MS-DRG v44.0 · MDC 01: Diseases and Disorders of the Nervous System
054 — Nervous System Neoplasms with MCC
- Relative weight
- 1.5194
- Geometric mean LOS
- 3.9 days
- Arithmetic mean LOS
- 5.7 days
- Type
- Medical
About MS-DRG 054
MS-DRG 054, Nervous System Neoplasms with 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 1.5194, so Medicare's base payment for this DRG is about 1.52 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 3.9 days and the arithmetic mean is 5.7 days.
It belongs to a 2-level severity family: DRG 054 (with MCC, weight 1.5194) and DRG 055 (without MCC, weight 1.0296). The highest-severity level carries 1.5 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.
61 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 054 (61)
Chapter 2: Neoplasms
- C70.0Malignant neoplasm of cerebral meninges
- C70.1Malignant neoplasm of spinal meninges
- C70.9Malignant neoplasm of meninges, unspecified
- C71.0Malignant neoplasm of cerebrum, except lobes and ventricles
- C71.1Malignant neoplasm of frontal lobe
- C71.2Malignant neoplasm of temporal lobe
- C71.3Malignant neoplasm of parietal lobe
- C71.4Malignant neoplasm of occipital lobe
- C71.5Malignant neoplasm of cerebral ventricle
- C71.6Malignant neoplasm of cerebellum
- C71.7Malignant neoplasm of brain stem
- C71.8Malignant neoplasm of overlapping sites of brain
- C71.9Malignant neoplasm of brain, unspecified
- C72.0Malignant neoplasm of spinal cord
- C72.1Malignant neoplasm of cauda equina
- C72.20Malignant neoplasm of unspecified olfactory nerve
- C72.21Malignant neoplasm of right olfactory nerve
- C72.22Malignant neoplasm of left olfactory nerve
- C72.30Malignant neoplasm of unspecified optic nerve
- C72.31Malignant neoplasm of right optic nerve
- C72.32Malignant neoplasm of left optic nerve
- C72.40Malignant neoplasm of unspecified acoustic nerve
- C72.41Malignant neoplasm of right acoustic nerve
- C72.42Malignant neoplasm of left acoustic nerve
- C72.50Malignant neoplasm of unspecified cranial nerve
- C72.59Malignant neoplasm of other cranial nerves
- C72.9Malignant neoplasm of central nervous system, unspecified
- C75.3Malignant neoplasm of pineal gland
- C75.4Malignant neoplasm of carotid body
- C75.5Malignant neoplasm of aortic body and other paraganglia
- C79.31Secondary malignant neoplasm of brain
- C79.32Secondary malignant neoplasm of cerebral meninges
- C79.40Secondary malignant neoplasm of unspecified part of nervous system
- C79.49Secondary malignant neoplasm of other parts of nervous system
- D32.0Benign neoplasm of cerebral meninges
- D32.1Benign neoplasm of spinal meninges
- D32.9Benign neoplasm of meninges, unspecified
- D33.0Benign neoplasm of brain, supratentorial
- D33.1Benign neoplasm of brain, infratentorial
- D33.2Benign neoplasm of brain, unspecified
- D33.3Benign neoplasm of cranial nerves
- D33.4Benign neoplasm of spinal cord
- D33.7Benign neoplasm of other specified parts of central nervous system
- D33.9Benign neoplasm of central nervous system, unspecified
- D35.4Benign neoplasm of pineal gland
- D35.5Benign neoplasm of carotid body
- D35.6Benign neoplasm of aortic body and other paraganglia
- D42.0Neoplasm of uncertain behavior of cerebral meninges
- D42.1Neoplasm of uncertain behavior of spinal meninges
- D42.9Neoplasm of uncertain behavior of meninges, unspecified
- D43.0Neoplasm of uncertain behavior of brain, supratentorial
- D43.1Neoplasm of uncertain behavior of brain, infratentorial
- D43.2Neoplasm of uncertain behavior of brain, unspecified
- D43.3Neoplasm of uncertain behavior of cranial nerves
- D43.4Neoplasm of uncertain behavior of spinal cord
- D43.8Neoplasm of uncertain behavior of other specified parts of central nervous system
- D43.9Neoplasm of uncertain behavior of central nervous system, unspecified
- D44.5Neoplasm of uncertain behavior of pineal gland
- D44.6Neoplasm of uncertain behavior of carotid body
- D44.7Neoplasm of uncertain behavior of aortic body and other paraganglia
- D49.6Neoplasm of unspecified behavior of brain
Common questions about DRG 054
What is the relative weight of DRG 054?
- 1.5194 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 054?
- The geometric mean length of stay is 3.9 days; the arithmetic mean is 5.7 days.
Is DRG 054 medical or surgical?
- DRG 054 is a medical DRG.