969 MS-DRG: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
MS-DRG 969 groups Medicare inpatient hospital stays for: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC. This is a surgical MS-DRG. It falls under MDC 25 (Human Immunodeficiency Virus Infections).
Payment & Classification Data
Official CMS values from the FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 25 — Human Immunodeficiency Virus Infections |
| DRG Type | Surgical |
| Severity Level | MCC |
| Relative Weight | 7.1775 |
| Relative Weight (10% Cap Applied) | 7.1775 |
| Geometric Mean Length of Stay | 12.2 days |
| Arithmetic Mean Length of Stay | 16.6 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
1 diagnosis code can drive assignment here: B20.
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 25, this DRG ranks 1 of 1 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. HIV with Extensive O.R. Procedures (DRGs 969-970) — this DRG
From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 969 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 25 — Human Immunodeficiency Virus Infections[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining diagnoses
- B20 — Human immunodeficiency virus [HIV] disease[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
DRG family
- DRG 970 — HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC[DRG family]: “HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — same CMS DRG family (969-977), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 969-977) · FY2027
- DRG 974 — HIV WITH MAJOR RELATED CONDITION WITH MCC[DRG family]: “HIV WITH MAJOR RELATED CONDITION WITH MCC — same CMS DRG family (969-977), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 969-977) · FY2027
- DRG 975 — HIV WITH MAJOR RELATED CONDITION WITH CC[DRG family]: “HIV WITH MAJOR RELATED CONDITION WITH CC — same CMS DRG family (969-977), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 969-977) · FY2027
- DRG 976 — HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC[DRG family]: “HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC — same CMS DRG family (969-977), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 969-977) · FY2027
- DRG 977 — HIV WITH OR WITHOUT OTHER RELATED CONDITION[DRG family]: “HIV WITH OR WITHOUT OTHER RELATED CONDITION — same CMS DRG family (969-977), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 969-977) · 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 28, 2026 · All releases and sources