MS-DRG 854Surgical

Infectious and Parasitic Diseases with O.R. Procedures with CC

Major Diagnostic Category 18·Grouped by procedure·FY 2027

MS-DRG 854 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 18 (MDC 18) with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 2.0095 with a geometric mean length of stay of 4.8 days and an arithmetic mean of 6.1 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:
2.0095 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
4.8 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.

DRGTitleRelative weightMean stay
853Infectious and Parasitic Diseases with O.R. Procedures with MCC4.93069.2 days
854Infectious and Parasitic Diseases with O.R. Procedures with CC (this page)2.00954.8 days
855Infectious and Parasitic Diseases with O.R. Procedures without CC/MCC1.45103.2 days