MS-DRG v44.0 · MDC 18: Infectious and Parasitic Diseases, Systemic or Unspecified Sites
863 — Postoperative and Post-Traumatic Infections without MCC
- Relative weight
- 0.9866
- Geometric mean LOS
- 3.3 days
- Arithmetic mean LOS
- 4.1 days
- Type
- Medical
About MS-DRG 863
MS-DRG 863, Postoperative and Post-Traumatic Infections 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 0.9866, so Medicare's base payment for this DRG is about 0.99 times the average inpatient case (below average), before hospital-specific adjustments. The geometric mean length of stay is 3.3 days and the arithmetic mean is 4.1 days.
It belongs to a 2-level severity family: DRG 862 (with MCC, weight 1.7904) and DRG 863 (without MCC, weight 0.9866). The highest-severity level carries 1.8 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.
7 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 863 (7)
Chapter 11: Diseases of the digestive system
Chapter 19: Injury, poisoning and certain other consequences of external causes
- T81.40XAInfection following a procedure, unspecified, initial encounter
- T81.41XAInfection following a procedure, superficial incisional surgical site, initial encounter
- T81.42XAInfection following a procedure, deep incisional surgical site, initial encounter
- T81.43XAInfection following a procedure, organ and space surgical site, initial encounter
- T81.44XASepsis following a procedure, initial encounter
- T81.49XAInfection following a procedure, other surgical site, initial encounter
Common questions about DRG 863
What is the relative weight of DRG 863?
- 0.9866 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 863?
- The geometric mean length of stay is 3.3 days; the arithmetic mean is 4.1 days.
Is DRG 863 medical or surgical?
- DRG 863 is a medical DRG.