DRG 969
Surgical DRGHIV with Extensive O.R. Procedures with MCC
What is MS-DRG 969?
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 2026 it carries a relative weight of 6.1213 with a geometric mean length of stay of 11.7 days and an arithmetic mean of 15.9 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
Classification
Surgical DRG
Procedure-driven grouping
Linked Codes
1 diagnosis
Billable Dx
100%
1 of 1 shown
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
Relative Weight
6.1213
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
11.7 days
Used for transfer payment calculations
Arithmetic Mean LOS
15.9 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy
Related MS-DRGs in This Severity Group
The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.
| DRG | Title | Rel. Weight | GMLOS |
|---|---|---|---|
| 969 | HIV with Extensive O.R. Procedures with MCCThis page | 6.1213 | 11.7 days |
| 970 | HIV with Extensive O.R. Procedures without MCC | 2.6374 | 7.5 days |
Linked ICD-10-CM Diagnosis Mappings
- B20
Human immunodeficiency virus [HIV] disease
BillableChapter 1