Diagnosis Codes in MS-DRG 438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH 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 438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH 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
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC 07 1.6688 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.
1.67 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.
4.70 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


  • B25
    • B25.2 Cytomegaloviral pancreatitis
  • B26
    • B26.3 Mumps pancreatitis
  • D13
    • D13.6 Benign neoplasm of pancreas
  • K85.0
    • K85.00 Idiopathic acute pancreatitis without necrosis or infection
    • K85.01 Idiopathic acute pancreatitis with uninfected necrosis
    • K85.02 Idiopathic acute pancreatitis with infected necrosis
  • K85.1
    • K85.10 Biliary acute pancreatitis without necrosis or infection
    • K85.11 Biliary acute pancreatitis with uninfected necrosis
    • K85.12 Biliary acute pancreatitis with infected necrosis
  • K85.2
    • K85.20 Alcohol induced acute pancreatitis without necrosis or infection
    • K85.21 Alcohol induced acute pancreatitis with uninfected necrosis
    • K85.22 Alcohol induced acute pancreatitis with infected necrosis
  • K85.3
    • K85.30 Drug induced acute pancreatitis without necrosis or infection
    • K85.31 Drug induced acute pancreatitis with uninfected necrosis
    • K85.32 Drug induced acute pancreatitis with infected necrosis
  • K85.8
    • K85.80 Other acute pancreatitis without necrosis or infection
    • K85.81 Other acute pancreatitis with uninfected necrosis
    • K85.82 Other acute pancreatitis with infected necrosis
  • K85.9
    • K85.90 Acute pancreatitis without necrosis or infection, unspecified
    • K85.91 Acute pancreatitis with uninfected necrosis, unspecified
    • K85.92 Acute pancreatitis with infected necrosis, unspecified
  • K86
    • K86.0 Alcohol-induced chronic pancreatitis
    • K86.1 Other chronic pancreatitis
    • K86.2 Cyst of pancreas
    • K86.3 Pseudocyst of pancreas
    • K86.9 Disease of pancreas, unspecified
  • K86.8
    • K86.81 Exocrine pancreatic insufficiency
    • K86.89 Other specified diseases of pancreas
  • Q45
    • Q45.0 Agenesis, aplasia and hypoplasia of pancreas
    • Q45.1 Annular pancreas
    • Q45.2 Congenital pancreatic cyst
    • Q45.3 Other congenital malformations of pancreas and pancreatic duct
  • S36.200
    • S36.200A Unspecified injury of head of pancreas, initial encounter
  • S36.201
    • S36.201A Unspecified injury of body of pancreas, initial encounter
  • S36.202
    • S36.202A Unspecified injury of tail of pancreas, initial encounter
  • S36.209
    • S36.209A Unspecified injury of unspecified part of pancreas, initial encounter
  • S36.220
    • S36.220A Contusion of head of pancreas, initial encounter
  • S36.221
    • S36.221A Contusion of body of pancreas, initial encounter
  • S36.222
    • S36.222A Contusion of tail of pancreas, initial encounter
  • S36.229
    • S36.229A Contusion of unspecified part of pancreas, initial encounter
  • S36.230
    • S36.230A Laceration of head of pancreas, unspecified degree, initial encounter
  • S36.231
    • S36.231A Laceration of body of pancreas, unspecified degree, initial encounter
  • S36.232
    • S36.232A Laceration of tail of pancreas, unspecified degree, initial encounter
  • S36.239
    • S36.239A Laceration of unspecified part of pancreas, unspecified degree, initial encounter
  • S36.240
    • S36.240A Minor laceration of head of pancreas, initial encounter
  • S36.241
    • S36.241A Minor laceration of body of pancreas, initial encounter
  • S36.242
    • S36.242A Minor laceration of tail of pancreas, initial encounter
  • S36.249
    • S36.249A Minor laceration of unspecified part of pancreas, initial encounter
  • S36.250
    • S36.250A Moderate laceration of head of pancreas, initial encounter
  • S36.251
    • S36.251A Moderate laceration of body of pancreas, initial encounter
  • S36.252
    • S36.252A Moderate laceration of tail of pancreas, initial encounter
  • S36.259
    • S36.259A Moderate laceration of unspecified part of pancreas, initial encounter
  • S36.260
    • S36.260A Major laceration of head of pancreas, initial encounter
  • S36.261
    • S36.261A Major laceration of body of pancreas, initial encounter
  • S36.262
    • S36.262A Major laceration of tail of pancreas, initial encounter
  • S36.269
    • S36.269A Major laceration of unspecified part of pancreas, initial encounter
  • S36.290
    • S36.290A Other injury of head of pancreas, initial encounter
  • S36.291
    • S36.291A Other injury of body of pancreas, initial encounter
  • S36.292
    • S36.292A Other injury of tail of pancreas, initial encounter
  • S36.299
    • S36.299A Other injury of unspecified part of pancreas, initial encounter
  • T86.89
    • T86.890 Other transplanted tissue rejection
    • T86.891 Other transplanted tissue failure
    • T86.892 Other transplanted tissue infection
    • T86.898 Other complications of other transplanted tissue
    • T86.899 Unspecified complication of other transplanted tissue
  • Z94.8
    • Z94.83 Pancreas transplant status