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433

MS-DRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC

DRGMedicalMDC 07

MS-DRG 433 is cirrhosis and alcoholic hepatitis with cc, in MDC 07 (a medical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 1.0397, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.20 days. 17 ICD-10-CM principal diagnoses group into MS-DRGs 432–434 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.0397
Geometric mean LOS
3.20
Arithmetic mean LOS
4.10
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 432–434

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 17 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 432–434 the case lands in. The 17 most-searched:

  • K74.60Unspecified cirrhosis of liver
  • K70.30Alcoholic cirrhosis of liver without ascites
  • K70.31Alcoholic cirrhosis of liver with ascites
  • K74.69Other cirrhosis of liver
  • K74.00Hepatic fibrosis, unspecified
  • K74.3Primary biliary cirrhosis
  • K70.10Alcoholic hepatitis without ascites
  • K70.9Alcoholic liver disease, unspecified
  • K70.11Alcoholic hepatitis with ascites
  • K74.5Biliary cirrhosis, unspecified
  • K70.2Alcoholic fibrosis and sclerosis of liver
  • K70.40Alcoholic hepatic failure without coma
  • K70.41Alcoholic hepatic failure with coma
  • K74.01Hepatic fibrosis, early fibrosis
  • K74.02Hepatic fibrosis, advanced fibrosis
  • K74.4Secondary biliary cirrhosis
  • K74.0AHepatic fibrosis, moderate fibrosis

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 433.

432CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC1.9828+0.9431
433CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC1.0397
434CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC0.6413-0.3984

All FY2027 MS-DRGs · MDC 07

MS-DRG (IPPS Table 5)FY2027