HIV with Extensive O.R. Procedures without MCC
Major Diagnostic Category 25·Grouped by procedure·FY 2027
MS-DRG 970 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 25 (MDC 25) without a significant Complication or Comorbidity. It maps to 1 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 3.1469 with a geometric mean length of stay of 6.2 days and an arithmetic mean of 14.4 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:
- 3.1469 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 6.2 days (used for transfer payments)
- Average stay:
- 14.4 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 | 7.1775 | 12.2 days |
| 970 | HIV with Extensive O.R. Procedures without MCC (this page) | 3.1469 | 6.2 days |
Diagnosis codes (1)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 970. 100% of the codes listed are billable.