MS-DRG 870Medical
Septicemia or Severe Sepsis with MV >96 Hours
Major Diagnostic Category 18·Grouped by diagnosis·FY 2027
MS-DRG 870 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 18 (MDC 18). It maps to 40 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 6.9408 with a geometric mean length of stay of 12.5 days and an arithmetic mean of 14.9 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:
- 6.9408 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 12.5 days (used for transfer payments)
- Average stay:
- 14.9 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
Diagnosis codes (40)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 870. 100% of the codes listed are billable.
- A02.1Salmonella sepsis
- A20.7Septicemic plague
- A22.7Anthrax sepsis
- A26.7Erysipelothrix sepsis
- A32.7Listerial sepsis
- A39.1Waterhouse-Friderichsen syndrome
- A39.2Acute meningococcemia
- A39.3Chronic meningococcemia
- A39.4Meningococcemia, unspecified
- A39.89Other meningococcal infections
- A39.9Meningococcal infection, unspecified
- A40.0Sepsis due to streptococcus, group A
- A40.1Sepsis due to streptococcus, group B
- A40.3Sepsis due to Streptococcus pneumoniae
- A40.8Other streptococcal sepsis
- A40.9Streptococcal sepsis, unspecified
- A41.01Sepsis due to Methicillin susceptible Staphylococcus aureus
- A41.02Sepsis due to Methicillin resistant Staphylococcus aureus
- A41.1Sepsis due to other specified staphylococcus
- A41.2Sepsis due to unspecified staphylococcus
- A41.3Sepsis due to Hemophilus influenzae
- A41.4Sepsis due to anaerobes
- A41.50Gram-negative sepsis, unspecified
- A41.51Sepsis due to Escherichia coli [E. coli]
- A41.52Sepsis due to Pseudomonas
- A41.53Sepsis due to Serratia
- A41.54Sepsis due to Acinetobacter baumannii
- A41.59Other Gram-negative sepsis
- A41.81Sepsis due to Enterococcus
- A41.89Other specified sepsis
- A41.9Sepsis, unspecified organism
- A42.7Actinomycotic sepsis
- A54.86Gonococcal sepsis
- B00.7Disseminated herpesviral disease
- B37.7Candidal sepsis
- R57.1Hypovolemic shock
- R57.8Other shock
- R65.20Severe sepsis without septic shock
- R65.21Severe sepsis with septic shock
- R78.81Bacteremia
Procedure codes (1)
ICD-10-PCS procedures that can group a stay to DRG 870.
