MCMCB Pro
969

MS-DRG 969HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC

DRGSurgicalMDC 25

FY2026 payment factors

Relative weight
6.1213
Geometric mean LOS
11.70
Arithmetic mean LOS
15.90
Post-acute transfer
No

Other DRGs in MDC 25

The with-MCC, with-CC and without-CC/MCC splits usually sit next to each other here. Those are what a documentation query is actually deciding between, and the weight gap between them is why the query is worth raising.

  • 970HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC2.6374
  • 974HIV WITH MAJOR RELATED CONDITION WITH MCC2.8860
  • 975HIV WITH MAJOR RELATED CONDITION WITH CC1.2950
  • 976HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC0.9027
  • 977HIV WITH OR WITHOUT OTHER RELATED CONDITION1.2977
MS-DRG (IPPS Table 5)FY2026