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MS-DRG/MDC 04/165
MS-DRGSurgical

165

MAJOR CHEST PROCEDURES WITHOUT CC/MCC

MS-DRG 165 groups Medicare inpatient hospital stays for: MAJOR CHEST PROCEDURES WITHOUT CC/MCC. This is a surgical MS-DRG. It falls under MDC 04 (Diseases and Disorders of the Respiratory System).

Payment & Classification Data

Official CMS values from the current fiscal year's IPPS Final Rule.

Major Diagnostic CategoryMDC 04 — Diseases and Disorders of the Respiratory System
DRG TypeSurgical
Severity LevelNone
Relative Weight1.9142
Relative Weight (10% Cap Applied)1.9142
Geometric Mean Length of Stay2 days
Arithmetic Mean Length of Stay2.4 days
Post-Acute Transfer DRGYes
Special Pay Transfer DRGNo

Defining Codes (FY2026)

2,001 procedure codes appear in its surgical logic (Major Chest Procedures: 2,001): 025N0ZZ, 025N3ZZ, 025N4ZZ, 025P0ZZ, 025P3ZZ, 025P4ZZ, 025Q0ZZ, 025Q3ZZ, 025Q4ZZ, 025R0ZZ, 025R3ZZ, 025R4ZZ and 1,989 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.

Contextual Map

Every relationship of 165 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 04 — Diseases and Disorders of the Respiratory System [MDC]

Defining procedures (2001)

  • 025N0ZZ — Destruction of Pericardium, Open Approach [Grouper procedure]
  • 025N3ZZ — Destruction of Pericardium, Percutaneous Approach [Grouper procedure]
  • 025N4ZZ — Destruction of Pericardium, Percutaneous Endoscopic Approach [Grouper procedure]
  • 025P0ZZ — Destruction of Pulmonary Trunk, Open Approach [Grouper procedure]
  • 025P3ZZ — Destruction of Pulmonary Trunk, Percutaneous Approach [Grouper procedure]
  • 025P4ZZ — Destruction of Pulmonary Trunk, Percutaneous Endoscopic Approach [Grouper procedure]
  • 025Q0ZZ — Destruction of Right Pulmonary Artery, Open Approach [Grouper procedure]
  • 025Q3ZZ — Destruction of Right Pulmonary Artery, Percutaneous Approach [Grouper procedure]
  • and 1993 more

DRG family

  • DRG 163 — MAJOR CHEST PROCEDURES WITH MCC [DRG family]: “MAJOR CHEST PROCEDURES WITH MCC — same CMS DRG family (163-165), split by severity.”
  • DRG 164 — MAJOR CHEST PROCEDURES WITH CC [DRG family]: “MAJOR CHEST PROCEDURES WITH CC — same CMS DRG family (163-165), split by severity.”