MS-DRG 856Surgical

Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC

Major Diagnostic Category 18·Grouped by procedure·FY 2027

MS-DRG 856 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 18 (MDC 18) with a Major Complication or Comorbidity (MCC). It maps to 11 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 4.4826 with a geometric mean length of stay of 8.8 days and an arithmetic mean of 11.7 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:
4.4826 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
8.8 days (used for transfer payments)
Average stay:
11.7 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
856Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC (this page)4.48268.8 days
857Postoperative or Post-Traumatic Infections with O.R. Procedures with CC2.16785.3 days
858Postoperative or Post-Traumatic Infections with O.R. Procedures without CC/MCC1.40363.3 days