Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC
Major Diagnostic Category 06·Grouped by diagnosis·FY 2027
MS-DRG 373 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 06 (MDC 06) without a significant Complication or Comorbidity. It maps to 86 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.6941 with a geometric mean length of stay of 2.6 days and an arithmetic mean of 3.1 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 0.6941 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.6 days (used for transfer payments)
- Average stay:
- 3.1 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
Same condition, other severity levels
CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 371 | Major Gastrointestinal Disorders and Peritoneal Infections with MCC | 1.7089 | 5.1 days |
| 372 | Major Gastrointestinal Disorders and Peritoneal Infections with CC | 0.9964 | 3.5 days |
| 373 | Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC (this page) | 0.6941 | 2.6 days |
Diagnosis codes (86)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 373. 100% of the codes listed are billable.
- A00.0Cholera due to Vibrio cholerae 01, biovar cholerae
- A00.1Cholera due to Vibrio cholerae 01, biovar eltor
- A00.9Cholera, unspecified
- A02.0Salmonella enteritis
- A03.0Shigellosis due to Shigella dysenteriae
- A03.1Shigellosis due to Shigella flexneri
- A03.2Shigellosis due to Shigella boydii
- A03.3Shigellosis due to Shigella sonnei
- A03.8Other shigellosis
- A03.9Shigellosis, unspecified
- A04.0Enteropathogenic Escherichia coli infection
- A04.1Enterotoxigenic Escherichia coli infection
- A04.2Enteroinvasive Escherichia coli infection
- A04.3Enterohemorrhagic Escherichia coli infection
- A04.4Other intestinal Escherichia coli infections
- A04.5Campylobacter enteritis
- A04.6Enteritis due to Yersinia enterocolitica
- A04.71Enterocolitis due to Clostridium difficile, recurrent
- A04.72Enterocolitis due to Clostridium difficile, not specified as recurrent
- A04.8Other specified bacterial intestinal infections
- A04.9Bacterial intestinal infection, unspecified
- A05.0Foodborne staphylococcal intoxication
- A05.2Foodborne Clostridium perfringens [Clostridium welchii] intoxication
- A05.3Foodborne Vibrio parahaemolyticus intoxication
- A05.4Foodborne Bacillus cereus intoxication
- A05.5Foodborne Vibrio vulnificus intoxication
- A05.8Other specified bacterial foodborne intoxications
- A06.0Acute amebic dysentery
- A06.1Chronic intestinal amebiasis
- A06.2Amebic nondysenteric colitis
- A07.0Balantidiasis
- A07.1Giardiasis [lambliasis]
- A07.2Cryptosporidiosis
- A07.3Isosporiasis
- A07.4Cyclosporiasis
- A07.8Other specified protozoal intestinal diseases
- A07.9Protozoal intestinal disease, unspecified
- A18.31Tuberculous peritonitis
- A18.32Tuberculous enteritis
- A18.39Retroperitoneal tuberculosis
- A18.83Tuberculosis of digestive tract organs, not elsewhere classified
- A21.3Gastrointestinal tularemia
- A22.2Gastrointestinal anthrax
- A42.1Abdominal actinomycosis
- A54.85Gonococcal peritonitis
- B69.0Cysticercosis of central nervous system
- B69.1Cysticercosis of eye
- B69.81Myositis in cysticercosis
- B69.89Cysticercosis of other sites
- B69.9Cysticercosis, unspecified
- B70.1Sparganosis
- B71.0Hymenolepiasis
- B71.1Dipylidiasis
- B71.8Other specified cestode infections
- B71.9Cestode infection, unspecified
- B76.0Ancylostomiasis
- B76.1Necatoriasis
- B76.8Other hookworm diseases
- B76.9Hookworm disease, unspecified
- K35.200Acute appendicitis with generalized peritonitis, without perforation or abscess
- K35.201Acute appendicitis with generalized peritonitis, with perforation, without abscess
- K35.209Acute appendicitis with generalized peritonitis, without abscess, unspecified as to perforation
- K35.210Acute appendicitis with generalized peritonitis, without perforation, with abscess
- K35.211Acute appendicitis with generalized peritonitis, with perforation and abscess
- K35.219Acute appendicitis with generalized peritonitis, with abscess, unspecified as to perforation
- K35.30Acute appendicitis with localized peritonitis, without perforation or gangrene
- K35.31Acute appendicitis with localized peritonitis and gangrene, without perforation
- K35.32Acute appendicitis with perforation, localized peritonitis, and gangrene, without abscess
- K35.33Acute appendicitis with perforation, localized peritonitis, and gangrene, with abscess
- K35.890Other acute appendicitis without perforation or gangrene
- K35.891Other acute appendicitis without perforation, with gangrene
- K63.0Abscess of intestine
- K65.0Generalized (acute) peritonitis
- K65.1Peritoneal abscess
- K65.2Spontaneous bacterial peritonitis
- K65.8Other peritonitis
- K65.9Peritonitis, unspecified
- K67Disorders of peritoneum in infectious diseases classified elsewhere
- K68.12Psoas muscle abscess
- K68.19Other retroperitoneal abscess
- K68.2Retroperitoneal fibrosis
- K68.3Retroperitoneal hematoma
- K68.9Other disorders of retroperitoneum
- K6A.01Prevesical abscess
- K6A.09Other pelvic abscess
- K6A.8Other diseases of the pelvis, not elsewhere classified
