MS-DRG v44.0 · MDC 04: Diseases and Disorders of the Respiratory System
198 — Interstitial Lung Disease without CC/MCC
- 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
- D86.0Sarcoidosis of lung
- D86.1Sarcoidosis of lymph nodes
- D86.2Sarcoidosis of lung with sarcoidosis of lymph nodes
- D86.3Sarcoidosis of skin
- D86.81Sarcoid meningitis
- D86.82Multiple cranial nerve palsies in sarcoidosis
- D86.83Sarcoid iridocyclitis
- D86.84Sarcoid pyelonephritis
- D86.85Sarcoid myocarditis
- D86.86Sarcoid arthropathy
- D86.87Sarcoid myositis
- D86.89Sarcoidosis of other sites
- D86.9Sarcoidosis, unspecified
Chapter 10: Diseases of the respiratory system
- J60Coalworker's pneumoconiosis
- J61Pneumoconiosis due to asbestos and other mineral fibers
- J62.0Pneumoconiosis due to talc dust
- J62.8Pneumoconiosis due to other dust containing silica
- J63.0Aluminosis (of lung)
- J63.1Bauxite fibrosis (of lung)
- J63.2Berylliosis
- J63.3Graphite fibrosis (of lung)
- J63.4Siderosis
- J63.5Stannosis
- J63.6Pneumoconiosis due to other specified inorganic dusts
- J64Unspecified pneumoconiosis
- J65Pneumoconiosis associated with tuberculosis
- J66.0Byssinosis
- J66.1Flax-dressers' disease
- J66.2Cannabinosis
- J66.8Airway disease due to other specific organic dusts
- J67.0Farmer's lung
- J67.1Bagassosis
- J67.2Bird fancier's lung
- J67.3Suberosis
- J67.4Maltworker's lung
- J67.5Mushroom-worker's lung
- J67.6Maple-bark-stripper's lung
- J67.7Air conditioner and humidifier lung
- J67.8Hypersensitivity pneumonitis due to other organic dusts
- J67.9Hypersensitivity pneumonitis due to unspecified organic dust
- J70.1Chronic and other pulmonary manifestations due to radiation
- J82.81Chronic eosinophilic pneumonia
- J82.82Acute eosinophilic pneumonia
- J82.83Eosinophilic asthma
- J82.89Other pulmonary eosinophilia, not elsewhere classified
- J84.01Alveolar proteinosis
- J84.02Pulmonary alveolar microlithiasis
- J84.03Idiopathic pulmonary hemosiderosis
- J84.09Other alveolar and parieto-alveolar conditions
- J84.10Pulmonary fibrosis, unspecified
- J84.111Idiopathic interstitial pneumonia, not otherwise specified
- J84.112Idiopathic pulmonary fibrosis
- J84.113Idiopathic non-specific interstitial pneumonitis
- J84.114Acute interstitial pneumonitis
- J84.115Respiratory bronchiolitis interstitial lung disease
- J84.116Cryptogenic organizing pneumonia
- J84.117Desquamative interstitial pneumonia
- J84.170Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere
- J84.178Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere
- J84.2Lymphoid interstitial pneumonia
- J84.81Lymphangioleiomyomatosis
- J84.82Adult pulmonary Langerhans cell histiocytosis
- J84.83Surfactant mutations of the lung
- J84.841Neuroendocrine cell hyperplasia of infancy
- J84.842Pulmonary interstitial glycogenosis
- J84.843Alveolar capillary dysplasia with vein misalignment
- J84.848Other interstitial lung diseases of childhood
- J84.89Other specified interstitial pulmonary diseases
- J84.9Interstitial pulmonary disease, unspecified
- J99Respiratory disorders in diseases classified elsewhere
Chapter 13: Diseases of the musculoskeletal system and connective tissue
- M05.10Rheumatoid lung disease with rheumatoid arthritis of unspecified site
- M05.111Rheumatoid lung disease with rheumatoid arthritis of right shoulder
- M05.112Rheumatoid lung disease with rheumatoid arthritis of left shoulder
- M05.119Rheumatoid lung disease with rheumatoid arthritis of unspecified shoulder
- M05.121Rheumatoid lung disease with rheumatoid arthritis of right elbow
- M05.122Rheumatoid lung disease with rheumatoid arthritis of left elbow
- M05.129Rheumatoid lung disease with rheumatoid arthritis of unspecified elbow
- M05.131Rheumatoid lung disease with rheumatoid arthritis of right wrist
- M05.132Rheumatoid lung disease with rheumatoid arthritis of left wrist
- M05.139Rheumatoid lung disease with rheumatoid arthritis of unspecified wrist
- M05.141Rheumatoid lung disease with rheumatoid arthritis of right hand
- M05.142Rheumatoid lung disease with rheumatoid arthritis of left hand
- M05.149Rheumatoid lung disease with rheumatoid arthritis of unspecified hand
- M05.151Rheumatoid lung disease with rheumatoid arthritis of right hip
- M05.152Rheumatoid lung disease with rheumatoid arthritis of left hip
- M05.159Rheumatoid lung disease with rheumatoid arthritis of unspecified hip
- M05.161Rheumatoid lung disease with rheumatoid arthritis of right knee
- M05.162Rheumatoid lung disease with rheumatoid arthritis of left knee
- M05.169Rheumatoid lung disease with rheumatoid arthritis of unspecified knee
- M05.171Rheumatoid lung disease with rheumatoid arthritis of right ankle and foot
- M05.172Rheumatoid lung disease with rheumatoid arthritis of left ankle and foot
- M05.179Rheumatoid lung disease with rheumatoid arthritis of unspecified ankle and foot
- M05.19Rheumatoid lung disease with rheumatoid arthritis of multiple sites
- M34.81Systemic sclerosis with lung involvement
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.