MS-DRG · FY 2027 v44.0

MS-DRG 5 – Liver Transplant with MCC or Intestinal Transplant

A Surgical DRG in Pre-MDC (Pre-MDC). Inpatient cases group to DRG 5 when one of the 9 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2027 relative weight is 10.4741 with a geometric mean length of stay of 13.1 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v44.0 dataset
10.4741
Relative Weight
13.1
Geometric Mean LOS (days)
18.2
Arithmetic Mean LOS (days)
9
Procedure Codes
How a case is assigned to DRG 5

The grouper first assigns the case to Pre-MDC from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG).

ICD-10-PCS

Procedure Codes 9 codes · 3 categories

0DY8 Gastrointestinal System, Transplantation3 codes
  • 0DY80Z0 Transplantation of Small Intestine, Allogeneic, Open Approach
  • 0DY80Z1 Transplantation of Small Intestine, Syngeneic, Open Approach
  • 0DY80Z2 Transplantation of Small Intestine, Zooplastic, Open Approach
0DYE Gastrointestinal System, Transplantation3 codes
  • 0DYE0Z0 Transplantation of Large Intestine, Allogeneic, Open Approach
  • 0DYE0Z1 Transplantation of Large Intestine, Syngeneic, Open Approach
  • 0DYE0Z2 Transplantation of Large Intestine, Zooplastic, Open Approach
0FY0 Hepatobiliary System and Pancreas, Transplantation3 codes
  • 0FY00Z0 Transplantation of Liver, Allogeneic, Open Approach
  • 0FY00Z1 Transplantation of Liver, Syngeneic, Open Approach
  • 0FY00Z2 Transplantation of Liver, Zooplastic, Open Approach
ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 5?

MS-DRG 5 (Liver Transplant with MCC or Intestinal Transplant) is a surgical DRG in Pre-MDC (Pre-MDC). Its FY 2027 relative weight is 10.4741 with a geometric mean length of stay of 13.1 days.

How many procedure codes group to DRG 5?

9 ICD-10-PCS operating-room procedure codes group to this DRG.

What is the relative weight of DRG 5?

The FY 2027 relative weight of this DRG is 10.4741, meaning reimbursement of roughly 10.47 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

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Source: CMS ICD-10 MS-DRG v44.0 Definitions Manual and the FY 2027 IPPS Final Rule (Table 5), effective October 1, 2026 through September 30, 2027. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.