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

MDC 07 Diseases & Disorders of the Hepatobiliary System & Pancreas

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

MCC	CC	DRG
Yes	n/a	405
No	Yes	406
No	No	407

Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.

MCC	CC	DRG
Yes	n/a	408
No	Yes	409
No	No	410

Cholecystectomy

C.D.E	Laparoscopic	MCC	CC	DRG
Yes		Yes	n/a	411
Yes		No	Yes	412
Yes		No	No	413
No	No	Yes	n/a	414
No	No	No	Yes	415
No	No	No	No	416
No	Yes	Yes	No	417
No	Yes	No	Yes	418
No	Yes	No	No	419

Hepatobiliary Diagnostic Procedures

MCC	CC	DRG
Yes	n/a	420
No	Yes	421
No	No	422

Other Hepatobiliary or Pancreas Procedures

MCC	CC	DRG
Yes	n/a	423
No	Yes	424
No	No	425

Medical DRGs. Principal Diagnosis of ...

Cirrhosis and Alcoholic Hepatitis

MCC	CC	DRG
Yes	n/a	432
No	Yes	433
No	No	434

Malignancy of Hepatobiliary System or Pancreas

MCC	CC	DRG
Yes	n/a	435
No	Yes	436
No	No	437

Disorders of Pancreas Except Malignancy

MCC	CC	DRG
Yes	n/a	438
No	Yes	439
No	No	440

Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis

MCC	CC	DRG
Yes	n/a	441
No	Yes	442
No	No	443

Disorders of Biliary Tract

MCC	CC	DRG
Yes	n/a	444
No	Yes	445
No	No	446

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
14 Apr 2020 14:43:32
CMS, code-revision=250, description-revision=1275

C.D.E	Laparoscopic	MCC	CC	DRG
Yes		Yes	n/a	411
Yes		No	Yes	412
Yes		No	No	413
No	No	Yes	n/a	414
No	No	No	Yes	415
No	No	No	No	416
No	Yes	Yes	No	417
No	Yes	No	Yes	418
No	Yes	No	No	419

C.D.E	Laparoscopic	MCC	CC	DRG
Yes		Yes	n/a	411
Yes		No	Yes	412
Yes		No	No	413
No	No	Yes	n/a	414
No	No	No	Yes	415
No	No	No	No	416
No	Yes	Yes	No	417
No	Yes	No	Yes	418
No	Yes	No	No	419

C.D.E	Laparoscopic	MCC	CC	DRG
Yes		Yes	n/a	411
Yes		No	Yes	412
Yes		No	No	413
No	No	Yes	n/a	414
No	No	No	Yes	415
No	No	No	No	416
No	Yes	Yes	No	417
No	Yes	No	Yes	418
No	Yes	No	No	419