Other Respiratory System O.R. Procedures without CC/MCC
MDC 04 — Diseases and Disorders of the Respiratory System
CMS publishes classification in the Definitions Manual and weights in Table 5 of the IPPS rule, one spreadsheet per year. These are the 9 versions this grouper supports.
| Version | Fiscal year | Effective | Relative weight |
|---|---|---|---|
| V44.0 | FY 2027 | 2026-10-01 | 1.3896 |
| V43.1 | FY 2026 (Apr-Sep) | 2026-04-01 | 1.3664 |
| V43.0 | FY 2026 (Oct-Mar) | 2025-10-01 | 1.3664 |
| V42.1 | FY 2025 (Apr-Sep) | 2025-04-01 | 1.3539 |
| V42.0 | FY 2025 (Oct-Mar) | 2024-10-01 | 1.3539 |
| V41.1 | FY 2024 (Apr-Sep) | 2024-04-01 | 1.3557 |
| V41.0 | FY 2024 (Oct-Mar) | 2023-10-01 | 1.3557 |
| V40.1 | FY 2023 (Apr-Sep) | 2023-04-01 | 1.4176 |
| V40.0 | FY 2023 (Oct-Mar) | 2022-10-01 | 1.4176 |
Range 1.3539 to 1.4176. A dash means the DRG did not exist in that version.
1996 ICD-10-PCS procedures. Each maps here on its own; procedure clusters can also reach this DRG through combinations, listed separately below. Too many to list: this is a catch-all class that sweeps in most of the code set, so the count is more informative than the codes.
Relative weight is not payment: actual reimbursement also applies wage index, capital, DSH and IME adjustments, and outliers. Group an encounter to see which DRG it actually lands in.
Open the MS-DRG grouper