MS-DRG v44.0 · MDC 06: Diseases and Disorders of the Digestive System
368 — Major Esophageal Disorders with MCC
- Relative weight
- 1.6433
- Geometric mean LOS
- 4 days
- Arithmetic mean LOS
- 5.4 days
- Type
- Medical
About MS-DRG 368
MS-DRG 368, Major Esophageal Disorders with MCC, is a medical DRG in MDC 06 (Diseases and Disorders of the Digestive System) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.
Its FY2027 relative weight is 1.6433, so Medicare's base payment for this DRG is about 1.64 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 4 days and the arithmetic mean is 5.4 days.
It belongs to a 3-level severity family: DRG 368 (with MCC, weight 1.6433), DRG 369 (with CC, weight 0.9922) and DRG 370 (without CC/MCC, weight 0.6744). The highest-severity level carries 2.4 times the weight of the lowest, which is why documenting CC and MCC conditions matters.
24 ICD-10-CM diagnosis codes are part of this DRG's grouping logic; they are listed below.
ICD-10-CM codes that group to DRG 368 (24)
Chapter 1: Certain infectious and parasitic diseases
Chapter 9: Diseases of the circulatory system
Chapter 11: Diseases of the digestive system
Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
- Q39.0Atresia of esophagus without fistula
- Q39.1Atresia of esophagus with tracheo-esophageal fistula
- Q39.2Congenital tracheo-esophageal fistula without atresia
- Q39.3Congenital stenosis and stricture of esophagus
- Q39.4Esophageal web
- Q39.5Congenital dilatation of esophagus
- Q39.6Congenital diverticulum of esophagus
- Q39.8Other congenital malformations of esophagus
- Q39.9Congenital malformation of esophagus, unspecified
Chapter 19: Injury, poisoning and certain other consequences of external causes
- S27.812AContusion of esophagus (thoracic part), initial encounter
- S27.813ALaceration of esophagus (thoracic part), initial encounter
- S27.818AOther injury of esophagus (thoracic part), initial encounter
- S27.819AUnspecified injury of esophagus (thoracic part), initial encounter
- T28.1XXABurn of esophagus, initial encounter
- T28.6XXACorrosion of esophagus, initial encounter
Common questions about DRG 368
What is the relative weight of DRG 368?
- 1.6433 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 368?
- The geometric mean length of stay is 4 days; the arithmetic mean is 5.4 days.
Is DRG 368 medical or surgical?
- DRG 368 is a medical DRG.