MCMedicalCodingSoftware
395

MS-DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

DRGMedicalMDC 06

MS-DRG 395 is other digestive system diagnoses without cc/mcc, in MDC 06 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.6382, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.00 days. 575 ICD-10-CM principal diagnoses group into MS-DRGs 393–395 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
0.6382
Geometric mean LOS
2.00
Arithmetic mean LOS
2.40
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 393–395

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 575 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 393–395 the case lands in. The 24 most-searched:

  • K40.90Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
  • K63.5Polyp of colon
  • Z43.1Encounter for attention to gastrostomy
  • K42.9Umbilical hernia without obstruction or gangrene
  • K62.89Other specified diseases of anus and rectum
  • K63.89Other specified diseases of intestine
  • D12.6Benign neoplasm of colon, unspecified
  • K35.80Unspecified acute appendicitis
  • K37Unspecified appendicitis
  • K40.20Bilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
  • K43.2Incisional hernia without obstruction or gangrene
  • K43.9Ventral hernia without obstruction or gangrene
  • K46.9Unspecified abdominal hernia without obstruction or gangrene
  • K64.9Unspecified hemorrhoids
  • K42.0Umbilical hernia with obstruction, without gangrene
  • K60.30Anal fistula, unspecified
  • K63.1Perforation of intestine (nontraumatic)
  • K64.8Other hemorrhoids
  • K91.89Other postprocedural complications and disorders of digestive system
  • Z43.3Encounter for attention to colostomy
  • K43.6Other and unspecified ventral hernia with obstruction, without gangrene
  • K55.1Chronic vascular disorders of intestine
  • K64.4Residual hemorrhoidal skin tags
  • K94.23Gastrostomy malfunction

551 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 395.

393OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC1.5881+0.9499
394OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC0.9228+0.2846
395OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC0.6382

All FY2027 MS-DRGs · MDC 06

MS-DRG (IPPS Table 5)FY2027