ICD-10 MS-DRG v37.0 (2020)

Medicare Severity Diagnosis Related Group

MDC 07: DISEASES & DISORDERS OF THE HEPATOBILIARY SYSTEM & PANCREAS

ICD10CM Code Assignment

Surgical DRGs

405   PANCREAS, LIVER & SHUNT PROCEDURES W MCC
406   PANCREAS, LIVER & SHUNT PROCEDURES W CC
407   PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC
408   BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC
409   BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC
410   BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC
411   CHOLECYSTECTOMY W C.D.E. W MCC
412   CHOLECYSTECTOMY W C.D.E. W CC
413   CHOLECYSTECTOMY W C.D.E. W/O CC/MCC
414   CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC
415   CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC
416   CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC
417   LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC
418   LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC
419   LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC
420   HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC
421   HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC
422   HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC
423   OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC
424   OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC
425   OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC

If the Principal Diagnosis designated a DRG should be selected from this MDC, AND an O.R. (Operating Room) procedure was performed but does not match the Surgical DRGs listed above, see the Unrelated Operating Room Procedures DRGs.


Medical DRGs

432   CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC
433   CIRRHOSIS & ALCOHOLIC HEPATITIS W CC
434   CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC
435   MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC
436   MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC
437   MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC
438   DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC
439   DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC
440   DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC
441   DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC
442   DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC
443   DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC
444   DISORDERS OF THE BILIARY TRACT W MCC
445   DISORDERS OF THE BILIARY TRACT W CC
446   DISORDERS OF THE BILIARY TRACT W/O CC/MCC
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