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MS-DRG v44.0 · MDC 18: Infectious and Parasitic Diseases, Systemic or Unspecified Sites

866 — Viral Illness without MCC

Source: CMS MS-DRG v44.0 and FY2027 IPPS final rule. Page updated September 29, 2026.
Relative weight
0.8692
Geometric mean LOS
2.7 days
Arithmetic mean LOS
3.5 days
Type
Medical

About MS-DRG 866

MS-DRG 866, Viral Illness without MCC, is a medical DRG in MDC 18 (Infectious and Parasitic Diseases, Systemic or Unspecified Sites) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.

Its FY2027 relative weight is 0.8692, so Medicare's base payment for this DRG is about 0.87 times the average inpatient case (below average), before hospital-specific adjustments. The geometric mean length of stay is 2.7 days and the arithmetic mean is 3.5 days.

It belongs to a 2-level severity family: DRG 865 (with MCC, weight 1.3485) and DRG 866 (without MCC, weight 0.8692). The highest-severity level carries 1.6 times the weight of the lowest, which is why documenting CC and MCC conditions matters.

141 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 866 (141)

Chapter 1: Certain infectious and parasitic diseases

Chapter 10: Diseases of the respiratory system

Chapter 12: Diseases of the skin and subcutaneous tissue

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

Chapter 21: Factors influencing health status and contact with health services

Common questions about DRG 866

What is the relative weight of DRG 866?

0.8692 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 866?

The geometric mean length of stay is 2.7 days; the arithmetic mean is 3.5 days.

Is DRG 866 medical or surgical?

DRG 866 is a medical DRG.