MS-DRG 380: COMPLICATED PEPTIC ULCER WITH MCC
MS-DRG 380 is complicated peptic ulcer with mcc, in MDC 06 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.9245, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.90 days. 22 ICD-10-CM principal diagnoses group into MS-DRGs 380–382 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 1.9245
- Geometric mean LOS
- 4.90
- Arithmetic mean LOS
- 6.40
- Post-acute transfer
- Yes
This DRG is subject to the post-acute care transfer policy: a discharge to a qualifying setting below the mean length of stay is paid per diem rather than in full.
Principal diagnoses that group to MS-DRGs 380–382
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 22 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 380–382 the case lands in. The 22 most-searched:
- K22.70Barrett's esophagus without dysplasia
- K22.10Ulcer of esophagus without bleeding
- K31.1Adult hypertrophic pyloric stenosis
- K22.11Ulcer of esophagus with bleeding
- K25.1Acute gastric ulcer with perforation
- K26.1Acute duodenal ulcer with perforation
- K28.1Acute gastrojejunal ulcer with perforation
- K28.5Chronic or unspecified gastrojejunal ulcer with perforation
- K31.5Obstruction of duodenum
- E16.4Increased secretion of gastrin
- K22.710Barrett's esophagus with low grade dysplasia
- K22.711Barrett's esophagus with high grade dysplasia
- K22.719Barrett's esophagus with dysplasia, unspecified
- K25.5Chronic or unspecified gastric ulcer with perforation
- K26.5Chronic or unspecified duodenal ulcer with perforation
- K27.1Acute peptic ulcer, site unspecified, with perforation
- K27.5Chronic or unspecified peptic ulcer, site unspecified, with perforation
- K28.3Acute gastrojejunal ulcer without hemorrhage or perforation
- K28.7Chronic gastrojejunal ulcer without hemorrhage or perforation
- K28.9Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
- Q43.0Meckel's diverticulum (displaced) (hypertrophic)
- K31.BHypertrophic pyloric stenosis, in childhood
The severity splits
Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 380.
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | 1.9245 | |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | 1.0838 | -0.8407 |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | 0.7281 | -1.1964 |
All FY2027 MS-DRGs · MDC 06