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  3. Diagnosis Codes in MS-DRG 369 - Major Esophageal Disorders With CC

Diagnosis Codes in MS-DRG 369 - Major Esophageal Disorders With CC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the diagnosis codes included in MS-DRG V42.0: Major Esophageal Disorders with CC from October 1, 2024, through September 30, 2025.

MS-DRG: 369

MS-DRG Title: Major Esophageal Disorders with CC

MCD: 06

Relative Weight: 1.0176 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.

Geometric LOS: 1.02 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.

Arithmetic LOS: 3.00 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.

  • B37.8 - Candidiasis of other sites

    • B37.81 - Candidal esophagitis

  • I85.0 - Esophageal varices

    • I85.00 - Esophageal varices without bleeding

    • I85.01 - Esophageal varices with bleeding

  • I85.1 - Secondary esophageal varices

    • I85.11 - Secondary esophageal varices with bleeding

  • K20.8 - Other esophagitis

    • K20.81 - Other esophagitis with bleeding

  • K20.9 - Esophagitis, unspecified

    • K20.91 - Esophagitis, unspecified with bleeding

  • K21.0 - Gastro-esophageal reflux disease with esophagitis

    • K21.01 - Gastro-esophageal reflux disease with esophagitis, with bleeding

  • K22 - Other diseases of esophagus

    • K22.3 - Perforation of esophagus

    • K22.6 - Gastro-esophageal laceration-hemorrhage syndrome

  • Q39 - Congenital malformations of esophagus

    • Q39.0 - Atresia of esophagus without fistula

    • Q39.1 - Atresia of esophagus with tracheo-esophageal fistula

    • Q39.2 - Congenital tracheo-esophageal fistula without atresia

    • Q39.3 - Congenital stenosis and stricture of esophagus

    • Q39.4 - Esophageal web

    • Q39.5 - Congenital dilatation of esophagus

    • Q39.6 - Congenital diverticulum of esophagus

    • Q39.8 - Other congenital malformations of esophagus

    • Q39.9 - Congenital malformation of esophagus, unspecified

  • S27.812 - Contusion of esophagus (thoracic part)

    • S27.812A - Contusion of esophagus (thoracic part), initial encounter

  • S27.813 - Laceration of esophagus (thoracic part)

    • S27.813A - Laceration of esophagus (thoracic part), initial encounter

  • S27.818 - Other injury of esophagus (thoracic part)

    • S27.818A - Other injury of esophagus (thoracic part), initial encounter

  • S27.819 - Unspecified injury of esophagus (thoracic part)

    • S27.819A - Unspecified injury of esophagus (thoracic part), initial encounter

  • T28.1 - Burn of esophagus

    • T28.1XXA - Burn of esophagus, initial encounter

  • T28.6 - Corrosion of esophagus

    • T28.6XXA - Corrosion of esophagus, initial encounter