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392

MS-DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC

DRGMedicalMDC 06

MS-DRG 392 is esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc, in MDC 06 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.7645, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.50 days. 250 ICD-10-CM principal diagnoses group into MS-DRGs 391–392 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
0.7645
Geometric mean LOS
2.50
Arithmetic mean LOS
3.10
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 391–392

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 250 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 391–392 the case lands in. The 24 most-searched:

  • K21.9Gastro-esophageal reflux disease without esophagitis
  • R10.9Unspecified abdominal pain
  • R13.10Dysphagia, unspecified
  • R19.7Diarrhea, unspecified
  • K59.00Constipation, unspecified
  • K30Functional dyspepsia
  • K52.9Noninfective gastroenteritis and colitis, unspecified
  • R10.20Pelvic and perineal pain unspecified side
  • R19.5Other fecal abnormalities
  • R10.11Right upper quadrant pain
  • R10.84Generalized abdominal pain
  • R11.2Nausea with vomiting, unspecified
  • A09Infectious gastroenteritis and colitis, unspecified
  • K21.00Gastro-esophageal reflux disease with esophagitis, without bleeding
  • R10.13Epigastric pain
  • R10.23Pelvic and perineal pain bilateral
  • R10.31Right lower quadrant pain
  • R12Heartburn
  • R15.9Full incontinence of feces
  • K44.9Diaphragmatic hernia without obstruction or gangrene
  • K57.30Diverticulosis of large intestine without perforation or abscess without bleeding
  • K58.0Irritable bowel syndrome with diarrhea
  • R10.32Left lower quadrant pain
  • R11.0Nausea

226 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.

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 392.

391ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC1.2392+0.4747
392ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC0.7645

Choosing the principal diagnosis: GERD (gastroesophageal reflux disease) ICD-10 codes, Abdominal pain ICD-10 codes.

All FY2027 MS-DRGs · MDC 06

MS-DRG (IPPS Table 5)FY2027