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  3. Diagnosis Codes in MS-DRG 432 - Cirrhosis And Alcoholic Hepatitis With MCC

Diagnosis Codes in MS-DRG 432 - Cirrhosis And Alcoholic Hepatitis With MCC

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: Cirrhosis and Alcoholic Hepatitis with MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 432

MS-DRG Title: Cirrhosis and Alcoholic Hepatitis with MCC

MCD: 07

Relative Weight: 1.9591 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: 1.96 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: 4.90 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.

  • K70 - Alcoholic liver disease

    • K70.2 - Alcoholic fibrosis and sclerosis of liver

    • K70.9 - Alcoholic liver disease, unspecified

  • K70.1 - Alcoholic hepatitis

    • K70.10 - Alcoholic hepatitis without ascites

    • K70.11 - Alcoholic hepatitis with ascites

  • K70.3 - Alcoholic cirrhosis of liver

    • K70.30 - Alcoholic cirrhosis of liver without ascites

    • K70.31 - Alcoholic cirrhosis of liver with ascites

  • K70.4 - Alcoholic hepatic failure

    • K70.40 - Alcoholic hepatic failure without coma

    • K70.41 - Alcoholic hepatic failure with coma

  • K74 - Fibrosis and cirrhosis of liver

    • K74.3 - Primary biliary cirrhosis

    • K74.4 - Secondary biliary cirrhosis

    • K74.5 - Biliary cirrhosis, unspecified

  • K74.0 - Hepatic fibrosis

    • K74.00 - Hepatic fibrosis, unspecified

    • K74.01 - Hepatic fibrosis, early fibrosis

    • K74.02 - Hepatic fibrosis, advanced fibrosis

  • K74.6 - Other and unspecified cirrhosis of liver

    • K74.60 - Unspecified cirrhosis of liver

    • K74.69 - Other cirrhosis of liver