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

Medicare Severity Diagnosis Related Group

MDC 06: DISEASES & DISORDERS OF THE DIGESTIVE SYSTEM

ICD10CM Code Assignment

Surgical DRGs

326   STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC
327   STOMACH, ESOPHAGEAL & DUODENAL PROC W CC
328   STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC
329   MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC
330   MAJOR SMALL & LARGE BOWEL PROCEDURES W CC
331   MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC
332   RECTAL RESECTION W MCC
333   RECTAL RESECTION W CC
334   RECTAL RESECTION W/O CC/MCC
335   PERITONEAL ADHESIOLYSIS W MCC
336   PERITONEAL ADHESIOLYSIS W CC
337   PERITONEAL ADHESIOLYSIS W/O CC/MCC
338   APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC
339   APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC
340   APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC
341   APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC
342   APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC
343   APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC
344   MINOR SMALL & LARGE BOWEL PROCEDURES W MCC
345   MINOR SMALL & LARGE BOWEL PROCEDURES W CC
346   MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC
347   ANAL & STOMAL PROCEDURES W MCC
348   ANAL & STOMAL PROCEDURES W CC
349   ANAL & STOMAL PROCEDURES W/O CC/MCC
350   INGUINAL & FEMORAL HERNIA PROCEDURES W MCC
351   INGUINAL & FEMORAL HERNIA PROCEDURES W CC
352   INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC
353   HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC
354   HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC
355   HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC
356   OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC
357   OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC
358   OTHER DIGESTIVE SYSTEM 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

368   MAJOR ESOPHAGEAL DISORDERS W MCC
369   MAJOR ESOPHAGEAL DISORDERS W CC
370   MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC
371   MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC
372   MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC
373   MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC
374   DIGESTIVE MALIGNANCY W MCC
375   DIGESTIVE MALIGNANCY W CC
376   DIGESTIVE MALIGNANCY W/O CC/MCC
377   G.I. HEMORRHAGE W MCC
378   G.I. HEMORRHAGE W CC
379   G.I. HEMORRHAGE W/O CC/MCC
380   COMPLICATED PEPTIC ULCER W MCC
381   COMPLICATED PEPTIC ULCER W CC
382   COMPLICATED PEPTIC ULCER W/O CC/MCC
383   UNCOMPLICATED PEPTIC ULCER W MCC
384   UNCOMPLICATED PEPTIC ULCER W/O MCC
385   INFLAMMATORY BOWEL DISEASE W MCC
386   INFLAMMATORY BOWEL DISEASE W CC
387   INFLAMMATORY BOWEL DISEASE W/O CC/MCC
388   G.I. OBSTRUCTION W MCC
389   G.I. OBSTRUCTION W CC
390   G.I. OBSTRUCTION W/O CC/MCC
391   ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC
392   ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
393   OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC
394   OTHER DIGESTIVE SYSTEM DIAGNOSES W CC
395   OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC
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