MS-DRG 012 — Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC

MDC PRE · Pre-MDC (transplants, tracheostomy, ECMO) · Surgical DRG · FY2026

FY2026 relative weight4.2160
Geometric mean LOS8.6 days
Arithmetic mean LOS9.8 days
Severity tierwith CC
Post-acute transfer policyNo
Special payment provisionNo

Price DRG 012 at a specific hospital →

Severity family — documentation moves the weight 1.89×

The same base condition splits by coded severity (CC/MCC). Weight deltas here are exactly what one documented comorbidity is worth:

DRGTitleFY2026 weightGMLOS
011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC5.454111.4
012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC4.21608.6
013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC2.88186.5

Figures come from the official FY2026 IPPS tables and are payment inputs, not adjudicated amounts. DRG Calculator prices full claims — hospital-specific operating, capital, IME, DSH, uncompensated care and outlier math — and verifies results against the official pricer.