MS-DRG 434: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC
MS-DRG 434 is cirrhosis and alcoholic hepatitis without cc/mcc, in MDC 07 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.6413, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.10 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
- 0.6413
- Geometric mean LOS
- 2.10
- Arithmetic mean LOS
- 2.60
- Post-acute transfer
- No
CMS caps year-over-year weight decreases at 10%. Before the cap this DRG weighs 0.6249; the capped weight above is the one used for payment. 41 DRGs differ this way in FY2027.
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 434.
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 1.9828 | +1.3415 |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 1.0397 | +0.3984 |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | 0.6413 |
All FY2027 MS-DRGs · MDC 07