ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual

MDC 06 Diseases and disorders of the digestive system

Surgical DRGs. O.R.Procedure of ...

Stomach, esophageal and duodenal procedures

MCC	CC	DRG
Yes	n/a	326
No	Yes	327
No	No	328

Major small and large bowel procedures

MCC	CC	DRG
Yes	n/a	329
No	Yes	330
No	No	331

Rectal resection

MCC	CC	DRG
Yes	n/a	332
No	Yes	333
No	No	334

Peritoneal adhesiolysis

MCC	CC	DRG
Yes	n/a	335
No	Yes	336
No	No	337

Appendectomy

Complicated PDX	MCC	CC	DRG
Yes	Yes	n/a	338
Yes	No	Yes	339
Yes	No	No	340
No	Yes	n/a	341
No	No	Yes	342
No	No	No	343

Minor small and large bowel procedures

MCC	CC	DRG
Yes	n/a	344
No	Yes	345
No	No	346

Anal and stomal procedures

MCC	CC	DRG
Yes	n/a	347
No	Yes	348
No	No	349

Hernia procedures

Inguinal and Femoral	MCC	CC	DRG
Yes	Yes	n/a	350
Yes	No	Yes	351
Yes	No	No	352
No	Yes	n/a	353
No	No	Yes	354
No	No	No	355

Other digestive system O.R. procedures

MCC	CC	DRG
Yes	n/a	356
No	Yes	357
No	No	358

Medical DRGs. Principal Diagnosis of ...

Major esophageal disorders

MCC	CC	DRG
Yes	n/a	368
No	Yes	369
No	No	370

Major gastrointestinal disorders and peritoneal infections

MCC	CC	DRG
Yes	n/a	371
No	Yes	372
No	No	373

Digestive malignancy

MCC	CC	DRG
Yes	n/a	374
No	Yes	375
No	No	376

Gastrointestinal hemorrhage

MCC	CC	DRG
Yes	n/a	377
No	Yes	378
No	No	379

Peptic ulcer

Complicated	MCC	CC	DRG
Yes	Yes	n/a	380
Yes	No	Yes	381
Yes	No	No	382
No	Yes	n/a	383
No	No	n/a	384

Inflammatory bowel disease

MCC	CC	DRG
Yes	n/a	385
No	Yes	386
No	No	387

Gastrointestinal obstruction

MCC	CC	DRG
Yes	n/a	388
No	Yes	389
No	No	390

Esophagitis, gastroenteritis and miscellaneous digestive disorders

MCC	DRG
Yes	391
No	392

Other digestive system diagnoses

MCC	CC	DRG
Yes	n/a	393
No	Yes	394
No	No	395

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
17 Sep 2020 09:49:17
CMS, code-revision=275, description-revision=1286

Complicated PDX	MCC	CC	DRG
Yes	Yes	n/a	338
Yes	No	Yes	339
Yes	No	No	340
No	Yes	n/a	341
No	No	Yes	342
No	No	No	343

Inguinal and Femoral	MCC	CC	DRG
Yes	Yes	n/a	350
Yes	No	Yes	351
Yes	No	No	352
No	Yes	n/a	353
No	No	Yes	354
No	No	No	355

Complicated PDX	MCC	CC	DRG
Yes	Yes	n/a	338
Yes	No	Yes	339
Yes	No	No	340
No	Yes	n/a	341
No	No	Yes	342
No	No	No	343

Inguinal and Femoral	MCC	CC	DRG
Yes	Yes	n/a	350
Yes	No	Yes	351
Yes	No	No	352
No	Yes	n/a	353
No	No	Yes	354
No	No	No	355

Complicated PDX	MCC	CC	DRG
Yes	Yes	n/a	338
Yes	No	Yes	339
Yes	No	No	340
No	Yes	n/a	341
No	No	Yes	342
No	No	No	343

Inguinal and Femoral	MCC	CC	DRG
Yes	Yes	n/a	350
Yes	No	Yes	351
Yes	No	No	352
No	Yes	n/a	353
No	No	Yes	354
No	No	No	355