MS-DRG 868Medical

Other Infectious and Parasitic Diseases Diagnoses with CC

Major Diagnostic Category 18·Grouped by diagnosis·FY 2027

MS-DRG 868 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 18 (MDC 18) with a Complication or Comorbidity (CC). It maps to 400 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.0235 with a geometric mean length of stay of 3.3 days and an arithmetic mean of 4.2 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:
1.0235 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3.3 days (used for transfer payments)
Average stay:
4.2 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
867Other Infectious and Parasitic Diseases Diagnoses with MCC2.18595.3 days
868Other Infectious and Parasitic Diseases Diagnoses with CC (this page)1.02353.3 days
869Other Infectious and Parasitic Diseases Diagnoses without CC/MCC0.67872.4 days

Diagnosis codes (400)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 868. 100% of the codes listed are billable.