Septicemia or Severe Sepsis without MV >96 Hours without MCC
Major Diagnostic Category 18·Grouped by diagnosis·FY 2027
MS-DRG 872 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 18 (MDC 18) without a significant Complication or Comorbidity. It maps to 40 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.0066 with a geometric mean length of stay of 3.4 days and an arithmetic mean of 4.1 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:
- 1.0066 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.4 days (used for transfer payments)
- Average stay:
- 4.1 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 |
|---|---|---|---|
| 871 | Septicemia or Severe Sepsis without MV >96 Hours with MCC | 1.9320 | 4.8 days |
| 872 | Septicemia or Severe Sepsis without MV >96 Hours without MCC (this page) | 1.0066 | 3.4 days |
Diagnosis codes (40)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 872. 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
