420
MS-DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
DRGSurgicalMDC 07
MS-DRG 420 is hepatobiliary diagnostic procedures with mcc, in MDC 07 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.0664, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 6.50 days.
FY2027 payment factors
- Relative weight
- 3.0664
- Geometric mean LOS
- 6.50
- Arithmetic mean LOS
- 8.70
- Post-acute transfer
- No
CMS caps year-over-year weight decreases at 10%. Before the cap this DRG weighs 3.0263; the capped weight above is the one used for payment. 41 DRGs differ this way in FY2027.
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 420.
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | 3.0664 | |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | 1.7121 | -1.3543 |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | 1.4255 | -1.6409 |
All FY2027 MS-DRGs · MDC 07