MS-DRG v44.0 · MDC 06: Diseases and Disorders of the Digestive System
381 — Complicated Peptic Ulcer with CC
- Relative weight
- 1.0838
- Geometric mean LOS
- 3.1 days
- Arithmetic mean LOS
- 3.9 days
- Type
- Medical
About MS-DRG 381
MS-DRG 381, Complicated Peptic Ulcer 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 1.0838, so Medicare's base payment for this DRG is about 1.08 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 3.1 days and the arithmetic mean is 3.9 days.
It belongs to a 3-level severity family: DRG 380 (with MCC, weight 1.9245), DRG 381 (with CC, weight 1.0838) and DRG 382 (without CC/MCC, weight 0.7281). The highest-severity level carries 2.6 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.
31 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 381 (31)
Chapter 4: Endocrine, nutritional and metabolic diseases
Chapter 11: Diseases of the digestive system
- K22.10Ulcer of esophagus without bleeding
- K22.11Ulcer of esophagus with bleeding
- K22.70Barrett's esophagus without dysplasia
- K22.710Barrett's esophagus with low grade dysplasia
- K22.711Barrett's esophagus with high grade dysplasia
- K22.719Barrett's esophagus with dysplasia, unspecified
- K25.1Acute gastric ulcer with perforation
- K25.3Acute gastric ulcer without hemorrhage or perforation
- K25.5Chronic or unspecified gastric ulcer with perforation
- K25.7Chronic gastric ulcer without hemorrhage or perforation
- K25.9Gastric ulcer, unspecified as acute or chronic, without hemorrhage or perforation
- K26.1Acute duodenal ulcer with perforation
- K26.3Acute duodenal ulcer without hemorrhage or perforation
- K26.5Chronic or unspecified duodenal ulcer with perforation
- K26.7Chronic duodenal ulcer without hemorrhage or perforation
- K26.9Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
- K27.1Acute peptic ulcer, site unspecified, with perforation
- K27.3Acute peptic ulcer, site unspecified, without hemorrhage or perforation
- K27.5Chronic or unspecified peptic ulcer, site unspecified, with perforation
- K27.7Chronic peptic ulcer, site unspecified, without hemorrhage or perforation
- K27.9Peptic ulcer, site unspecified, unspecified as acute or chronic, without hemorrhage or perforation
- K28.1Acute gastrojejunal ulcer with perforation
- K28.3Acute gastrojejunal ulcer without hemorrhage or perforation
- K28.5Chronic or unspecified gastrojejunal ulcer with perforation
- K28.7Chronic gastrojejunal ulcer without hemorrhage or perforation
- K28.9Gastrojejunal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
- K31.1Adult hypertrophic pyloric stenosis
- K31.5Obstruction of duodenum
- K31.BHypertrophic pyloric stenosis, in childhood
Chapter 17: Congenital malformations, deformations, chromosomal abnormalities, and genetic disorders
Common questions about DRG 381
What is the relative weight of DRG 381?
- 1.0838 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 381?
- The geometric mean length of stay is 3.1 days; the arithmetic mean is 3.9 days.
Is DRG 381 medical or surgical?
- DRG 381 is a medical DRG.