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  2. ICD-10 MS-DRG V40.0
  3. MS-DRG - 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC

MS-DRG - 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH 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 - 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH 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
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC 10 1.2653 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.		 3.40 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.		 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.

ICD-10 Codes in Diagnostic Related Group

  • D81.818 - Other biotin-dependent carboxylase deficiency BILLABLE CODE
  • D81.819 - Biotin-dependent carboxylase deficiency, unspecified BILLABLE CODE
  • E15 - Nondiabetic hypoglycemic coma BILLABLE CODE
  • E16.2 - Hypoglycemia, unspecified BILLABLE CODE
  • E20.1 - Pseudohypoparathyroidism BILLABLE CODE
  • E40 - Kwashiorkor BILLABLE CODE
  • E41 - Nutritional marasmus BILLABLE CODE
  • E42 - Marasmic kwashiorkor BILLABLE CODE
  • E43 - Unspecified severe protein-calorie malnutrition BILLABLE CODE
  • E44.0 - Moderate protein-calorie malnutrition BILLABLE CODE
  • E44.1 - Mild protein-calorie malnutrition BILLABLE CODE
  • E45 - Retarded development following protein-calorie malnutrition BILLABLE CODE
  • E46 - Unspecified protein-calorie malnutrition BILLABLE CODE
  • E50.8 - Other manifestations of vitamin A deficiency BILLABLE CODE
  • E50.9 - Vitamin A deficiency, unspecified BILLABLE CODE
  • E51.11 - Dry beriberi BILLABLE CODE
  • E51.12 - Wet beriberi BILLABLE CODE
  • E51.2 - Wernicke's encephalopathy BILLABLE CODE
  • E51.8 - Other manifestations of thiamine deficiency BILLABLE CODE
  • E51.9 - Thiamine deficiency, unspecified BILLABLE CODE
  • E52 - Niacin deficiency [pellagra] BILLABLE CODE
  • E53.0 - Riboflavin deficiency BILLABLE CODE
  • E53.1 - Pyridoxine deficiency BILLABLE CODE
  • E53.8 - Deficiency of other specified B group vitamins BILLABLE CODE
  • E53.9 - Vitamin B deficiency, unspecified BILLABLE CODE
  • E54 - Ascorbic acid deficiency BILLABLE CODE
  • E55.9 - Vitamin D deficiency, unspecified BILLABLE CODE
  • E56.0 - Deficiency of vitamin E BILLABLE CODE
  • E56.1 - Deficiency of vitamin K BILLABLE CODE
  • E56.8 - Deficiency of other vitamins BILLABLE CODE
  • E56.9 - Vitamin deficiency, unspecified BILLABLE CODE
  • E58 - Dietary calcium deficiency BILLABLE CODE
  • E59 - Dietary selenium deficiency BILLABLE CODE
  • E60 - Dietary zinc deficiency BILLABLE CODE
  • E61.0 - Copper deficiency BILLABLE CODE
  • E61.1 - Iron deficiency BILLABLE CODE
  • E61.2 - Magnesium deficiency BILLABLE CODE
  • E61.3 - Manganese deficiency BILLABLE CODE
  • E61.4 - Chromium deficiency BILLABLE CODE
  • E61.5 - Molybdenum deficiency BILLABLE CODE
  • E61.6 - Vanadium deficiency BILLABLE CODE
  • E61.7 - Deficiency of multiple nutrient elements BILLABLE CODE
  • E61.8 - Deficiency of other specified nutrient elements BILLABLE CODE
  • E61.9 - Deficiency of nutrient element, unspecified BILLABLE CODE
  • E63.0 - Essential fatty acid [EFA] deficiency BILLABLE CODE
  • E63.1 - Imbalance of constituents of food intake BILLABLE CODE
  • E63.8 - Other specified nutritional deficiencies BILLABLE CODE
  • E63.9 - Nutritional deficiency, unspecified BILLABLE CODE
  • E64.0 - Sequelae of protein-calorie malnutrition BILLABLE CODE
  • E64.1 - Sequelae of vitamin A deficiency BILLABLE CODE
  • E64.2 - Sequelae of vitamin C deficiency BILLABLE CODE
  • E64.8 - Sequelae of other nutritional deficiencies BILLABLE CODE
  • E64.9 - Sequelae of unspecified nutritional deficiency BILLABLE CODE
  • E65 - Localized adiposity BILLABLE CODE
  • E66.01 - Morbid (severe) obesity due to excess calories BILLABLE CODE
  • E66.09 - Other obesity due to excess calories BILLABLE CODE
  • E66.1 - Drug-induced obesity BILLABLE CODE
  • E66.3 - Overweight BILLABLE CODE
  • E66.8 - Other obesity BILLABLE CODE
  • E66.9 - Obesity, unspecified BILLABLE CODE
  • E67.0 - Hypervitaminosis A BILLABLE CODE
  • E67.1 - Hypercarotenemia BILLABLE CODE
  • E67.2 - Megavitamin-B6 syndrome BILLABLE CODE
  • E67.3 - Hypervitaminosis D BILLABLE CODE
  • E67.8 - Other specified hyperalimentation BILLABLE CODE
  • E68 - Sequelae of hyperalimentation BILLABLE CODE
  • E83.40 - Disorders of magnesium metabolism, unspecified BILLABLE CODE
  • E83.41 - Hypermagnesemia BILLABLE CODE
  • E83.42 - Hypomagnesemia BILLABLE CODE
  • E83.49 - Other disorders of magnesium metabolism BILLABLE CODE
  • E83.50 - Unspecified disorder of calcium metabolism BILLABLE CODE
  • E83.51 - Hypocalcemia BILLABLE CODE
  • E83.52 - Hypercalcemia BILLABLE CODE
  • E83.59 - Other disorders of calcium metabolism BILLABLE CODE
  • E83.81 - Hungry bone syndrome BILLABLE CODE
  • E84.8 - Cystic fibrosis with other manifestations BILLABLE CODE
  • E84.9 - Cystic fibrosis, unspecified BILLABLE CODE
  • E86.0 - Dehydration BILLABLE CODE
  • E86.1 - Hypovolemia BILLABLE CODE
  • E86.9 - Volume depletion, unspecified BILLABLE CODE
  • E87.0 - Hyperosmolality and hypernatremia BILLABLE CODE
  • E87.1 - Hypo-osmolality and hyponatremia BILLABLE CODE
  • E87.2 - Acidosis NON-BILLABLE CODE
  • E87.3 - Alkalosis BILLABLE CODE
  • E87.4 - Mixed disorder of acid-base balance BILLABLE CODE
  • E87.5 - Hyperkalemia BILLABLE CODE
  • E87.6 - Hypokalemia BILLABLE CODE
  • E87.70 - Fluid overload, unspecified BILLABLE CODE
  • E87.71 - Transfusion associated circulatory overload BILLABLE CODE
  • E87.79 - Other fluid overload BILLABLE CODE
  • E87.8 - Other disorders of electrolyte and fluid balance, not elsewhere classified BILLABLE CODE
  • P92.6 - Failure to thrive in newborn BILLABLE CODE
  • R29.0 - Tetany BILLABLE CODE
  • R62.0 - Delayed milestone in childhood BILLABLE CODE
  • R62.50 - Unspecified lack of expected normal physiological development in childhood BILLABLE CODE
  • R62.51 - Failure to thrive (child) BILLABLE CODE
  • R62.52 - Short stature (child) BILLABLE CODE
  • R62.59 - Other lack of expected normal physiological development in childhood BILLABLE CODE
  • R62.7 - Adult failure to thrive BILLABLE CODE
  • R63.0 - Anorexia BILLABLE CODE
  • R63.1 - Polydipsia BILLABLE CODE
  • R63.2 - Polyphagia BILLABLE CODE
  • R63.30 - Feeding difficulties, unspecified BILLABLE CODE
  • R63.31 - Pediatric feeding disorder, acute BILLABLE CODE
  • R63.32 - Pediatric feeding disorder, chronic BILLABLE CODE
  • R63.39 - Other feeding difficulties BILLABLE CODE
  • R63.4 - Abnormal weight loss BILLABLE CODE
  • R63.5 - Abnormal weight gain BILLABLE CODE
  • R63.6 - Underweight BILLABLE CODE
  • R63.8 - Other symptoms and signs concerning food and fluid intake BILLABLE CODE
  • R73.01 - Impaired fasting glucose BILLABLE CODE
  • R73.02 - Impaired glucose tolerance (oral) BILLABLE CODE
  • R73.03 - Prediabetes BILLABLE CODE
  • R73.09 - Other abnormal glucose BILLABLE CODE
  • R73.9 - Hyperglycemia, unspecified BILLABLE CODE
  • R82.4 - Acetonuria BILLABLE CODE
  • Z68.41 - Body mass index [BMI] 40.0-44.9, adult BILLABLE CODE
  • Z68.42 - Body mass index [BMI] 45.0-49.9, adult BILLABLE CODE
  • Z68.43 - Body mass index [BMI] 50.0-59.9, adult BILLABLE CODE
  • Z68.44 - Body mass index [BMI] 60.0-69.9, adult BILLABLE CODE
  • Z68.45 - Body mass index [BMI] 70 or greater, adult BILLABLE CODE