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  3. Diagnosis Codes in MS-DRG 440 - Disorders Of Pancreas Except Malignancy Without CC/MCC

Diagnosis Codes in MS-DRG 440 - Disorders Of Pancreas Except Malignancy Without CC/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: Disorders of Pancreas Except Malignancy without CC/MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 440

MS-DRG Title: Disorders of Pancreas Except Malignancy without CC/MCC

MCD: 07

Relative Weight: 0.6151 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: 0.62 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: 2.30 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.

  1. B25 - Cytomegaloviral disease
  2. B26 - Mumps
  3. D13 - Benign neoplasm of other and ill-defined parts of dige
  4. K85.0 - Idiopathic acute pancreatitis
  5. K85.1 - Biliary acute pancreatitis
  6. K85.2 - Alcohol induced acute pancreatitis
  7. K85.3 - Drug induced acute pancreatitis
  8. K85.8 - Other acute pancreatitis
  9. K85.9 - Acute pancreatitis, unspecified
  10. K86 - Other diseases of pancreas
  11. K86.8 - Other specified diseases of pancreas
  12. Q45 - Other congenital malformations of digestive system
  13. S36.200 - Unspecified injury of head of pancreas
  14. S36.201 - Unspecified injury of body of pancreas
  15. S36.202 - Unspecified injury of tail of pancreas
  16. S36.209 - Unspecified injury of unspecified part of pancreas
  17. S36.220 - Contusion of head of pancreas
  18. S36.221 - Contusion of body of pancreas
  19. S36.222 - Contusion of tail of pancreas
  20. S36.229 - Contusion of unspecified part of pancreas
  21. S36.230 - Laceration of head of pancreas, unspecified degree
  22. S36.231 - Laceration of body of pancreas, unspecified degree
  23. S36.232 - Laceration of tail of pancreas, unspecified degree
  24. S36.239 - Laceration of unspecified part of pancreas, unspec
  25. S36.240 - Minor laceration of head of pancreas
  26. S36.241 - Minor laceration of body of pancreas
  27. S36.242 - Minor laceration of tail of pancreas
  28. S36.249 - Minor laceration of unspecified part of pancreas
  29. S36.250 - Moderate laceration of head of pancreas
  30. S36.251 - Moderate laceration of body of pancreas
  31. S36.252 - Moderate laceration of tail of pancreas
  32. S36.259 - Moderate laceration of unspecified part of pancrea
  33. S36.260 - Major laceration of head of pancreas
  34. S36.261 - Major laceration of body of pancreas
  35. S36.262 - Major laceration of tail of pancreas
  36. S36.269 - Major laceration of unspecified part of pancreas
  37. S36.290 - Other injury of head of pancreas
  38. S36.291 - Other injury of body of pancreas
  39. S36.292 - Other injury of tail of pancreas
  40. S36.299 - Other injury of unspecified part of pancreas
  41. T86.89 - Complications of other transplanted tissue
  42. Z94.8 - Other transplanted organ and tissue status

  • B25 - Cytomegaloviral disease

    • B25.2 - Cytomegaloviral pancreatitis

  • B26 - Mumps

    • B26.3 - Mumps pancreatitis

  • D13 - Benign neoplasm of other and ill-defined parts of digestive system

    • D13.6 - Benign neoplasm of pancreas

  • K85.0 - Idiopathic acute pancreatitis

    • K85.00 - Idiopathic acute pancreatitis without necrosis or infection

    • K85.01 - Idiopathic acute pancreatitis with uninfected necrosis

    • K85.02 - Idiopathic acute pancreatitis with infected necrosis

  • K85.1 - Biliary acute pancreatitis

    • K85.10 - Biliary acute pancreatitis without necrosis or infection

    • K85.11 - Biliary acute pancreatitis with uninfected necrosis

    • K85.12 - Biliary acute pancreatitis with infected necrosis

  • K85.2 - Alcohol induced acute pancreatitis

    • K85.20 - Alcohol induced acute pancreatitis without necrosis or infection

    • K85.21 - Alcohol induced acute pancreatitis with uninfected necrosis

    • K85.22 - Alcohol induced acute pancreatitis with infected necrosis

  • K85.3 - Drug induced acute pancreatitis

    • K85.30 - Drug induced acute pancreatitis without necrosis or infection

    • K85.31 - Drug induced acute pancreatitis with uninfected necrosis

    • K85.32 - Drug induced acute pancreatitis with infected necrosis

  • K85.8 - Other acute pancreatitis

    • K85.80 - Other acute pancreatitis without necrosis or infection

    • K85.81 - Other acute pancreatitis with uninfected necrosis

    • K85.82 - Other acute pancreatitis with infected necrosis

  • K85.9 - Acute pancreatitis, unspecified

    • K85.90 - Acute pancreatitis without necrosis or infection, unspecified

    • K85.91 - Acute pancreatitis with uninfected necrosis, unspecified

    • K85.92 - Acute pancreatitis with infected necrosis, unspecified

  • K86 - Other diseases of pancreas

    • K86.0 - Alcohol-induced chronic pancreatitis

    • K86.1 - Other chronic pancreatitis

    • K86.2 - Cyst of pancreas

    • K86.3 - Pseudocyst of pancreas

    • K86.9 - Disease of pancreas, unspecified

  • K86.8 - Other specified diseases of pancreas

    • K86.81 - Exocrine pancreatic insufficiency

    • K86.89 - Other specified diseases of pancreas

  • Q45 - Other congenital malformations of digestive system

    • Q45.0 - Agenesis, aplasia and hypoplasia of pancreas

    • Q45.1 - Annular pancreas

    • Q45.2 - Congenital pancreatic cyst

    • Q45.3 - Other congenital malformations of pancreas and pancreatic duct

  • S36.200 - Unspecified injury of head of pancreas

    • S36.200A - Unspecified injury of head of pancreas, initial encounter

  • S36.201 - Unspecified injury of body of pancreas

    • S36.201A - Unspecified injury of body of pancreas, initial encounter

  • S36.202 - Unspecified injury of tail of pancreas

    • S36.202A - Unspecified injury of tail of pancreas, initial encounter

  • S36.209 - Unspecified injury of unspecified part of pancreas

    • S36.209A - Unspecified injury of unspecified part of pancreas, initial encounter

  • S36.220 - Contusion of head of pancreas

    • S36.220A - Contusion of head of pancreas, initial encounter

  • S36.221 - Contusion of body of pancreas

    • S36.221A - Contusion of body of pancreas, initial encounter

  • S36.222 - Contusion of tail of pancreas

    • S36.222A - Contusion of tail of pancreas, initial encounter

  • S36.229 - Contusion of unspecified part of pancreas

    • S36.229A - Contusion of unspecified part of pancreas, initial encounter

  • S36.230 - Laceration of head of pancreas, unspecified degree

    • S36.230A - Laceration of head of pancreas, unspecified degree, initial encounter

  • S36.231 - Laceration of body of pancreas, unspecified degree

    • S36.231A - Laceration of body of pancreas, unspecified degree, initial encounter

  • S36.232 - Laceration of tail of pancreas, unspecified degree

    • S36.232A - Laceration of tail of pancreas, unspecified degree, initial encounter

  • S36.239 - Laceration of unspecified part of pancreas, unspecified degree

    • S36.239A - Laceration of unspecified part of pancreas, unspecified degree, initial encounter

  • S36.240 - Minor laceration of head of pancreas

    • S36.240A - Minor laceration of head of pancreas, initial encounter

  • S36.241 - Minor laceration of body of pancreas

    • S36.241A - Minor laceration of body of pancreas, initial encounter

  • S36.242 - Minor laceration of tail of pancreas

    • S36.242A - Minor laceration of tail of pancreas, initial encounter

  • S36.249 - Minor laceration of unspecified part of pancreas

    • S36.249A - Minor laceration of unspecified part of pancreas, initial encounter

  • S36.250 - Moderate laceration of head of pancreas

    • S36.250A - Moderate laceration of head of pancreas, initial encounter

  • S36.251 - Moderate laceration of body of pancreas

    • S36.251A - Moderate laceration of body of pancreas, initial encounter

  • S36.252 - Moderate laceration of tail of pancreas

    • S36.252A - Moderate laceration of tail of pancreas, initial encounter

  • S36.259 - Moderate laceration of unspecified part of pancreas

    • S36.259A - Moderate laceration of unspecified part of pancreas, initial encounter

  • S36.260 - Major laceration of head of pancreas

    • S36.260A - Major laceration of head of pancreas, initial encounter

  • S36.261 - Major laceration of body of pancreas

    • S36.261A - Major laceration of body of pancreas, initial encounter

  • S36.262 - Major laceration of tail of pancreas

    • S36.262A - Major laceration of tail of pancreas, initial encounter

  • S36.269 - Major laceration of unspecified part of pancreas

    • S36.269A - Major laceration of unspecified part of pancreas, initial encounter

  • S36.290 - Other injury of head of pancreas

    • S36.290A - Other injury of head of pancreas, initial encounter

  • S36.291 - Other injury of body of pancreas

    • S36.291A - Other injury of body of pancreas, initial encounter

  • S36.292 - Other injury of tail of pancreas

    • S36.292A - Other injury of tail of pancreas, initial encounter

  • S36.299 - Other injury of unspecified part of pancreas

    • S36.299A - Other injury of unspecified part of pancreas, initial encounter

  • T86.89 - Complications of other transplanted tissue

    • T86.890 - Other transplanted tissue rejection

    • T86.891 - Other transplanted tissue failure

    • T86.892 - Other transplanted tissue infection

    • T86.898 - Other complications of other transplanted tissue

    • T86.899 - Unspecified complication of other transplanted tissue

  • Z94.8 - Other transplanted organ and tissue status

    • Z94.83 - Pancreas transplant status