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MS-DRG v44.0 · MDC 05: Diseases and Disorders of the Circulatory System

361 — Other Circulatory System O.R. Procedures with MCC

This DRG is subject to the post-acute care transfer policy. Source: CMS MS-DRG v44.0 and FY2027 IPPS final rule. Page updated September 29, 2026.
Relative weight
3.7576
Geometric mean LOS
7.6 days
Arithmetic mean LOS
10.9 days
Type
Surgical

About MS-DRG 361

MS-DRG 361, Other Circulatory System O.R. Procedures 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 3.7576, so Medicare's base payment for this DRG is about 3.76 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 7.6 days and the arithmetic mean is 10.9 days.

It belongs to a 2-level severity family: DRG 361 (with MCC, weight 3.7576) and DRG 362 (without MCC, weight 2.1981). The highest-severity level carries 1.7 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 361 (0)

This DRG is assigned by procedure, not by a diagnosis list.

Common questions about DRG 361

What is the relative weight of DRG 361?

3.7576 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 361?

The geometric mean length of stay is 7.6 days; the arithmetic mean is 10.9 days.

Is DRG 361 medical or surgical?

DRG 361 is a surgical DRG.