MS-DRG v44.0 · MDC 04: Diseases and Disorders of the Respiratory System
176 — Pulmonary Embolism without MCC
- Relative weight
- 0.8063
- Geometric mean LOS
- 2.4 days
- Arithmetic mean LOS
- 3 days
- Type
- Medical
About MS-DRG 176
MS-DRG 176, Pulmonary Embolism without MCC, is a medical DRG in MDC 04 (Diseases and Disorders of the Respiratory 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 0.8063, so Medicare's base payment for this DRG is about 0.81 times the average inpatient case (below average), before hospital-specific adjustments. The geometric mean length of stay is 2.4 days and the arithmetic mean is 3 days.
It belongs to a 2-level severity family: DRG 175 (with MCC or Acute Cor Pulmonale, weight 1.3652) and DRG 176 (without MCC, weight 0.8063). The highest-severity level carries 1.7 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.
16 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 176 (16)
Chapter 9: Diseases of the circulatory system
- I26.01Septic pulmonary embolism with acute cor pulmonale
- I26.02Saddle embolus of pulmonary artery with acute cor pulmonale
- I26.03Cement embolism of pulmonary artery with acute cor pulmonale
- I26.04Fat embolism of pulmonary artery with acute cor pulmonale
- I26.09Other pulmonary embolism with acute cor pulmonale
- I26.90Septic pulmonary embolism without acute cor pulmonale
- I26.92Saddle embolus of pulmonary artery without acute cor pulmonale
- I26.93Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale
- I26.94Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale
- I26.95Cement embolism of pulmonary artery without acute cor pulmonale
- I26.96Fat embolism of pulmonary artery without acute cor pulmonale
- I26.99Other pulmonary embolism without acute cor pulmonale
- I27.82Chronic pulmonary embolism
Chapter 19: Injury, poisoning and certain other consequences of external causes
Common questions about DRG 176
What is the relative weight of DRG 176?
- 0.8063 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 176?
- The geometric mean length of stay is 2.4 days; the arithmetic mean is 3 days.
Is DRG 176 medical or surgical?
- DRG 176 is a medical DRG.