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Dx

MS-DRG v44.0 · MDC PRE: Pre-MDC

004 — Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures

This DRG is subject to the post-acute care transfer policy.
Relative weight
13.5832
Geometric mean LOS
22 days
Arithmetic mean LOS
27.3 days
Type
Surgical

About MS-DRG 004

MS-DRG 004, Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures, is a surgical DRG in Pre-MDC under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.

Its FY2027 relative weight is 13.5832, so Medicare's base payment for this DRG is about 13.58 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 22 days and the arithmetic mean is 27.3 days.

It is subject to Medicare's post-acute care transfer policy, so payment can be reduced when a patient with a shorter-than-average stay is discharged to a skilled nursing facility, home health or another post-acute setting.

ICD-10-CM codes that group to DRG 004 (0)

This DRG is assigned by procedure, not by a diagnosis list.

Common questions about DRG 004

What is the relative weight of DRG 004?

13.5832 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 004?

The geometric mean length of stay is 22 days; the arithmetic mean is 27.3 days.

Is DRG 004 medical or surgical?

DRG 004 is a surgical DRG.