Diabetes with MCC
Major Diagnostic Category 10·Grouped by diagnosis·FY 2027
MS-DRG 637 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 10 (MDC 10) with a Major Complication or Comorbidity (MCC). It maps to 8 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.4129 with a geometric mean length of stay of 3.9 days and an arithmetic mean of 5.2 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:
- 1.4129 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.9 days (used for transfer payments)
- Average stay:
- 5.2 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
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.
Diagnosis codes (8)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 637. 100% of the codes listed are billable.
- E07.81Sick-euthyroid syndrome
- E08.9Diabetes mellitus due to underlying condition without complications
- E09.9Drug or chemical induced diabetes mellitus without complications
- E10.9Type 1 diabetes mellitus without complications
- E11.9Type 2 diabetes mellitus without complications
- E11.AType 2 diabetes mellitus without complications in remission
- E13.9Other specified diabetes mellitus without complications
- R81Glycosuria
