MS-DRG v44.0 · MDC 06: Diseases and Disorders of the Digestive System
378 — Gastrointestinal Hemorrhage with CC
- Relative weight
- 0.9732
- Geometric mean LOS
- 2.9 days
- Arithmetic mean LOS
- 3.4 days
- Type
- Medical
About MS-DRG 378
MS-DRG 378, Gastrointestinal Hemorrhage with CC, 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 0.9732, so Medicare's base payment for this DRG is about 0.97 times the average inpatient case (below average), before hospital-specific adjustments. The geometric mean length of stay is 2.9 days and the arithmetic mean is 3.4 days.
It belongs to a 3-level severity family: DRG 377 (with MCC, weight 1.8127), DRG 378 (with CC, weight 0.9732) and DRG 379 (without CC/MCC, weight 0.6381). The highest-severity level carries 2.8 times the weight of the lowest, which is why documenting CC and MCC conditions matters.
It is subject to Medicare's post-acute care transfer policy, so payment can be reduced when a patient with a shorter-than-average stay is discharged to a skilled nursing facility, home health or another post-acute setting.
44 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 378 (44)
Chapter 11: Diseases of the digestive system
- K25.0Acute gastric ulcer with hemorrhage
- K25.2Acute gastric ulcer with both hemorrhage and perforation
- K25.4Chronic or unspecified gastric ulcer with hemorrhage
- K25.6Chronic or unspecified gastric ulcer with both hemorrhage and perforation
- K26.0Acute duodenal ulcer with hemorrhage
- K26.2Acute duodenal ulcer with both hemorrhage and perforation
- K26.4Chronic or unspecified duodenal ulcer with hemorrhage
- K26.6Chronic or unspecified duodenal ulcer with both hemorrhage and perforation
- K27.0Acute peptic ulcer, site unspecified, with hemorrhage
- K27.2Acute peptic ulcer, site unspecified, with both hemorrhage and perforation
- K27.4Chronic or unspecified peptic ulcer, site unspecified, with hemorrhage
- K27.6Chronic or unspecified peptic ulcer, site unspecified, with both hemorrhage and perforation
- K28.0Acute gastrojejunal ulcer with hemorrhage
- K28.2Acute gastrojejunal ulcer with both hemorrhage and perforation
- K28.4Chronic or unspecified gastrojejunal ulcer with hemorrhage
- K28.6Chronic or unspecified gastrojejunal ulcer with both hemorrhage and perforation
- K29.01Acute gastritis with bleeding
- K29.21Alcoholic gastritis with bleeding
- K29.31Chronic superficial gastritis with bleeding
- K29.41Chronic atrophic gastritis with bleeding
- K29.51Unspecified chronic gastritis with bleeding
- K29.61Other gastritis with bleeding
- K29.71Gastritis, unspecified, with bleeding
- K29.81Duodenitis with bleeding
- K29.91Gastroduodenitis, unspecified, with bleeding
- K31.811Angiodysplasia of stomach and duodenum with bleeding
- K31.82Dieulafoy lesion (hemorrhagic) of stomach and duodenum
- K55.21Angiodysplasia of colon with hemorrhage
- K57.01Diverticulitis of small intestine with perforation and abscess with bleeding
- K57.11Diverticulosis of small intestine without perforation or abscess with bleeding
- K57.13Diverticulitis of small intestine without perforation or abscess with bleeding
- K57.21Diverticulitis of large intestine with perforation and abscess with bleeding
- K57.31Diverticulosis of large intestine without perforation or abscess with bleeding
- K57.33Diverticulitis of large intestine without perforation or abscess with bleeding
- K57.41Diverticulitis of both small and large intestine with perforation and abscess with bleeding
- K57.51Diverticulosis of both small and large intestine without perforation or abscess with bleeding
- K57.53Diverticulitis of both small and large intestine without perforation or abscess with bleeding
- K57.81Diverticulitis of intestine, part unspecified, with perforation and abscess with bleeding
- K57.91Diverticulosis of intestine, part unspecified, without perforation or abscess with bleeding
- K57.93Diverticulitis of intestine, part unspecified, without perforation or abscess with bleeding
- K62.5Hemorrhage of anus and rectum
- K92.0Hematemesis
- K92.1Melena
- K92.2Gastrointestinal hemorrhage, unspecified
Common questions about DRG 378
What is the relative weight of DRG 378?
- 0.9732 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 378?
- The geometric mean length of stay is 2.9 days; the arithmetic mean is 3.4 days.
Is DRG 378 medical or surgical?
- DRG 378 is a medical DRG.