MS-DRG 800Surgical
Splenic Procedures with CC
Major Diagnostic Category 16·Grouped by procedure·FY 2027
MS-DRG 800 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 16 (MDC 16) with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 3.1502 with a geometric mean length of stay of 4.2 days and an arithmetic mean of 6 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:
- 3.1502 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 4.2 days (used for transfer payments)
- Average stay:
- 6 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.
Procedure codes (50)
ICD-10-PCS procedures that can group a stay to DRG 800.
- 04L40CZOcclusion of Splenic Artery with Extraluminal Device, Open Approach
- 04L40DZOcclusion of Splenic Artery with Intraluminal Device, Open Approach
- 04L40ZZOcclusion of Splenic Artery, Open Approach
- 04L43CZOcclusion of Splenic Artery with Extraluminal Device, Percutaneous Approach
- 04L43DZOcclusion of Splenic Artery with Intraluminal Device, Percutaneous Approach
- 04L43ZZOcclusion of Splenic Artery, Percutaneous Approach
- 04L44CZOcclusion of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
- 04L44DZOcclusion of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
- 04L44ZZOcclusion of Splenic Artery, Percutaneous Endoscopic Approach
- 075P0ZZDestruction of Spleen, Open Approach
- 075P3ZZDestruction of Spleen, Percutaneous Approach
- 075P4ZZDestruction of Spleen, Percutaneous Endoscopic Approach
- 079P00ZDrainage of Spleen with Drainage Device, Open Approach
- 079P0ZXDrainage of Spleen, Open Approach, Diagnostic
- 079P0ZZDrainage of Spleen, Open Approach
- 07BP0ZXExcision of Spleen, Open Approach, Diagnostic
- 07BP0ZZExcision of Spleen, Open Approach
- 07BP3ZZExcision of Spleen, Percutaneous Approach
- 07BP4ZZExcision of Spleen, Percutaneous Endoscopic Approach
- 07CP0ZZExtirpation of Matter from Spleen, Open Approach
- 07HP01ZInsertion of Radioactive Element into Spleen, Open Approach
- 07HP0YZInsertion of Other Device into Spleen, Open Approach
- 07HP41ZInsertion of Radioactive Element into Spleen, Percutaneous Endoscopic Approach
- 07NP0ZZRelease Spleen, Open Approach
- 07NP3ZZRelease Spleen, Percutaneous Approach
- 07NP4ZZRelease Spleen, Percutaneous Endoscopic Approach
- 07PP00ZRemoval of Drainage Device from Spleen, Open Approach
- 07PP03ZRemoval of Infusion Device from Spleen, Open Approach
- 07PP0YZRemoval of Other Device from Spleen, Open Approach
- 07PP30ZRemoval of Drainage Device from Spleen, Percutaneous Approach
- 07PP33ZRemoval of Infusion Device from Spleen, Percutaneous Approach
- 07PP40ZRemoval of Drainage Device from Spleen, Percutaneous Endoscopic Approach
- 07PP43ZRemoval of Infusion Device from Spleen, Percutaneous Endoscopic Approach
- 07QP0ZZRepair Spleen, Open Approach
- 07QP3ZZRepair Spleen, Percutaneous Approach
- 07QP4ZZRepair Spleen, Percutaneous Endoscopic Approach
- 07SP0ZZReposition Spleen, Open Approach
- 07TP0ZZResection of Spleen, Open Approach
- 07TP4ZGResection of Spleen, Percutaneous Endoscopic Approach, Hand-Assisted
- 07TP4ZZResection of Spleen, Percutaneous Endoscopic Approach
- 07WP00ZRevision of Drainage Device in Spleen, Open Approach
- 07WP03ZRevision of Infusion Device in Spleen, Open Approach
- 07WP0YZRevision of Other Device in Spleen, Open Approach
- 07WP30ZRevision of Drainage Device in Spleen, Percutaneous Approach
- 07WP33ZRevision of Infusion Device in Spleen, Percutaneous Approach
- 07WP40ZRevision of Drainage Device in Spleen, Percutaneous Endoscopic Approach
- 07WP43ZRevision of Infusion Device in Spleen, Percutaneous Endoscopic Approach
- 07YP0Z0Transplantation of Spleen, Allogeneic, Open Approach
- 07YP0Z1Transplantation of Spleen, Syngeneic, Open Approach
- 07YP0Z2Transplantation of Spleen, Zooplastic, Open Approach
