038 MS-DRG: EXTRACRANIAL PROCEDURES WITH CC
MS-DRG 038 groups Medicare inpatient hospital stays for: EXTRACRANIAL PROCEDURES WITH CC. This is a surgical MS-DRG. It falls under MDC 01 (Diseases and Disorders of the Nervous System).
Payment & Classification Data
Official CMS values from the FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 01 — Diseases and Disorders of the Nervous System |
| DRG Type | Surgical |
| Severity Level | CC |
| Relative Weight | 1.6296 |
| Relative Weight (10% Cap Applied) | 1.6296 |
| Geometric Mean Length of Stay | 1.8 days |
| Arithmetic Mean Length of Stay | 2.6 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
1,035 procedure codes appear in its surgical logic (Extracranial Procedures: 1,035): 021W08A, 021W08B, 021W08D, 021W08G, 021W08H, 021W09A, 021W09B, 021W09D, 021W09G, 021W09H, 021W0AA, 021W0AB and 1,023 more.
From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.
Surgical Precedence (FY2027)
Within MDC 01, this DRG ranks 7 of 8 in CMS's surgical-class precedence order. When a claim qualifies for more than one surgical DRG in this MDC, the highest-ranked class applies.
- 1. Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage (DRGs 020-022)
- 2. Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis (DRGs 023-024)
- 3. Craniotomy and Endovascular Intracranial Procedures (DRGs 025-027)
- 4. Spinal Procedures (DRGs 028-030)
- 5. Ventricular Shunt Procedures (DRGs 031-033)
- 6. Carotid Artery Stent Procedures (DRGs 034-036)
- 7. Extracranial Procedures (DRGs 037-039) — this DRG
- 8. Peripheral, Cranial Nerve and Other Nervous System Procedures (DRGs 040-042)
From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 038 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Major Diagnostic Category
- MDC 01 — Diseases and Disorders of the Nervous System[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining procedures (1035)
- 021W08A — Bypass Thoracic Aorta, Descending to Innominate Artery with Zooplastic Tissue, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 021W08B — Bypass Thoracic Aorta, Descending to Subclavian with Zooplastic Tissue, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 021W08D — Bypass Thoracic Aorta, Descending to Carotid with Zooplastic Tissue, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 021W08G — Bypass Thoracic Aorta, Descending to Axillary Artery with Zooplastic Tissue, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 021W08H — Bypass Thoracic Aorta, Descending to Brachial Artery with Zooplastic Tissue, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 021W09A — Bypass Thoracic Aorta, Descending to Innominate Artery with Autologous Venous Tissue, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 021W09B — Bypass Thoracic Aorta, Descending to Subclavian with Autologous Venous Tissue, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 021W09D — Bypass Thoracic Aorta, Descending to Carotid with Autologous Venous Tissue, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 1027 more
DRG family
- DRG 037 — EXTRACRANIAL PROCEDURES WITH MCC[DRG family]: “EXTRACRANIAL PROCEDURES WITH MCC — same CMS DRG family (037-039), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 037-039) · FY2027
- DRG 039 — EXTRACRANIAL PROCEDURES WITHOUT CC/MCC[DRG family]: “EXTRACRANIAL PROCEDURES WITHOUT CC/MCC — same CMS DRG family (037-039), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 037-039) · FY2027
Read from: CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44. All data sources · How to read the labels