MS-DRG 654Surgical

Major Bladder Procedures with CC

Major Diagnostic Category 11·Grouped by procedure·FY 2027

MS-DRG 654 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 2.8208 with a geometric mean length of stay of 5 days and an arithmetic mean of 6.1 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

FY 2027 payment data

From Table 5 of the FY 2027 IPPS Final Rule (CMS).

Relative weight:: 2.8208 (payment multiplier vs. the average case (1.0))
Geometric mean stay:: 5 days (used for transfer payments)
Average stay:: 6.1 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.

DRG	Title	Relative weight	Mean stay
653	Major Bladder Procedures with MCC	5.2155	9.4 days
654	Major Bladder Procedures with CC (this page)	2.8208	5 days
655	Major Bladder Procedures without CC/MCC	2.0552	2.9 days

Procedure codes (133)

ICD-10-PCS procedures that can group a stay to DRG 654.