Diagnosis Codes in MS-DRG 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for Diagnosis Codes in MS-DRG 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT Complication Comorbidity/Major Complication or Comorbidity diseases in version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.
MS-DRG | MS-DRG Title | MCD | Relative Weight | Geometric LOS | Arithmetic LOS |
---|---|---|---|---|---|
395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 06 | 0.6475 Relative Weight The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization. |
0.65 Geometric Length of Stay The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average. |
2.10 Arithmetic Length of Stay The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission. |
List of ICD-10-CM Codes in Diagnostic Related Group
- A51
- A51.1 Primary anal syphilis
- A54
- A54.6 Gonococcal infection of anus and rectum
- A56
- A56.3 Chlamydial infection of anus and rectum
- B00.8
- B00.81 Herpesviral hepatitis
- D12
- D12.0 Benign neoplasm of cecum
- D12.1 Benign neoplasm of appendix
- D12.2 Benign neoplasm of ascending colon
- D12.3 Benign neoplasm of transverse colon
- D12.4 Benign neoplasm of descending colon
- D12.5 Benign neoplasm of sigmoid colon
- D12.6 Benign neoplasm of colon, unspecified
- D12.7 Benign neoplasm of rectosigmoid junction
- D12.8 Benign neoplasm of rectum
- D12.9 Benign neoplasm of anus and anal canal
- D13
- D13.3
- D13.9
- D17
- D17.5 Benign lipomatous neoplasm of intra-abdominal organs
- D19
- D19.1 Benign neoplasm of mesothelial tissue of peritoneum
- D20
- D3A.01
- D3A.02
- D3A.020 Benign carcinoid tumor of the appendix
- D3A.021 Benign carcinoid tumor of the cecum
- D3A.022 Benign carcinoid tumor of the ascending colon
- D3A.023 Benign carcinoid tumor of the transverse colon
- D3A.024 Benign carcinoid tumor of the descending colon
- D3A.025 Benign carcinoid tumor of the sigmoid colon
- D3A.026 Benign carcinoid tumor of the rectum
- D3A.029 Benign carcinoid tumor of the large intestine, unspecified portion
- D3A.09
- E84.1
- E84.19 Cystic fibrosis with other intestinal manifestations
- I85.1
- I85.10 Secondary esophageal varices without bleeding
- I88
- I88.0 Nonspecific mesenteric lymphadenitis
- K31
- K31.7 Polyp of stomach and duodenum
- K35.8
- K35.80 Unspecified acute appendicitis
- K38
- K40.0
- K40.1
- K40.2
- K40.3
- K40.4
- K40.9
- K41.0
- K41.1
- K41.2
- K41.3
- K41.4
- K41.9
- K42
- K43
- K43.0 Incisional hernia with obstruction, without gangrene
- K43.1 Incisional hernia with gangrene
- K43.2 Incisional hernia without obstruction or gangrene
- K43.3 Parastomal hernia with obstruction, without gangrene
- K43.4 Parastomal hernia with gangrene
- K43.5 Parastomal hernia without obstruction or gangrene
- K43.6 Other and unspecified ventral hernia with obstruction, without gangrene
- K43.7 Other and unspecified ventral hernia with gangrene
- K43.9 Ventral hernia without obstruction or gangrene
- K44
- K44.1 Diaphragmatic hernia with gangrene
- K45
- K46
- K52
- K55.01
- K55.02
- K55.03
- K55.04
- K55.05
- K55.06
- K55
- K55.2
- K55.20 Angiodysplasia of colon without hemorrhage
- K55.3
- K59.3
- K60
- K61
- K61.3
- K62
- K62.8
- K63
- K63.8
- K63.821
- K64
- K65
- K66
- K90.8
- K90.81 Whipple's disease
- K91.8
- K91.85
- K92.8
- K92.89 Other specified diseases of the digestive system
- K92
- K92.9 Disease of digestive system, unspecified
- K94.0
- K94.1
- K94.2
- K94.3
- K95.0
- K95.8
- N82
- N99
- N99.4 Postprocedural pelvic peritoneal adhesions
- Q38
- Q38.5 Congenital malformations of palate, not elsewhere classified
- Q40
- Q40.0 Congenital hypertrophic pyloric stenosis
- Q40.1 Congenital hiatus hernia
- Q40.2 Other specified congenital malformations of stomach
- Q40.3 Congenital malformation of stomach, unspecified
- Q40.8 Other specified congenital malformations of upper alimentary tract
- Q40.9 Congenital malformation of upper alimentary tract, unspecified
- Q41
- Q41.0 Congenital absence, atresia and stenosis of duodenum
- Q41.1 Congenital absence, atresia and stenosis of jejunum
- Q41.2 Congenital absence, atresia and stenosis of ileum
- Q41.8 Congenital absence, atresia and stenosis of other specified parts of small intestine
- Q41.9 Congenital absence, atresia and stenosis of small intestine, part unspecified
- Q42
- Q42.0 Congenital absence, atresia and stenosis of rectum with fistula
- Q42.1 Congenital absence, atresia and stenosis of rectum without fistula
- Q42.2 Congenital absence, atresia and stenosis of anus with fistula
- Q42.3 Congenital absence, atresia and stenosis of anus without fistula
- Q42.8 Congenital absence, atresia and stenosis of other parts of large intestine
- Q42.9 Congenital absence, atresia and stenosis of large intestine, part unspecified
- Q43
- Q43.1 Hirschsprung's disease
- Q43.2 Other congenital functional disorders of colon
- Q43.3 Congenital malformations of intestinal fixation
- Q43.4 Duplication of intestine
- Q43.5 Ectopic anus
- Q43.6 Congenital fistula of rectum and anus
- Q43.7 Persistent cloaca
- Q43.8 Other specified congenital malformations of intestine
- Q43.9 Congenital malformation of intestine, unspecified
- Q45
- Q79
- Q79.5
- Q89
- R11.1
- R19.3
- R19.30 Abdominal rigidity, unspecified site
- R19.31 Right upper quadrant abdominal rigidity
- R19.32 Left upper quadrant abdominal rigidity
- R19.33 Right lower quadrant abdominal rigidity
- R19.34 Left lower quadrant abdominal rigidity
- R19.35 Periumbilic abdominal rigidity
- R19.36 Epigastric abdominal rigidity
- R19.37 Generalized abdominal rigidity
- R85.61
- R85.610 Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)
- R85.611 Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)
- R85.612 Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)
- R85.613 High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
- R85.614 Cytologic evidence of malignancy on smear of anus
- R85.615 Unsatisfactory cytologic smear of anus
- R85.616 Satisfactory anal smear but lacking transformation zone
- R85.618 Other abnormal cytological findings on specimens from anus
- R85.619 Unspecified abnormal cytological findings in specimens from anus
- R85.8
- S31.600
- S31.600A Unspecified open wound of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.601
- S31.601A Unspecified open wound of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.602
- S31.602A Unspecified open wound of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
- S31.603
- S31.603A Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.604
- S31.604A Unspecified open wound of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.605
- S31.605A Unspecified open wound of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
- S31.609
- S31.609A Unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
- S31.610
- S31.610A Laceration without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.611
- S31.611A Laceration without foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.612
- S31.612A Laceration without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
- S31.613
- S31.613A Laceration without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.614
- S31.614A Laceration without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.615
- S31.615A Laceration without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
- S31.619
- S31.619A Laceration without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
- S31.620
- S31.620A Laceration with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.621
- S31.621A Laceration with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.622
- S31.622A Laceration with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
- S31.623
- S31.623A Laceration with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.624
- S31.624A Laceration with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.625
- S31.625A Laceration with foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
- S31.629
- S31.629A Laceration with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
- S31.630
- S31.630A Puncture wound without foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.631
- S31.631A Puncture wound without foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.632
- S31.632A Puncture wound without foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
- S31.633
- S31.633A Puncture wound without foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.634
- S31.634A Puncture wound without foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.635
- S31.635A Puncture wound without foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
- S31.639
- S31.639A Puncture wound without foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
- S31.640
- S31.640A Puncture wound with foreign body of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.641
- S31.641A Puncture wound with foreign body of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.642
- S31.642A Puncture wound with foreign body of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
- S31.643
- S31.643A Puncture wound with foreign body of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.644
- S31.644A Puncture wound with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.645
- S31.645A Puncture wound with foreign body of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
- S31.649
- S31.649A Puncture wound with foreign body of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
- S31.650
- S31.650A Open bite of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.651
- S31.651A Open bite of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter
- S31.652
- S31.652A Open bite of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter
- S31.653
- S31.653A Open bite of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.654
- S31.654A Open bite of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter
- S31.655
- S31.655A Open bite of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter
- S31.659
- S31.659A Open bite of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, initial encounter
- S36.00
- S36.00XS Unspecified injury of spleen, sequela
- S36.020
- S36.020S Minor contusion of spleen, sequela
- S36.021
- S36.021S Major contusion of spleen, sequela
- S36.029
- S36.029S Unspecified contusion of spleen, sequela
- S36.030
- S36.030S Superficial (capsular) laceration of spleen, sequela
- S36.031
- S36.031S Moderate laceration of spleen, sequela
- S36.032
- S36.032S Major laceration of spleen, sequela
- S36.039
- S36.039S Unspecified laceration of spleen, sequela
- S36.09
- S36.09XS Other injury of spleen, sequela
- S36.112
- S36.112S Contusion of liver, sequela
- S36.113
- S36.113S Laceration of liver, unspecified degree, sequela
- S36.114
- S36.114S Minor laceration of liver, sequela
- S36.115
- S36.115S Moderate laceration of liver, sequela
- S36.116
- S36.116S Major laceration of liver, sequela
- S36.118
- S36.118S Other injury of liver, sequela
- S36.119
- S36.119S Unspecified injury of liver, sequela
- S36.122
- S36.122S Contusion of gallbladder, sequela
- S36.123
- S36.123S Laceration of gallbladder, sequela
- S36.128
- S36.128S Other injury of gallbladder, sequela
- S36.129
- S36.129S Unspecified injury of gallbladder, sequela
- S36.13
- S36.13XS Injury of bile duct, sequela
- S36.200
- S36.200S Unspecified injury of head of pancreas, sequela
- S36.201
- S36.201S Unspecified injury of body of pancreas, sequela
- S36.202
- S36.202S Unspecified injury of tail of pancreas, sequela
- S36.209
- S36.209S Unspecified injury of unspecified part of pancreas, sequela
- S36.220
- S36.220S Contusion of head of pancreas, sequela
- S36.221
- S36.221S Contusion of body of pancreas, sequela
- S36.222
- S36.222S Contusion of tail of pancreas, sequela
- S36.229
- S36.229S Contusion of unspecified part of pancreas, sequela
- S36.230
- S36.230S Laceration of head of pancreas, unspecified degree, sequela
- S36.231
- S36.231S Laceration of body of pancreas, unspecified degree, sequela
- S36.232
- S36.232S Laceration of tail of pancreas, unspecified degree, sequela
- S36.239
- S36.239S Laceration of unspecified part of pancreas, unspecified degree, sequela
- S36.240
- S36.240S Minor laceration of head of pancreas, sequela
- S36.241
- S36.241S Minor laceration of body of pancreas, sequela
- S36.242
- S36.242S Minor laceration of tail of pancreas, sequela
- S36.249
- S36.249S Minor laceration of unspecified part of pancreas, sequela
- S36.250
- S36.250S Moderate laceration of head of pancreas, sequela
- S36.251
- S36.251S Moderate laceration of body of pancreas, sequela
- S36.252
- S36.252S Moderate laceration of tail of pancreas, sequela
- S36.259
- S36.259S Moderate laceration of unspecified part of pancreas, sequela
- S36.260
- S36.260S Major laceration of head of pancreas, sequela
- S36.261
- S36.261S Major laceration of body of pancreas, sequela
- S36.262
- S36.262S Major laceration of tail of pancreas, sequela
- S36.269
- S36.269S Major laceration of unspecified part of pancreas, sequela
- S36.290
- S36.290S Other injury of head of pancreas, sequela
- S36.291
- S36.291S Other injury of body of pancreas, sequela
- S36.292
- S36.292S Other injury of tail of pancreas, sequela
- S36.299
- S36.299S Other injury of unspecified part of pancreas, sequela
- S36.30
- S36.32
- S36.33
- S36.39
- S36.400
- S36.408
- S36.409
- S36.410
- S36.418
- S36.419
- S36.420
- S36.428
- S36.429
- S36.430
- S36.438
- S36.439
- S36.490
- S36.498
- S36.499
- S36.500
- S36.501
- S36.502
- S36.503
- S36.508
- S36.509
- S36.510
- S36.511
- S36.512
- S36.513
- S36.518
- S36.519
- S36.520
- S36.521
- S36.522
- S36.523
- S36.528
- S36.529
- S36.530
- S36.531
- S36.532
- S36.533
- S36.538
- S36.539
- S36.590
- S36.591
- S36.592
- S36.593
- S36.598
- S36.599
- S36.60
- S36.61
- S36.62
- S36.63
- S36.69
- S36.81
- S36.892
- S36.892S Contusion of other intra-abdominal organs, sequela
- S36.893
- S36.893S Laceration of other intra-abdominal organs, sequela
- S36.898
- S36.898S Other injury of other intra-abdominal organs, sequela
- S36.899
- S36.899S Unspecified injury of other intra-abdominal organs, sequela
- S36.90
- S36.92
- S36.93
- S36.99
- S37.001
- S37.001S Unspecified injury of right kidney, sequela
- S37.002
- S37.002S Unspecified injury of left kidney, sequela
- S37.009
- S37.009S Unspecified injury of unspecified kidney, sequela
- S37.011
- S37.011S Minor contusion of right kidney, sequela
- S37.012
- S37.012S Minor contusion of left kidney, sequela
- S37.019
- S37.019S Minor contusion of unspecified kidney, sequela
- S37.021
- S37.021S Major contusion of right kidney, sequela
- S37.022
- S37.022S Major contusion of left kidney, sequela
- S37.029
- S37.029S Major contusion of unspecified kidney, sequela
- S37.031
- S37.031S Laceration of right kidney, unspecified degree, sequela
- S37.032
- S37.032S Laceration of left kidney, unspecified degree, sequela
- S37.039
- S37.039S Laceration of unspecified kidney, unspecified degree, sequela
- S37.041
- S37.041S Minor laceration of right kidney, sequela
- S37.042
- S37.042S Minor laceration of left kidney, sequela
- S37.049
- S37.049S Minor laceration of unspecified kidney, sequela
- S37.051
- S37.051S Moderate laceration of right kidney, sequela
- S37.052
- S37.052S Moderate laceration of left kidney, sequela
- S37.059
- S37.059S Moderate laceration of unspecified kidney, sequela
- S37.061
- S37.061S Major laceration of right kidney, sequela
- S37.062
- S37.062S Major laceration of left kidney, sequela
- S37.069
- S37.069S Major laceration of unspecified kidney, sequela
- S37.091
- S37.091S Other injury of right kidney, sequela
- S37.092
- S37.092S Other injury of left kidney, sequela
- S37.099
- S37.099S Other injury of unspecified kidney, sequela
- T18.100
- T18.100A Unspecified foreign body in esophagus causing compression of trachea, initial encounter
- T18.108
- T18.108A Unspecified foreign body in esophagus causing other injury, initial encounter
- T18.110
- T18.110A Gastric contents in esophagus causing compression of trachea, initial encounter
- T18.118
- T18.118A Gastric contents in esophagus causing other injury, initial encounter
- T18.120
- T18.120A Food in esophagus causing compression of trachea, initial encounter
- T18.128
- T18.128A Food in esophagus causing other injury, initial encounter
- T18.190
- T18.190A Other foreign object in esophagus causing compression of trachea, initial encounter
- T18.198
- T18.198A Other foreign object in esophagus causing other injury, initial encounter
- T18.2
- T18.2XXA Foreign body in stomach, initial encounter
- T18.3
- T18.3XXA Foreign body in small intestine, initial encounter
- T18.4
- T18.4XXA Foreign body in colon, initial encounter
- T18.5
- T18.5XXA Foreign body in anus and rectum, initial encounter
- T18.8
- T18.8XXA Foreign body in other parts of alimentary tract, initial encounter
- T18.9
- T18.9XXA Foreign body of alimentary tract, part unspecified, initial encounter
- T28.2
- T28.2XXA Burn of other parts of alimentary tract, initial encounter
- T28.7
- T28.7XXA Corrosion of other parts of alimentary tract, initial encounter
- T81.710
- T81.710A Complication of mesenteric artery following a procedure, not elsewhere classified, initial encounter
- Z43
- Z46.5