MS-DRG v44.0 · MDC 07: Diseases and Disorders of the Hepatobiliary System and Pancreas
432 — Cirrhosis and Alcoholic Hepatitis with MCC
- Relative weight
- 1.9828
- Geometric mean LOS
- 4.9 days
- Arithmetic mean LOS
- 6.7 days
- Type
- Medical
About MS-DRG 432
MS-DRG 432, Cirrhosis and Alcoholic Hepatitis with MCC, is a medical DRG in MDC 07 (Diseases and Disorders of the Hepatobiliary System and Pancreas) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.
Its FY2027 relative weight is 1.9828, so Medicare's base payment for this DRG is about 1.98 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 4.9 days and the arithmetic mean is 6.7 days.
It belongs to a 3-level severity family: DRG 432 (with MCC, weight 1.9828), DRG 433 (with CC, weight 1.0397) and DRG 434 (without CC/MCC, weight 0.6413). The highest-severity level carries 3.1 times the weight of the lowest, which is why documenting CC and MCC conditions matters.
17 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 432 (17)
Chapter 11: Diseases of the digestive system
- K70.10Alcoholic hepatitis without ascites
- K70.11Alcoholic hepatitis with ascites
- K70.2Alcoholic fibrosis and sclerosis of liver
- K70.30Alcoholic cirrhosis of liver without ascites
- K70.31Alcoholic cirrhosis of liver with ascites
- K70.40Alcoholic hepatic failure without coma
- K70.41Alcoholic hepatic failure with coma
- K70.9Alcoholic liver disease, unspecified
- K74.00Hepatic fibrosis, unspecified
- K74.01Hepatic fibrosis, early fibrosis
- K74.02Hepatic fibrosis, advanced fibrosis
- K74.0AHepatic fibrosis, moderate fibrosis
- K74.3Primary biliary cirrhosis
- K74.4Secondary biliary cirrhosis
- K74.5Biliary cirrhosis, unspecified
- K74.60Unspecified cirrhosis of liver
- K74.69Other cirrhosis of liver
Common questions about DRG 432
What is the relative weight of DRG 432?
- 1.9828 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 432?
- The geometric mean length of stay is 4.9 days; the arithmetic mean is 6.7 days.
Is DRG 432 medical or surgical?
- DRG 432 is a medical DRG.