MS-DRG 386 — INFLAMMATORY BOWEL DISEASE WITH CC
FY2026 payment factors
- Relative weight
- 0.9763
- Geometric mean LOS
- 3.30
- Arithmetic mean LOS
- 4.20
- Post-acute transfer
- No
Other DRGs in MDC 06
The with-MCC, with-CC and without-CC/MCC splits usually sit next to each other here. Those are what a documentation query is actually deciding between, and the weight gap between them is why the query is worth raising.
- 326STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC4.9874
- 327STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC2.4442
- 328STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC1.6023
- 329MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC4.5965
- 330MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC2.3972
- 331MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC1.6829
- 332RECTAL RESECTION WITH MCC3.6207
- 333RECTAL RESECTION WITH CC2.3422
- 334RECTAL RESECTION WITHOUT CC/MCC1.6379
- 335PERITONEAL ADHESIOLYSIS WITH MCC3.5709
- 336PERITONEAL ADHESIOLYSIS WITH CC2.1087
- 337PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC1.5350
- 344MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC2.5828
- 345MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC1.5047
- 346MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC1.1862
- 347ANAL AND STOMAL PROCEDURES WITH MCC2.2956
- 348ANAL AND STOMAL PROCEDURES WITH CC1.3088
- 349ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC0.8706
- 350INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC2.4919
- 351INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC1.5245
- 352INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC1.1678
- 353HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC2.9020
- 354HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC1.6824
- 355HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC1.3450
- 356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC4.3928
- 357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC2.3255
- 358OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC1.3979
- 368MAJOR ESOPHAGEAL DISORDERS WITH MCC1.5919
- 369MAJOR ESOPHAGEAL DISORDERS WITH CC1.0002
- 370MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC0.7008
- 371MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC1.7731
- 372MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC1.0210
- 373MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC0.7274
- 374DIGESTIVE MALIGNANCY WITH MCC2.1387
- 375DIGESTIVE MALIGNANCY WITH CC1.2096
- 376DIGESTIVE MALIGNANCY WITHOUT CC/MCC0.9243
- 377GASTROINTESTINAL HEMORRHAGE WITH MCC1.8280
- 378GASTROINTESTINAL HEMORRHAGE WITH CC0.9807
- 379GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC0.6304
- 380COMPLICATED PEPTIC ULCER WITH MCC1.9622
Working the claim behind this DRG
A DRG is assigned from the diagnoses and procedures already on the claim, so the questions that decide MS-DRG 386 are coding questions. Look the principal diagnosis up in the full ICD-10-CM tabular list with its Excludes1 and “code first” notes attached, or start from the condition instead of the code in the codes-by-condition index. For the secondary diagnoses that move a case between the with-MCC, with-CC and without-CC/MCC splits, paste the whole set into the free claim scrubber and see which pairs collide before the claim goes out — no account, no card.
The supplies, drugs and devices billed alongside an inpatient stay are HCPCS Level II, listed in full at HCPCS by section. If the claim comes back rejected, the denial code index explains what each CARC actually means and what to do about it, and the decision guides walk the sequencing calls that most often cause one — sepsis and diabetes above all.
Every one of those is free and needs no account. This page is the payment table: it says what MS-DRG 386 is worth. Which medical DRG a set of diagnoses lands in is the workspace’s DRG impact check, from the CMS CC/MCC lists; it does not group surgical cases.