DRG 862

Medical DRG

Postoperative and Post-Traumatic Infections with MCC

TypeMedicalMDC18Dx Codes7

What is MS-DRG 862?

MS-DRG 862 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 18 (MDC 18) with a Major Complication or Comorbidity (MCC). It maps to 7 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.8237 with a geometric mean length of stay of 5 days and an arithmetic mean of 6.6 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
7 diagnosis
Billable Dx
100%
7 of 7 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
1.8237
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
5 days
Used for transfer payment calculations
Arithmetic Mean LOS
6.6 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
862Postoperative and Post-Traumatic Infections with MCCThis page1.82375 days
863Postoperative and Post-Traumatic Infections without MCC0.99793.3 days

Linked ICD-10-CM Diagnosis Mappings

  • K68.11

    Postprocedural retroperitoneal abscess

    BillableChapter 11
  • T81.40XA

    Infection following a procedure, unspecified, initial encounter

    BillableChapter 19
  • T81.41XA

    Infection following a procedure, superficial incisional surgical site, initial encounter

    BillableChapter 19
  • T81.42XA

    Infection following a procedure, deep incisional surgical site, initial encounter

    BillableChapter 19
  • T81.43XA

    Infection following a procedure, organ and space surgical site, initial encounter

    BillableChapter 19
  • T81.44XA

    Sepsis following a procedure, initial encounter

    BillableChapter 19
  • T81.49XA

    Infection following a procedure, other surgical site, initial encounter

    BillableChapter 19