All ICD10 Codes
MS-DRG 815Medical

Reticuloendothelial and Immunity Disorders with CC

Major Diagnostic Category 16·Grouped by diagnosis·FY 2027

MS-DRG 815 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 16 (MDC 16) with a Complication or Comorbidity (CC). It maps to 137 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.0444 with a geometric mean length of stay of 3 days and an arithmetic mean of 3.8 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:
1.0444 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3 days (used for transfer payments)
Average stay:
3.8 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
814Reticuloendothelial and Immunity Disorders with MCC2.07294.8 days
815Reticuloendothelial and Immunity Disorders with CC (this page)1.04443 days
816Reticuloendothelial and Immunity Disorders without CC/MCC0.73812.1 days

Diagnosis codes (137)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 815. 100% of the codes listed are billable.