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MS-DRG v44.0 · MDC 10: Endocrine, Nutritional and Metabolic Diseases and Disorders

644 — Endocrine Disorders with CC

This DRG is subject to the post-acute care transfer policy.
Relative weight
1.0044
Geometric mean LOS
3.4 days
Arithmetic mean LOS
4.1 days
Type
Medical

About MS-DRG 644

MS-DRG 644, Endocrine Disorders with CC, is a medical DRG in MDC 10 (Endocrine, Nutritional and Metabolic Diseases and Disorders) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.

Its FY2027 relative weight is 1.0044, so Medicare's base payment for this DRG is about 1.00 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 3.4 days and the arithmetic mean is 4.1 days.

It belongs to a 3-level severity family: DRG 643 (with MCC, weight 1.6139), DRG 644 (with CC, weight 1.0044) and DRG 645 (without CC/MCC, weight 0.7459). The highest-severity level carries 2.2 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.

199 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 644 (199)

Chapter 1: Certain infectious and parasitic diseases

Chapter 2: Neoplasms

Chapter 4: Endocrine, nutritional and metabolic diseases

Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders

Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Chapter 19: Injury, poisoning and certain other consequences of external causes

Common questions about DRG 644

What is the relative weight of DRG 644?

1.0044 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 644?

The geometric mean length of stay is 3.4 days; the arithmetic mean is 4.1 days.

Is DRG 644 medical or surgical?

DRG 644 is a medical DRG.