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MS-DRG v44.0 · MDC 04: Diseases and Disorders of the Respiratory System

198 — Interstitial Lung Disease without CC/MCC

This DRG is subject to the post-acute care transfer policy.
Relative weight
0.7259
Geometric mean LOS
2.2 days
Arithmetic mean LOS
2.7 days
Type
Medical

About MS-DRG 198

MS-DRG 198, Interstitial Lung Disease without CC/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 0.7259, so Medicare's base payment for this DRG is about 0.73 times the average inpatient case (below average), before hospital-specific adjustments. The geometric mean length of stay is 2.2 days and the arithmetic mean is 2.7 days.

It belongs to a 3-level severity family: DRG 196 (with MCC, weight 1.8336), DRG 197 (with CC, weight 0.9492) and DRG 198 (without CC/MCC, weight 0.7259). 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.

100 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 198 (100)

Chapter 1: Certain infectious and parasitic diseases

Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

Chapter 10: Diseases of the respiratory system

Chapter 13: Diseases of the musculoskeletal system and connective tissue

Chapter 16: Certain conditions originating in the perinatal period

Common questions about DRG 198

What is the relative weight of DRG 198?

0.7259 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 198?

The geometric mean length of stay is 2.2 days; the arithmetic mean is 2.7 days.

Is DRG 198 medical or surgical?

DRG 198 is a medical DRG.