MS-DRG 434 – Cirrhosis and Alcoholic Hepatitis without CC/MCC
A Medical DRG in MDC 07 (Diseases & Disorders of the Hepatobiliary System & Pancreas). Inpatient cases group to DRG 434 when the ICD-10-CM principal diagnosis is one of the 17 codes listed below and no secondary diagnosis on the CC or MCC lists is present. Its FY 2027 relative weight is 0.6247 with a geometric mean length of stay of 2.1 days.
Severity family
The grouper first assigns the case to MDC 07 from the principal diagnosis and finds no qualifying operating-room procedure (this is a Medical DRG; ICD-10-PCS codes do not drive assignment here), then applies the severity split from secondary diagnoses: with MCC → 432; with CC → 433; without CC/MCC → 434.
Principal Diagnosis Codes 17 codes · 2 categories
K70 Alcoholic liver disease8 codes
- K70.10 Alcoholic hepatitis without ascites
- K70.11 Alcoholic hepatitis with ascites
- K70.2 Alcoholic fibrosis and sclerosis of liver
- K70.30 Alcoholic cirrhosis of liver without ascites
- K70.31 Alcoholic cirrhosis of liver with ascites
- K70.40 Alcoholic hepatic failure without coma
- K70.41 Alcoholic hepatic failure with coma
- K70.9 Alcoholic liver disease, unspecified
K74 Fibrosis and cirrhosis of liver9 codes
- K74.00 Hepatic fibrosis, unspecified
- K74.01 Hepatic fibrosis, early fibrosis
- K74.02 Hepatic fibrosis, advanced fibrosis
- K74.0A Hepatic fibrosis, moderate fibrosis
- K74.3 Primary biliary cirrhosis
- K74.4 Secondary biliary cirrhosis
- K74.5 Biliary cirrhosis, unspecified
- K74.60 Unspecified cirrhosis of liver
- K74.69 Other cirrhosis of liver
Procedure Codes
Frequently Asked Questions
What is MS-DRG 434?
MS-DRG 434 (Cirrhosis and Alcoholic Hepatitis without CC/MCC) is a medical DRG in MDC 07 (Diseases & Disorders of the Hepatobiliary System & Pancreas). Its FY 2027 relative weight is 0.6247 with a geometric mean length of stay of 2.1 days.
What is the difference between DRG 432, 433, 434?
All 3 share the same base category; the severity of secondary diagnoses separates them: 432 (with MCC), 433 (with CC), 434 (without CC/MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.
How many diagnosis codes group to DRG 434?
17 ICD-10-CM principal diagnosis codes group to this DRG, spanning 2 three-character categories.
What is the relative weight of DRG 434?
The FY 2027 relative weight of this DRG is 0.6247, meaning reimbursement of roughly 0.62 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
