MS-DRG - 376 DIGESTIVE MALIGNANCY 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 MS-DRG - 376 DIGESTIVE MALIGNANCY WITHOUT Complication Comorbidity/Major Complication or Comorbidity diseases in version MS-DRG V40.0 applicable from 10/01/2022 through 09/30/2023.

MS-DRG	MS-DRG Title	MCD	Relative Weight	Geometric LOS	Arithmetic LOS
376	DIGESTIVE MALIGNANCY WITHOUT CC/MCC	06	0.8778 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.	2.40 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.	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.

ICD-10 Codes in Diagnostic Related Group

C15.3 - Malignant neoplasm of upper third of esophagus BILLABLE CODE
C15.4 - Malignant neoplasm of middle third of esophagus BILLABLE CODE
C15.5 - Malignant neoplasm of lower third of esophagus BILLABLE CODE
C15.8 - Malignant neoplasm of overlapping sites of esophagus BILLABLE CODE
C15.9 - Malignant neoplasm of esophagus, unspecified BILLABLE CODE
C16.0 - Malignant neoplasm of cardia BILLABLE CODE
C16.1 - Malignant neoplasm of fundus of stomach BILLABLE CODE
C16.2 - Malignant neoplasm of body of stomach BILLABLE CODE
C16.3 - Malignant neoplasm of pyloric antrum BILLABLE CODE
C16.4 - Malignant neoplasm of pylorus BILLABLE CODE
C16.5 - Malignant neoplasm of lesser curvature of stomach, unspecified BILLABLE CODE
C16.6 - Malignant neoplasm of greater curvature of stomach, unspecified BILLABLE CODE
C16.8 - Malignant neoplasm of overlapping sites of stomach BILLABLE CODE
C16.9 - Malignant neoplasm of stomach, unspecified BILLABLE CODE
C17.0 - Malignant neoplasm of duodenum BILLABLE CODE
C17.1 - Malignant neoplasm of jejunum BILLABLE CODE
C17.2 - Malignant neoplasm of ileum BILLABLE CODE
C17.3 - Meckel's diverticulum, malignant BILLABLE CODE
C17.8 - Malignant neoplasm of overlapping sites of small intestine BILLABLE CODE
C17.9 - Malignant neoplasm of small intestine, unspecified BILLABLE CODE
C18.0 - Malignant neoplasm of cecum BILLABLE CODE
C18.2 - Malignant neoplasm of ascending colon BILLABLE CODE
C18.3 - Malignant neoplasm of hepatic flexure BILLABLE CODE
C18.4 - Malignant neoplasm of transverse colon BILLABLE CODE
C18.5 - Malignant neoplasm of splenic flexure BILLABLE CODE
C18.6 - Malignant neoplasm of descending colon BILLABLE CODE
C18.7 - Malignant neoplasm of sigmoid colon BILLABLE CODE
C18.8 - Malignant neoplasm of overlapping sites of colon BILLABLE CODE
C18.9 - Malignant neoplasm of colon, unspecified BILLABLE CODE
C19 - Malignant neoplasm of rectosigmoid junction BILLABLE CODE
C20 - Malignant neoplasm of rectum BILLABLE CODE
C21.0 - Malignant neoplasm of anus, unspecified BILLABLE CODE
C21.1 - Malignant neoplasm of anal canal BILLABLE CODE
C21.2 - Malignant neoplasm of cloacogenic zone BILLABLE CODE
C21.8 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal BILLABLE CODE
C26.0 - Malignant neoplasm of intestinal tract, part unspecified BILLABLE CODE
C26.9 - Malignant neoplasm of ill-defined sites within the digestive system BILLABLE CODE
C45.1 - Mesothelioma of peritoneum BILLABLE CODE
C46.4 - Kaposi's sarcoma of gastrointestinal sites BILLABLE CODE
C48.1 - Malignant neoplasm of specified parts of peritoneum BILLABLE CODE
C48.2 - Malignant neoplasm of peritoneum, unspecified BILLABLE CODE
C48.8 - Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum BILLABLE CODE
C49.A0 - Gastrointestinal stromal tumor, unspecified site BILLABLE CODE
C49.A1 - Gastrointestinal stromal tumor of esophagus BILLABLE CODE
C49.A2 - Gastrointestinal stromal tumor of stomach BILLABLE CODE
C49.A3 - Gastrointestinal stromal tumor of small intestine BILLABLE CODE
C49.A4 - Gastrointestinal stromal tumor of large intestine BILLABLE CODE
C49.A5 - Gastrointestinal stromal tumor of rectum BILLABLE CODE
C49.A9 - Gastrointestinal stromal tumor of other sites BILLABLE CODE
C76.2 - Malignant neoplasm of abdomen BILLABLE CODE
C78.4 - Secondary malignant neoplasm of small intestine BILLABLE CODE
C78.5 - Secondary malignant neoplasm of large intestine and rectum BILLABLE CODE
C78.6 - Secondary malignant neoplasm of retroperitoneum and peritoneum BILLABLE CODE
C78.80 - Secondary malignant neoplasm of unspecified digestive organ BILLABLE CODE
C78.89 - Secondary malignant neoplasm of other digestive organs BILLABLE CODE
C7A.010 - Malignant carcinoid tumor of the duodenum BILLABLE CODE
C7A.011 - Malignant carcinoid tumor of the jejunum BILLABLE CODE
C7A.012 - Malignant carcinoid tumor of the ileum BILLABLE CODE
C7A.019 - Malignant carcinoid tumor of the small intestine, unspecified portion BILLABLE CODE
C7A.021 - Malignant carcinoid tumor of the cecum BILLABLE CODE
C7A.022 - Malignant carcinoid tumor of the ascending colon BILLABLE CODE
C7A.023 - Malignant carcinoid tumor of the transverse colon BILLABLE CODE
C7A.024 - Malignant carcinoid tumor of the descending colon BILLABLE CODE
C7A.025 - Malignant carcinoid tumor of the sigmoid colon BILLABLE CODE
C7A.026 - Malignant carcinoid tumor of the rectum BILLABLE CODE
C7A.029 - Malignant carcinoid tumor of the large intestine, unspecified portion BILLABLE CODE
C7A.092 - Malignant carcinoid tumor of the stomach BILLABLE CODE
C7A.094 - Malignant carcinoid tumor of the foregut, unspecified BILLABLE CODE
C7A.095 - Malignant carcinoid tumor of the midgut, unspecified BILLABLE CODE
C7A.096 - Malignant carcinoid tumor of the hindgut, unspecified BILLABLE CODE
C7B.04 - Secondary carcinoid tumors of peritoneum BILLABLE CODE
D00.1 - Carcinoma in situ of esophagus BILLABLE CODE
D00.2 - Carcinoma in situ of stomach BILLABLE CODE
D01.0 - Carcinoma in situ of colon BILLABLE CODE
D01.1 - Carcinoma in situ of rectosigmoid junction BILLABLE CODE
D01.2 - Carcinoma in situ of rectum BILLABLE CODE
D01.3 - Carcinoma in situ of anus and anal canal BILLABLE CODE
D01.40 - Carcinoma in situ of unspecified part of intestine BILLABLE CODE
D01.49 - Carcinoma in situ of other parts of intestine BILLABLE CODE
D01.7 - Carcinoma in situ of other specified digestive organs BILLABLE CODE
D01.9 - Carcinoma in situ of digestive organ, unspecified BILLABLE CODE
D37.1 - Neoplasm of uncertain behavior of stomach BILLABLE CODE
D37.2 - Neoplasm of uncertain behavior of small intestine BILLABLE CODE
D37.3 - Neoplasm of uncertain behavior of appendix BILLABLE CODE
D37.4 - Neoplasm of uncertain behavior of colon BILLABLE CODE
D37.5 - Neoplasm of uncertain behavior of rectum BILLABLE CODE
D37.8 - Neoplasm of uncertain behavior of other specified digestive organs BILLABLE CODE
D37.9 - Neoplasm of uncertain behavior of digestive organ, unspecified BILLABLE CODE
D48.3 - Neoplasm of uncertain behavior of retroperitoneum BILLABLE CODE
D48.4 - Neoplasm of uncertain behavior of peritoneum BILLABLE CODE
D49.0 - Neoplasm of unspecified behavior of digestive system BILLABLE CODE