MS-DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
MS-DRG 436 is malignancy of hepatobiliary system or pancreas with cc, in MDC 07 (a medical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 1.1224, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.30 days. 25 ICD-10-CM principal diagnoses group into MS-DRGs 435–437 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 1.1224
- Geometric mean LOS
- 3.30
- Arithmetic mean LOS
- 4.20
- Post-acute transfer
- No
Principal diagnoses that group to MS-DRGs 435–437
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 25 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 435–437 the case lands in. The 24 most-searched:
- C78.7Secondary malignant neoplasm of liver and intrahepatic bile duct
- C25.9Malignant neoplasm of pancreas, unspecified
- C22.0Liver cell carcinoma
- C25.0Malignant neoplasm of head of pancreas
- C22.1Intrahepatic bile duct carcinoma
- C23Malignant neoplasm of gallbladder
- C24.1Malignant neoplasm of ampulla of Vater
- C25.1Malignant neoplasm of body of pancreas
- C22.9Malignant neoplasm of liver, not specified as primary or secondary
- C25.2Malignant neoplasm of tail of pancreas
- C22.8Malignant neoplasm of liver, primary, unspecified as to type
- C24.0Malignant neoplasm of extrahepatic bile duct
- C25.3Malignant neoplasm of pancreatic duct
- C24.9Malignant neoplasm of biliary tract, unspecified
- C25.4Malignant neoplasm of endocrine pancreas
- D37.6Neoplasm of uncertain behavior of liver, gallbladder and bile ducts
- C25.8Malignant neoplasm of overlapping sites of pancreas
- C22.2Hepatoblastoma
- C22.3Angiosarcoma of liver
- C22.4Other sarcomas of liver
- C22.7Other specified carcinomas of liver
- C24.8Malignant neoplasm of overlapping sites of biliary tract
- C25.7Malignant neoplasm of other parts of pancreas
- C7B.02Secondary carcinoid tumors of liver
1 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 436.
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 1.8430 | +0.7206 |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | 1.1224 | |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | 0.8081 | -0.3143 |
All FY2027 MS-DRGs · MDC 07