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MS-DRG v44.0 · MDC 01: Diseases and Disorders of the Nervous System

031 — Ventricular Shunt Procedures with MCC

This DRG is subject to the post-acute care transfer policy. Source: CMS MS-DRG v44.0 and FY2027 IPPS final rule. Page updated September 29, 2026.
Relative weight
4.272
Geometric mean LOS
6.5 days
Arithmetic mean LOS
9.9 days
Type
Surgical

About MS-DRG 031

MS-DRG 031, Ventricular Shunt Procedures with MCC, is a surgical DRG in MDC 01 (Diseases and Disorders of the Nervous System) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.

Its FY2027 relative weight is 4.272, so Medicare's base payment for this DRG is about 4.27 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 6.5 days and the arithmetic mean is 9.9 days.

It belongs to a 3-level severity family: DRG 031 (with MCC, weight 4.272), DRG 032 (with CC, weight 2.0427) and DRG 033 (without CC/MCC, weight 1.7291). The highest-severity level carries 2.5 times the weight of the lowest, which is why documenting CC and MCC conditions matters.

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 031 (0)

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

Common questions about DRG 031

What is the relative weight of DRG 031?

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

What is the average length of stay for DRG 031?

The geometric mean length of stay is 6.5 days; the arithmetic mean is 9.9 days.

Is DRG 031 medical or surgical?

DRG 031 is a surgical DRG.