Viral Illness without MCC
Major Diagnostic Category 18·Grouped by diagnosis·FY 2027
MS-DRG 866 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 18 (MDC 18) without a significant Complication or Comorbidity. It maps to 141 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.8692 with a geometric mean length of stay of 2.7 days and an arithmetic mean of 3.5 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:
- 0.8692 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.7 days (used for transfer payments)
- Average stay:
- 3.5 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.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 865 | Viral Illness with MCC | 1.3485 | 3.7 days |
| 866 | Viral Illness without MCC (this page) | 0.8692 | 2.7 days |
Diagnosis codes (141)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 866. 100% of the codes listed are billable.
- A70Chlamydia psittaci infections
- A74.81Chlamydial peritonitis
- A74.89Other chlamydial diseases
- A74.9Chlamydial infection, unspecified
- A80.4Acute nonparalytic poliomyelitis
- A90Dengue fever [classical dengue]
- A91Dengue hemorrhagic fever
- A92.0Chikungunya virus disease
- A92.1O'nyong-nyong fever
- A92.30West Nile virus infection, unspecified
- A92.31West Nile virus infection with encephalitis
- A92.32West Nile virus infection with other neurologic manifestation
- A92.39West Nile virus infection with other complications
- A92.4Rift Valley fever
- A92.5Zika virus disease
- A92.8Other specified mosquito-borne viral fevers
- A92.9Mosquito-borne viral fever, unspecified
- A93.0Oropouche virus disease
- A93.1Sandfly fever
- A93.2Colorado tick fever
- A93.8Other specified arthropod-borne viral fevers
- A94Unspecified arthropod-borne viral fever
- A95.0Sylvatic yellow fever
- A95.1Urban yellow fever
- A95.9Yellow fever, unspecified
- A96.0Junin hemorrhagic fever
- A96.1Machupo hemorrhagic fever
- A96.2Lassa fever
- A96.8Other arenaviral hemorrhagic fevers
- A96.9Arenaviral hemorrhagic fever, unspecified
- A98.0Crimean-Congo hemorrhagic fever
- A98.1Omsk hemorrhagic fever
- A98.2Kyasanur Forest disease
- A98.3Marburg virus disease
- A98.4Ebola virus disease
- A98.8Other specified viral hemorrhagic fevers
- A99Unspecified viral hemorrhagic fever
- B00.89Other herpesviral infection
- B01.0Varicella meningitis
- B01.81Varicella keratitis
- B01.89Other varicella complications
- B01.9Varicella without complication
- B02.7Disseminated zoster
- B02.8Zoster with other complications
- B03Smallpox
- B04Monkeypox
- B05.1Measles complicated by meningitis
- B05.4Measles with intestinal complications
- B05.89Other measles complications
- B05.9Measles without complication
- B06.81Rubella pneumonia
- B06.89Other rubella complications
- B06.9Rubella without complication
- B08.010Cowpox
- B08.011Vaccinia not from vaccine
- B08.04Paravaccinia, unspecified
- B08.09Other orthopoxvirus infections
- B08.20Exanthema subitum [sixth disease], unspecified
- B08.21Exanthema subitum [sixth disease] due to human herpesvirus 6
- B08.22Exanthema subitum [sixth disease] due to human herpesvirus 7
- B08.3Erythema infectiosum [fifth disease]
- B08.4Enteroviral vesicular stomatitis with exanthem
- B08.60Parapoxvirus infection, unspecified
- B08.61Bovine stomatitis
- B08.62Sealpox
- B08.69Other parapoxvirus infections
- B08.70Yatapoxvirus infection, unspecified
- B08.71Tanapox virus disease
- B08.72Yaba pox virus disease
- B08.79Other yatapoxvirus infections
- B08.8Other specified viral infections characterized by skin and mucous membrane lesions
- B09Unspecified viral infection characterized by skin and mucous membrane lesions
- B25.8Other cytomegaloviral diseases
- B25.9Cytomegaloviral disease, unspecified
- B26.82Mumps myocarditis
- B26.83Mumps nephritis
- B26.85Mumps arthritis
- B26.89Other mumps complications
- B26.9Mumps without complication
- B27.00Gammaherpesviral mononucleosis without complication
- B27.01Gammaherpesviral mononucleosis with polyneuropathy
- B27.02Gammaherpesviral mononucleosis with meningitis
- B27.09Gammaherpesviral mononucleosis with other complications
- B27.10Cytomegaloviral mononucleosis without complications
- B27.11Cytomegaloviral mononucleosis with polyneuropathy
- B27.12Cytomegaloviral mononucleosis with meningitis
- B27.19Cytomegaloviral mononucleosis with other complication
- B27.80Other infectious mononucleosis without complication
- B27.81Other infectious mononucleosis with polyneuropathy
- B27.82Other infectious mononucleosis with meningitis
- B27.89Other infectious mononucleosis with other complication
- B27.90Infectious mononucleosis, unspecified without complication
- B27.91Infectious mononucleosis, unspecified with polyneuropathy
- B27.92Infectious mononucleosis, unspecified with meningitis
- B27.99Infectious mononucleosis, unspecified with other complication
- B33.1Ross River disease
- B33.3Retrovirus infections, not elsewhere classified
- B33.4Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS]
- B33.8Other specified viral diseases
- B34.0Adenovirus infection, unspecified
- B34.1Enterovirus infection, unspecified
- B34.2Coronavirus infection, unspecified
- B34.3Parvovirus infection, unspecified
- B34.4Papovavirus infection, unspecified
- B34.8Other viral infections of unspecified site
- B34.9Viral infection, unspecified
- B97.0Adenovirus as the cause of diseases classified elsewhere
- B97.10Unspecified enterovirus as the cause of diseases classified elsewhere
- B97.11Coxsackievirus as the cause of diseases classified elsewhere
- B97.12Echovirus as the cause of diseases classified elsewhere
- B97.19Other enterovirus as the cause of diseases classified elsewhere
- B97.21SARS-associated coronavirus as the cause of diseases classified elsewhere
- B97.29Other coronavirus as the cause of diseases classified elsewhere
- B97.30Unspecified retrovirus as the cause of diseases classified elsewhere
- B97.31Lentivirus as the cause of diseases classified elsewhere
- B97.32Oncovirus as the cause of diseases classified elsewhere
- B97.33Human T-cell lymphotrophic virus, type I [HTLV-I] as the cause of diseases classified elsewhere
- B97.34Human T-cell lymphotrophic virus, type II [HTLV-II] as the cause of diseases classified elsewhere
- B97.35Human immunodeficiency virus, type 2 [HIV 2] as the cause of diseases classified elsewhere
- B97.39Other retrovirus as the cause of diseases classified elsewhere
- B97.4Respiratory syncytial virus as the cause of diseases classified elsewhere
- B97.5Reovirus as the cause of diseases classified elsewhere
- B97.6Parvovirus as the cause of diseases classified elsewhere
- B97.7Papillomavirus as the cause of diseases classified elsewhere
- B97.81Human metapneumovirus as the cause of diseases classified elsewhere
- B97.89Other viral agents as the cause of diseases classified elsewhere
- J09.X3Influenza due to identified novel influenza A virus with gastrointestinal manifestations
- J09.X9Influenza due to identified novel influenza A virus with other manifestations
- J10.2Influenza due to other identified influenza virus with gastrointestinal manifestations
- J10.81Influenza due to other identified influenza virus with encephalopathy
- J10.82Influenza due to other identified influenza virus with myocarditis
- J10.83Influenza due to other identified influenza virus with otitis media
- J10.89Influenza due to other identified influenza virus with other manifestations
- J11.2Influenza due to unidentified influenza virus with gastrointestinal manifestations
- J11.81Influenza due to unidentified influenza virus with encephalopathy
- J11.82Influenza due to unidentified influenza virus with myocarditis
- J11.83Influenza due to unidentified influenza virus with otitis media
- J11.89Influenza due to unidentified influenza virus with other manifestations
- L44.4Infantile papular acrodermatitis [Gianotti-Crosti]
- T88.1XXAOther complications following immunization, not elsewhere classified, initial encounter
- Z21Asymptomatic human immunodeficiency virus [HIV] infection status
