper inner quadrant
- N63.13Unspecified lump in the right breast, lower outer quadrant
- N63.14Unspecified lump in the right breast, lower inner quadrant
- N63.15Unspecified lump in the right breast, overlapping quadrants
- N63.20Unspecified lump in the left breast, unspecified quadrant
- N63.21Unspecified lump in the left breast, upper outer quadrant
- N63.22Unspecified lump in the left breast, upper inner quadrant
- N63.23Unspecified lump in the left breast, lower outer quadrant
- N63.24Unspecified lump in the left breast, lower inner quadrant
- N63.25Unspecified lump in the left breast, overlapping quadrants
- N63.31Unspecified lump in axillary tail of the right breast
- N63.32Unspecified lump in axillary tail of the left breast
- N63.41Unspecified lump in right breast, subareolar
- N63.42Unspecified lump in left breast, subareolar
- N64.0Fissure and fistula of nipple
- N64.1Fat necrosis of breast
- N64.2Atrophy of breast
- N64.3Galactorrhea not associated with childbirth
- N64.4Mastodynia
- N64.51Induration of breast
- N64.52Nipple discharge
- N64.53Retraction of nipple
- N64.59Other signs and symptoms in breast
- N64.81Ptosis of breast
- N64.82Hypoplasia of breast
- N64.89Other specified disorders of breast
- N64.9Disorder of breast, unspecified
- N65.0Deformity of reconstructed breast
- N65.1Disproportion of reconstructed breast
- N99.860Intraoperative and postprocedural nipple ischemia
- N99.861Intraoperative and postprocedural nipple necrosis
- Q83.0Congenital absence of breast with absent nipple
- Q83.1Accessory breast
- Q83.2Absent nipple
- Q83.3Accessory nipple
- Q83.8Other congenital malformations of breast
- Q83.9Congenital malformation of breast, unspecified
- R92.0Mammographic microcalcification found on diagnostic imaging of breast
- R92.1Mammographic calcification found on diagnostic imaging of breast
- R92.2Inconclusive mammogram
- R92.30Dense breasts, unspecified
- R92.311Mammographic fatty tissue density, right breast
- R92.312Mammographic fatty tissue density, left breast
- R92.313Mammographic fatty tissue density, bilateral breasts
- R92.321Mammographic fibroglandular density, right breast
- R92.322Mammographic fibroglandular density, left breast
- R92.323Mammographic fibroglandular density, bilateral breasts
- R92.331Mammographic heterogeneous density, right breast
- R92.332Mammographic heterogeneous density, left breast
- R92.333Mammographic heterogeneous density, bilateral breasts
- R92.341Mammographic extreme density, right breast
- R92.342Mammographic extreme density, left breast
- R92.343Mammographic extreme density, bilateral breasts
- R92.8Other abnormal and inconclusive findings on diagnostic imaging of breast
- T85.41XABreakdown (mechanical) of breast prosthesis and implant, initial encounter
- T85.42XADisplacement of breast prosthesis and implant, initial encounter
- T85.43XALeakage of breast prosthesis and implant, initial encounter
- T85.44XACapsular contracture of breast implant, initial encounter
- T85.49XAOther mechanical complication of breast prosthesis and implant, initial encounter
- Z40.01Encounter for prophylactic removal of breast
