ICD-10 MS-DRG v38 (2021)

Medicare Severity Diagnosis Related Group

MDC 06: DISEASES & DISORDERS OF THE DIGESTIVE SYSTEM

ICD10CM Code Assignment

Surgical DRGs

326   STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
327   STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
328   STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
329   MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
330   MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
331   MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
332   RECTAL RESECTION WITH MCC
333   RECTAL RESECTION WITH CC
334   RECTAL RESECTION WITHOUT CC/MCC
335   PERITONEAL ADHESIOLYSIS WITH MCC
336   PERITONEAL ADHESIOLYSIS WITH CC
337   PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
338   APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC
339   APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
340   APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
341   APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC
342   APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC
343   APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
344   MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
345   MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
346   MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
347   ANAL AND STOMAL PROCEDURES WITH MCC
348   ANAL AND STOMAL PROCEDURES WITH CC
349   ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
350   INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
351   INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
352   INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
353   HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
354   HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
355   HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
356   OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
357   OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
358   OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT 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 WITH MCC
369   MAJOR ESOPHAGEAL DISORDERS WITH CC
370   MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
371   MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
372   MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
373   MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
374   DIGESTIVE MALIGNANCY WITH MCC
375   DIGESTIVE MALIGNANCY WITH CC
376   DIGESTIVE MALIGNANCY WITHOUT CC/MCC
377   GASTROINTESTINAL HEMORRHAGE WITH MCC
378   GASTROINTESTINAL HEMORRHAGE WITH CC
379   GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
380   COMPLICATED PEPTIC ULCER WITH MCC
381   COMPLICATED PEPTIC ULCER WITH CC
382   COMPLICATED PEPTIC ULCER WITHOUT CC/MCC
383   UNCOMPLICATED PEPTIC ULCER WITH MCC
384   UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
385   INFLAMMATORY BOWEL DISEASE WITH MCC
386   INFLAMMATORY BOWEL DISEASE WITH CC
387   INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
388   GASTROINTESTINAL OBSTRUCTION WITH MCC
389   GASTROINTESTINAL OBSTRUCTION WITH CC
390   GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
391   ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
392   ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
393   OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
394   OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
395   OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
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