MS-DRG v44.0 · MDC 01: Diseases and Disorders of the Nervous System
052 — Spinal Disorders and Injuries with CC/MCC
Source: CMS MS-DRG v44.0 and FY2027 IPPS final rule. Page updated September 29, 2026.
- Relative weight
- 1.7837
- Geometric mean LOS
- 4.2 days
- Arithmetic mean LOS
- 5.7 days
- Type
- Medical
About MS-DRG 052
MS-DRG 052, Spinal Disorders and Injuries with CC/MCC, is a medical 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 1.7837, so Medicare's base payment for this DRG is about 1.78 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 4.2 days and the arithmetic mean is 5.7 days.
It belongs to a 2-level severity family: DRG 052 (with CC/MCC, weight 1.7837) and DRG 053 (without CC/MCC, weight 0.9728). The highest-severity level carries 1.8 times the weight of the lowest, which is why documenting CC and MCC conditions matters.
223 ICD-10-CM diagnosis codes are part of this DRG's grouping logic; they are listed below.
ICD-10-CM codes that group to DRG 052 (223)
Chapter 6: Diseases of the nervous system
- G04.1Tropical spastic paraplegia
- G80.0Spastic quadriplegic cerebral palsy
- G80.1Spastic diplegic cerebral palsy
- G80.2Spastic hemiplegic cerebral palsy
- G82.20Paraplegia, unspecified
- G82.21Paraplegia, complete
- G82.22Paraplegia, incomplete
- G82.50Quadriplegia, unspecified
- G82.51Quadriplegia, C1-C4 complete
- G82.52Quadriplegia, C1-C4 incomplete
- G82.53Quadriplegia, C5-C7 complete
- G82.54Quadriplegia, C5-C7 incomplete
- G83.0Diplegia of upper limbs
Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
Chapter 19: Injury, poisoning and certain other consequences of external causes
- S14.0XXAConcussion and edema of cervical spinal cord, initial encounter
- S14.0XXSConcussion and edema of cervical spinal cord, sequela
- S14.101AUnspecified injury at C1 level of cervical spinal cord, initial encounter
- S14.101SUnspecified injury at C1 level of cervical spinal cord, sequela
- S14.102AUnspecified injury at C2 level of cervical spinal cord, initial encounter
- S14.102SUnspecified injury at C2 level of cervical spinal cord, sequela
- S14.103AUnspecified injury at C3 level of cervical spinal cord, initial encounter
- S14.103SUnspecified injury at C3 level of cervical spinal cord, sequela
- S14.104AUnspecified injury at C4 level of cervical spinal cord, initial encounter
- S14.104SUnspecified injury at C4 level of cervical spinal cord, sequela
- S14.105AUnspecified injury at C5 level of cervical spinal cord, initial encounter
- S14.105SUnspecified injury at C5 level of cervical spinal cord, sequela
- S14.106AUnspecified injury at C6 level of cervical spinal cord, initial encounter
- S14.106SUnspecified injury at C6 level of cervical spinal cord, sequela
- S14.107AUnspecified injury at C7 level of cervical spinal cord, initial encounter
- S14.107SUnspecified injury at C7 level of cervical spinal cord, sequela
- S14.108AUnspecified injury at C8 level of cervical spinal cord, initial encounter
- S14.108SUnspecified injury at C8 level of cervical spinal cord, sequela
- S14.109AUnspecified injury at unspecified level of cervical spinal cord, initial encounter
- S14.109SUnspecified injury at unspecified level of cervical spinal cord, sequela
- S14.111AComplete lesion at C1 level of cervical spinal cord, initial encounter
- S14.111SComplete lesion at C1 level of cervical spinal cord, sequela
- S14.112AComplete lesion at C2 level of cervical spinal cord, initial encounter
- S14.112SComplete lesion at C2 level of cervical spinal cord, sequela
- S14.113AComplete lesion at C3 level of cervical spinal cord, initial encounter
- S14.113SComplete lesion at C3 level of cervical spinal cord, sequela
- S14.114AComplete lesion at C4 level of cervical spinal cord, initial encounter
- S14.114SComplete lesion at C4 level of cervical spinal cord, sequela
- S14.115AComplete lesion at C5 level of cervical spinal cord, initial encounter
- S14.115SComplete lesion at C5 level of cervical spinal cord, sequela
- S14.116AComplete lesion at C6 level of cervical spinal cord, initial encounter
- S14.116SComplete lesion at C6 level of cervical spinal cord, sequela
- S14.117AComplete lesion at C7 level of cervical spinal cord, initial encounter
- S14.117SComplete lesion at C7 level of cervical spinal cord, sequela
- S14.118AComplete lesion at C8 level of cervical spinal cord, initial encounter
- S14.118SComplete lesion at C8 level of cervical spinal cord, sequela
- S14.119AComplete lesion at unspecified level of cervical spinal cord, initial encounter
- S14.119SComplete lesion at unspecified level of cervical spinal cord, sequela
- S14.121ACentral cord syndrome at C1 level of cervical spinal cord, initial encounter
- S14.121SCentral cord syndrome at C1 level of cervical spinal cord, sequela
- S14.122ACentral cord syndrome at C2 level of cervical spinal cord, initial encounter
- S14.122SCentral cord syndrome at C2 level of cervical spinal cord, sequela
- S14.123ACentral cord syndrome at C3 level of cervical spinal cord, initial encounter
- S14.123SCentral cord syndrome at C3 level of cervical spinal cord, sequela
- S14.124ACentral cord syndrome at C4 level of cervical spinal cord, initial encounter
- S14.124SCentral cord syndrome at C4 level of cervical spinal cord, sequela
- S14.125ACentral cord syndrome at C5 level of cervical spinal cord, initial encounter
- S14.125SCentral cord syndrome at C5 level of cervical spinal cord, sequela
- S14.126ACentral cord syndrome at C6 level of cervical spinal cord, initial encounter
- S14.126SCentral cord syndrome at C6 level of cervical spinal cord, sequela
- S14.127ACentral cord syndrome at C7 level of cervical spinal cord, initial encounter
- S14.127SCentral cord syndrome at C7 level of cervical spinal cord, sequela
- S14.128ACentral cord syndrome at C8 level of cervical spinal cord, initial encounter
- S14.128SCentral cord syndrome at C8 level of cervical spinal cord, sequela
- S14.129ACentral cord syndrome at unspecified level of cervical spinal cord, initial encounter
- S14.129SCentral cord syndrome at unspecified level of cervical spinal cord, sequela
- S14.131AAnterior cord syndrome at C1 level of cervical spinal cord, initial encounter
- S14.131SAnterior cord syndrome at C1 level of cervical spinal cord, sequela
- S14.132AAnterior cord syndrome at C2 level of cervical spinal cord, initial encounter
- S14.132SAnterior cord syndrome at C2 level of cervical spinal cord, sequela
- S14.133AAnterior cord syndrome at C3 level of cervical spinal cord, initial encounter
- S14.133SAnterior cord syndrome at C3 level of cervical spinal cord, sequela
- S14.134AAnterior cord syndrome at C4 level of cervical spinal cord, initial encounter
- S14.134SAnterior cord syndrome at C4 level of cervical spinal cord, sequela
- S14.135AAnterior cord syndrome at C5 level of cervical spinal cord, initial encounter
- S14.135SAnterior cord syndrome at C5 level of cervical spinal cord, sequela
- S14.136AAnterior cord syndrome at C6 level of cervical spinal cord, initial encounter
- S14.136SAnterior cord syndrome at C6 level of cervical spinal cord, sequela
- S14.137AAnterior cord syndrome at C7 level of cervical spinal cord, initial encounter
- S14.137SAnterior cord syndrome at C7 level of cervical spinal cord, sequela
- S14.138AAnterior cord syndrome at C8 level of cervical spinal cord, initial encounter
- S14.138SAnterior cord syndrome at C8 level of cervical spinal cord, sequela
- S14.139AAnterior cord syndrome at unspecified level of cervical spinal cord, initial encounter
- S14.139SAnterior cord syndrome at unspecified level of cervical spinal cord, sequela
- S14.141ABrown-Sequard syndrome at C1 level of cervical spinal cord, initial encounter
- S14.141SBrown-Sequard syndrome at C1 level of cervical spinal cord, sequela
- S14.142ABrown-Sequard syndrome at C2 level of cervical spinal cord, initial encounter
- S14.142SBrown-Sequard syndrome at C2 level of cervical spinal cord, sequela
- S14.143ABrown-Sequard syndrome at C3 level of cervical spinal cord, initial encounter
- S14.143SBrown-Sequard syndrome at C3 level of cervical spinal cord, sequela
- S14.144ABrown-Sequard syndrome at C4 level of cervical spinal cord, initial encounter
- S14.144SBrown-Sequard syndrome at C4 level of cervical spinal cord, sequela
- S14.145ABrown-Sequard syndrome at C5 level of cervical spinal cord, initial encounter
- S14.145SBrown-Sequard syndrome at C5 level of cervical spinal cord, sequela
- S14.146ABrown-Sequard syndrome at C6 level of cervical spinal cord, initial encounter
- S14.146SBrown-Sequard syndrome at C6 level of cervical spinal cord, sequela
- S14.147ABrown-Sequard syndrome at C7 level of cervical spinal cord, initial encounter
- S14.147SBrown-Sequard syndrome at C7 level of cervical spinal cord, sequela
- S14.148ABrown-Sequard syndrome at C8 level of cervical spinal cord, initial encounter
- S14.148SBrown-Sequard syndrome at C8 level of cervical spinal cord, sequela
- S14.149ABrown-Sequard syndrome at unspecified level of cervical spinal cord, initial encounter
- S14.149SBrown-Sequard syndrome at unspecified level of cervical spinal cord, sequela
- S14.151AOther incomplete lesion at C1 level of cervical spinal cord, initial encounter
- S14.151SOther incomplete lesion at C1 level of cervical spinal cord, sequela
- S14.152AOther incomplete lesion at C2 level of cervical spinal cord, initial encounter
- S14.152SOther incomplete lesion at C2 level of cervical spinal cord, sequela
- S14.153AOther incomplete lesion at C3 level of cervical spinal cord, initial encounter
- S14.153SOther incomplete lesion at C3 level of cervical spinal cord, sequela
- S14.154AOther incomplete lesion at C4 level of cervical spinal cord, initial encounter
- S14.154SOther incomplete lesion at C4 level of cervical spinal cord, sequela
- S14.155AOther incomplete lesion at C5 level of cervical spinal cord, initial encounter
- S14.155SOther incomplete lesion at C5 level of cervical spinal cord, sequela
- S14.156AOther incomplete lesion at C6 level of cervical spinal cord, initial encounter
- S14.156SOther incomplete lesion at C6 level of cervical spinal cord, sequela
- S14.157AOther incomplete lesion at C7 level of cervical spinal cord, initial encounter
- S14.157SOther incomplete lesion at C7 level of cervical spinal cord, sequela
- S14.158AOther incomplete lesion at C8 level of cervical spinal cord, initial encounter
- S14.158SOther incomplete lesion at C8 level of cervical spinal cord, sequela
- S14.159AOther incomplete lesion at unspecified level of cervical spinal cord, initial encounter
- S14.159SOther incomplete lesion at unspecified level of cervical spinal cord, sequela
- S24.0XXAConcussion and edema of thoracic spinal cord, initial encounter
- S24.0XXSConcussion and edema of thoracic spinal cord, sequela
- S24.101AUnspecified injury at T1 level of thoracic spinal cord, initial encounter
- S24.101SUnspecified injury at T1 level of thoracic spinal cord, sequela
- S24.102AUnspecified injury at T2-T6 level of thoracic spinal cord, initial encounter
- S24.102SUnspecified injury at T2-T6 level of thoracic spinal cord, sequela
- S24.103AUnspecified injury at T7-T10 level of thoracic spinal cord, initial encounter
- S24.103SUnspecified injury at T7-T10 level of thoracic spinal cord, sequela
- S24.104AUnspecified injury at T11-T12 level of thoracic spinal cord, initial encounter
- S24.104SUnspecified injury at T11-T12 level of thoracic spinal cord, sequela
- S24.109AUnspecified injury at unspecified level of thoracic spinal cord, initial encounter
- S24.109SUnspecified injury at unspecified level of thoracic spinal cord, sequela
- S24.111AComplete lesion at T1 level of thoracic spinal cord, initial encounter
- S24.111SComplete lesion at T1 level of thoracic spinal cord, sequela
- S24.112AComplete lesion at T2-T6 level of thoracic spinal cord, initial encounter
- S24.112SComplete lesion at T2-T6 level of thoracic spinal cord, sequela
- S24.113AComplete lesion at T7-T10 level of thoracic spinal cord, initial encounter
- S24.113SComplete lesion at T7-T10 level of thoracic spinal cord, sequela
- S24.114AComplete lesion at T11-T12 level of thoracic spinal cord, initial encounter
- S24.114SComplete lesion at T11-T12 level of thoracic spinal cord, sequela
- S24.119AComplete lesion at unspecified level of thoracic spinal cord, initial encounter
- S24.119SComplete lesion at unspecified level of thoracic spinal cord, sequela
- S24.131AAnterior cord syndrome at T1 level of thoracic spinal cord, initial encounter
- S24.131SAnterior cord syndrome at T1 level of thoracic spinal cord, sequela
- S24.132AAnterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter
- S24.132SAnterior cord syndrome at T2-T6 level of thoracic spinal cord, sequela
- S24.133AAnterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter
- S24.133SAnterior cord syndrome at T7-T10 level of thoracic spinal cord, sequela
- S24.134AAnterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter
- S24.134SAnterior cord syndrome at T11-T12 level of thoracic spinal cord, sequela
- S24.139AAnterior cord syndrome at unspecified level of thoracic spinal cord, initial encounter
- S24.139SAnterior cord syndrome at unspecified level of thoracic spinal cord, sequela
- S24.141ABrown-Sequard syndrome at T1 level of thoracic spinal cord, initial encounter
- S24.141SBrown-Sequard syndrome at T1 level of thoracic spinal cord, sequela
- S24.142ABrown-Sequard syndrome at T2-T6 level of thoracic spinal cord, initial encounter
- S24.142SBrown-Sequard syndrome at T2-T6 level of thoracic spinal cord, sequela
- S24.143ABrown-Sequard syndrome at T7-T10 level of thoracic spinal cord, initial encounter
- S24.143SBrown-Sequard syndrome at T7-T10 level of thoracic spinal cord, sequela
- S24.144ABrown-Sequard syndrome at T11-T12 level of thoracic spinal cord, initial encounter
- S24.144SBrown-Sequard syndrome at T11-T12 level of thoracic spinal cord, sequela
- S24.149ABrown-Sequard syndrome at unspecified level of thoracic spinal cord, initial encounter
- S24.149SBrown-Sequard syndrome at unspecified level of thoracic spinal cord, sequela
- S24.151AOther incomplete lesion at T1 level of thoracic spinal cord, initial encounter
- S24.151SOther incomplete lesion at T1 level of thoracic spinal cord, sequela
- S24.152AOther incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter
- S24.152SOther incomplete lesion at T2-T6 level of thoracic spinal cord, sequela
- S24.153AOther incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter
- S24.153SOther incomplete lesion at T7-T10 level of thoracic spinal cord, sequela
- S24.154AOther incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter
- S24.154SOther incomplete lesion at T11-T12 level of thoracic spinal cord, sequela
- S24.159AOther incomplete lesion at unspecified level of thoracic spinal cord, initial encounter
- S24.159SOther incomplete lesion at unspecified level of thoracic spinal cord, sequela
- S34.01XAConcussion and edema of lumbar spinal cord, initial encounter
- S34.01XSConcussion and edema of lumbar spinal cord, sequela
- S34.02XAConcussion and edema of sacral spinal cord, initial encounter
- S34.02XSConcussion and edema of sacral spinal cord, sequela
- S34.101AUnspecified injury to L1 level of lumbar spinal cord, initial encounter
- S34.101SUnspecified injury to L1 level of lumbar spinal cord, sequela
- S34.102AUnspecified injury to L2 level of lumbar spinal cord, initial encounter
- S34.102SUnspecified injury to L2 level of lumbar spinal cord, sequela
- S34.103AUnspecified injury to L3 level of lumbar spinal cord, initial encounter
- S34.103SUnspecified injury to L3 level of lumbar spinal cord, sequela
- S34.104AUnspecified injury to L4 level of lumbar spinal cord, initial encounter
- S34.104SUnspecified injury to L4 level of lumbar spinal cord, sequela
- S34.105AUnspecified injury to L5 level of lumbar spinal cord, initial encounter
- S34.105SUnspecified injury to L5 level of lumbar spinal cord, sequela
- S34.109AUnspecified injury to unspecified level of lumbar spinal cord, initial encounter
- S34.109SUnspecified injury to unspecified level of lumbar spinal cord, sequela
- S34.111AComplete lesion of L1 level of lumbar spinal cord, initial encounter
- S34.111SComplete lesion of L1 level of lumbar spinal cord, sequela
- S34.112AComplete lesion of L2 level of lumbar spinal cord, initial encounter
- S34.112SComplete lesion of L2 level of lumbar spinal cord, sequela
- S34.113AComplete lesion of L3 level of lumbar spinal cord, initial encounter
- S34.113SComplete lesion of L3 level of lumbar spinal cord, sequela
- S34.114AComplete lesion of L4 level of lumbar spinal cord, initial encounter
- S34.114SComplete lesion of L4 level of lumbar spinal cord, sequela
- S34.115AComplete lesion of L5 level of lumbar spinal cord, initial encounter
- S34.115SComplete lesion of L5 level of lumbar spinal cord, sequela
- S34.119AComplete lesion of unspecified level of lumbar spinal cord, initial encounter
- S34.119SComplete lesion of unspecified level of lumbar spinal cord, sequela
- S34.121AIncomplete lesion of L1 level of lumbar spinal cord, initial encounter
- S34.121SIncomplete lesion of L1 level of lumbar spinal cord, sequela
- S34.122AIncomplete lesion of L2 level of lumbar spinal cord, initial encounter
- S34.122SIncomplete lesion of L2 level of lumbar spinal cord, sequela
- S34.123AIncomplete lesion of L3 level of lumbar spinal cord, initial encounter
- S34.123SIncomplete lesion of L3 level of lumbar spinal cord, sequela
- S34.124AIncomplete lesion of L4 level of lumbar spinal cord, initial encounter
- S34.124SIncomplete lesion of L4 level of lumbar spinal cord, sequela
- S34.125AIncomplete lesion of L5 level of lumbar spinal cord, initial encounter
- S34.125SIncomplete lesion of L5 level of lumbar spinal cord, sequela
- S34.129AIncomplete lesion of unspecified level of lumbar spinal cord, initial encounter
- S34.129SIncomplete lesion of unspecified level of lumbar spinal cord, sequela
- S34.131AComplete lesion of sacral spinal cord, initial encounter
- S34.131SComplete lesion of sacral spinal cord, sequela
- S34.132AIncomplete lesion of sacral spinal cord, initial encounter
- S34.132SIncomplete lesion of sacral spinal cord, sequela
- S34.139AUnspecified injury to sacral spinal cord, initial encounter
- S34.139SUnspecified injury to sacral spinal cord, sequela
- S34.3XXAInjury of cauda equina, initial encounter
Common questions about DRG 052
What is the relative weight of DRG 052?
- 1.7837 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 052?
- The geometric mean length of stay is 4.2 days; the arithmetic mean is 5.7 days.
Is DRG 052 medical or surgical?
- DRG 052 is a medical DRG.