HIV with Extensive O.R. Procedures with MCC
Major Diagnostic Category 25·Grouped by procedure·FY 2027
MS-DRG 969 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 25 (MDC 25) with a Major Complication or Comorbidity (MCC). It maps to 1 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 7.1775 with a geometric mean length of stay of 12.2 days and an arithmetic mean of 16.6 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:
- 7.1775 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 12.2 days (used for transfer payments)
- Average stay:
- 16.6 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 |
|---|---|---|---|
| 969 | HIV with Extensive O.R. Procedures with MCC (this page) | 7.1775 | 12.2 days |
| 970 | HIV with Extensive O.R. Procedures without MCC | 3.1469 | 6.2 days |
Diagnosis codes (1)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 969. 100% of the codes listed are billable.