Diagnosis Codes in MS-DRG 435 - Malignancy Of Hepatobiliary System Or Pancreas 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: Malignancy of Hepatobiliary System or Pancreas with MCC from October 1, 2024, through September 30, 2025.
MS-DRG: 435
MS-DRG Title: Malignancy of Hepatobiliary System or Pancreas with MCC
MCD: 07
Relative Weight: 1.8245 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.
Arithmetic LOS: 4.80 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.
- C22 - Malignant neoplasm of liver and intrahepatic bile duct
- C24 - Malignant neoplasm of other and unspecified parts of b
- C25 - Malignant neoplasm of pancreas
- C78 - Secondary malignant neoplasm of respiratory and digest
- C7B.0 - Secondary carcinoid tumors
- D01 - Carcinoma in situ of other and unspecified digestive o
- D37 - Neoplasm of uncertain behavior of oral cavity and dige
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C23 - Malignant neoplasm of gallbladder
C22 - Malignant neoplasm of liver and intrahepatic bile ducts
C22.0 - Liver cell carcinoma
C22.1 - Intrahepatic bile duct carcinoma
C22.2 - Hepatoblastoma
C22.3 - Angiosarcoma of liver
C22.4 - Other sarcomas of liver
C22.7 - Other specified carcinomas of liver
C22.8 - Malignant neoplasm of liver, primary, unspecified as to type
C22.9 - Malignant neoplasm of liver, not specified as primary or secondary
C24 - Malignant neoplasm of other and unspecified parts of biliary tract
C25 - Malignant neoplasm of pancreas
C25.0 - Malignant neoplasm of head of pancreas
C25.1 - Malignant neoplasm of body of pancreas
C25.2 - Malignant neoplasm of tail of pancreas
C25.3 - Malignant neoplasm of pancreatic duct
C25.4 - Malignant neoplasm of endocrine pancreas
C25.7 - Malignant neoplasm of other parts of pancreas
C25.8 - Malignant neoplasm of overlapping sites of pancreas
C25.9 - Malignant neoplasm of pancreas, unspecified
C78 - Secondary malignant neoplasm of respiratory and digestive organs
C78.7 - Secondary malignant neoplasm of liver and intrahepatic bile duct
C7B.0 - Secondary carcinoid tumors
C7B.02 - Secondary carcinoid tumors of liver
D01 - Carcinoma in situ of other and unspecified digestive organs
D01.5 - Carcinoma in situ of liver, gallbladder and bile ducts
D37 - Neoplasm of uncertain behavior of oral cavity and digestive organs
D37.6 - Neoplasm of uncertain behavior of liver, gallbladder and bile ducts