293 MS-DRG: HEART FAILURE AND SHOCK WITHOUT CC/MCC
MS-DRG 293 groups Medicare inpatient hospital stays for: HEART FAILURE AND SHOCK WITHOUT CC/MCC. This is a medical MS-DRG. It falls under MDC 05 (Diseases and Disorders of the Circulatory System).
Payment & Classification Data
Official CMS values from the FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 05 — Diseases and Disorders of the Circulatory System |
| DRG Type | Medical |
| Severity Level | None |
| Relative Weight | 0.5462 |
| Relative Weight (10% Cap Applied) | 0.5462 |
| Geometric Mean Length of Stay | 2.1 days |
| Arithmetic Mean Length of Stay | 2.5 days |
| Post-Acute Transfer DRG | Yes |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
29 diagnosis codes can drive assignment here: I09.81, I11.0, I13.0, I13.2, I50.1, I50.20, I50.21, I50.22, I50.23, I50.30, I50.31, I50.32 and 17 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 293 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 05 — Diseases and Disorders of the Circulatory System[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining diagnoses (29)
- I09.81 — Rheumatic heart failure[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- I11.0 — Hypertensive heart disease with heart failure[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- I13.0 — Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- I13.2 — Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- I50.1 — Left ventricular failure, unspecified[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- I50.20 — Unspecified systolic (congestive) heart failure[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- I50.21 — Acute systolic (congestive) heart failure[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- I50.22 — Chronic systolic (congestive) heart failure[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 21 more
DRG family
- DRG 291 — HEART FAILURE AND SHOCK WITH MCC[DRG family]: “HEART FAILURE AND SHOCK WITH MCC — same CMS DRG family (291-293), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 291-293) · FY2027
- DRG 292 — HEART FAILURE AND SHOCK WITH CC[DRG family]: “HEART FAILURE AND SHOCK WITH CC — same CMS DRG family (291-293), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 291-293) · 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 · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources