All ICD10 Codes
MS-DRG 811Medical

Red Blood Cell Disorders with MCC

Major Diagnostic Category 16·Grouped by diagnosis·FY 2027

MS-DRG 811 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 16 (MDC 16) with a Major Complication or Comorbidity (MCC). It maps to 134 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.3988 with a geometric mean length of stay of 3.6 days and an arithmetic mean of 4.8 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Advertisements

FY 2027 payment data

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

Relative weight:
1.3988 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3.6 days (used for transfer payments)
Average stay:
4.8 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.

DRGTitleRelative weightMean stay
811Red Blood Cell Disorders with MCC (this page)1.39883.6 days
812Red Blood Cell Disorders without MCC0.92342.8 days

Diagnosis codes (134)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 811. 100% of the codes listed are billable.