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.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 856 | Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC (this page) | 4.4826 | 8.8 days |
| 857 | Postoperative or Post-Traumatic Infections with O.R. Procedures with CC | 2.1678 | 5.3 days |
| 858 | Postoperative or Post-Traumatic Infections with O.R. Procedures without CC/MCC | 1.4036 | 3.3 days |
Diagnosis codes (11)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 856. 100% of the codes listed are billable.
- K68.11Postprocedural retroperitoneal abscess
- N98.0Infection associated with artificial insemination
- T80.22XAAcute infection following transfusion, infusion, or injection of blood and blood products, initial encounter
- T80.29XAInfection following other infusion, transfusion and therapeutic injection, initial encounter
- T81.40XAInfection following a procedure, unspecified, initial encounter
- T81.41XAInfection following a procedure, superficial incisional surgical site, initial encounter
- T81.42XAInfection following a procedure, deep incisional surgical site, initial encounter
- T81.43XAInfection following a procedure, organ and space surgical site, initial encounter
- T81.44XASepsis following a procedure, initial encounter
- T81.49XAInfection following a procedure, other surgical site, initial encounter
- T88.0XXAInfection following immunization, initial encounter
