MS-DRG v44.0 · MDC 05: Diseases and Disorders of the Circulatory System
219 — Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
- Relative weight
- 7.6434
- Geometric mean LOS
- 8 days
- Arithmetic mean LOS
- 9.7 days
- Type
- Surgical
About MS-DRG 219
MS-DRG 219, Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC, is a surgical DRG in MDC 05 (Diseases and Disorders of the Circulatory 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 7.6434, so Medicare's base payment for this DRG is about 7.64 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 8 days and the arithmetic mean is 9.7 days.
It belongs to a 3-level severity family: DRG 219 (with MCC, weight 7.6434), DRG 220 (with CC, weight 5.5066) and DRG 221 (without CC/MCC, weight 4.7108). The highest-severity level carries 1.6 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.
ICD-10-CM codes that group to DRG 219 (0)
This DRG is assigned by procedure, not by a diagnosis list.
Common questions about DRG 219
What is the relative weight of DRG 219?
- 7.6434 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 219?
- The geometric mean length of stay is 8 days; the arithmetic mean is 9.7 days.
Is DRG 219 medical or surgical?
- DRG 219 is a surgical DRG.