DRG 374

Medical DRG

Digestive Malignancy with MCC

TypeMedicalMDC06Dx Codes93

What is MS-DRG 374?

MS-DRG 374 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 06 (MDC 06) with a Major Complication or Comorbidity (MCC). It maps to 93 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 2.1387 with a geometric mean length of stay of 5.5 days and an arithmetic mean of 7.6 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
93 diagnosis
Billable Dx
100%
93 of 93 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
2.1387
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
5.5 days
Used for transfer payment calculations
Arithmetic Mean LOS
7.6 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
374Digestive Malignancy with MCCThis page2.13875.5 days
375Digestive Malignancy with CC1.20963.5 days
376Digestive Malignancy without CC/MCC0.92432.3 days

Linked ICD-10-CM Diagnosis Mappings

  • C15.3

    Malignant neoplasm of upper third of esophagus

    BillableChapter 2
  • C15.4

    Malignant neoplasm of middle third of esophagus

    BillableChapter 2
  • C15.5

    Malignant neoplasm of lower third of esophagus

    BillableChapter 2
  • C15.8

    Malignant neoplasm of overlapping sites of esophagus

    BillableChapter 2
  • C15.9

    Malignant neoplasm of esophagus, unspecified

    BillableChapter 2
  • C16.0

    Malignant neoplasm of cardia

    BillableChapter 2
  • C16.1

    Malignant neoplasm of fundus of stomach

    BillableChapter 2
  • C16.2

    Malignant neoplasm of body of stomach

    BillableChapter 2
  • C16.3

    Malignant neoplasm of pyloric antrum

    BillableChapter 2
  • C16.4

    Malignant neoplasm of pylorus

    BillableChapter 2
  • C16.5

    Malignant neoplasm of lesser curvature of stomach, unspecified

    BillableChapter 2
  • C16.6

    Malignant neoplasm of greater curvature of stomach, unspecified

    BillableChapter 2
  • C16.8

    Malignant neoplasm of overlapping sites of stomach

    BillableChapter 2
  • C16.9

    Malignant neoplasm of stomach, unspecified

    BillableChapter 2
  • C17.0

    Malignant neoplasm of duodenum

    BillableChapter 2
  • C17.1

    Malignant neoplasm of jejunum

    BillableChapter 2
  • C17.2

    Malignant neoplasm of ileum

    BillableChapter 2
  • C17.3

    Meckel's diverticulum, malignant

    BillableChapter 2
  • C17.8

    Malignant neoplasm of overlapping sites of small intestine

    BillableChapter 2
  • C17.9

    Malignant neoplasm of small intestine, unspecified

    BillableChapter 2
  • C18.0

    Malignant neoplasm of cecum

    BillableChapter 2
  • C18.1

    Malignant neoplasm of appendix

    BillableChapter 2
  • C18.2

    Malignant neoplasm of ascending colon

    BillableChapter 2
  • C18.3

    Malignant neoplasm of hepatic flexure

    BillableChapter 2
  • C18.4

    Malignant neoplasm of transverse colon

    BillableChapter 2
  • C18.5

    Malignant neoplasm of splenic flexure

    BillableChapter 2
  • C18.6

    Malignant neoplasm of descending colon

    BillableChapter 2
  • C18.7

    Malignant neoplasm of sigmoid colon

    BillableChapter 2
  • C18.8

    Malignant neoplasm of overlapping sites of colon

    BillableChapter 2
  • C18.9

    Malignant neoplasm of colon, unspecified

    BillableChapter 2
  • C19

    Malignant neoplasm of rectosigmoid junction

    BillableChapter 2
  • C20

    Malignant neoplasm of rectum

    BillableChapter 2
  • C21.0

    Malignant neoplasm of anus, unspecified

    BillableChapter 2
  • C21.1

    Malignant neoplasm of anal canal

    BillableChapter 2
  • C21.2

    Malignant neoplasm of cloacogenic zone

    BillableChapter 2
  • C21.8

    Malignant neoplasm of overlapping sites of rectum, anus and anal canal

    BillableChapter 2
  • C26.0

    Malignant neoplasm of intestinal tract, part unspecified

    BillableChapter 2
  • C26.9

    Malignant neoplasm of ill-defined sites within the digestive system

    BillableChapter 2
  • C45.1

    Mesothelioma of peritoneum

    BillableChapter 2
  • C46.4

    Kaposi's sarcoma of gastrointestinal sites

    BillableChapter 2
  • C48.1

    Malignant neoplasm of specified parts of peritoneum

    BillableChapter 2
  • C48.2

    Malignant neoplasm of peritoneum, unspecified

    BillableChapter 2
  • C48.8

    Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum

    BillableChapter 2
  • C49.A0

    Gastrointestinal stromal tumor, unspecified site

    BillableChapter 2
  • C49.A1

    Gastrointestinal stromal tumor of esophagus

    BillableChapter 2
  • C49.A2

    Gastrointestinal stromal tumor of stomach

    BillableChapter 2
  • C49.A3

    Gastrointestinal stromal tumor of small intestine

    BillableChapter 2
  • C49.A4

    Gastrointestinal stromal tumor of large intestine

    BillableChapter 2
  • C49.A5

    Gastrointestinal stromal tumor of rectum

    BillableChapter 2
  • C49.A9

    Gastrointestinal stromal tumor of other sites

    BillableChapter 2
  • C76.2

    Malignant neoplasm of abdomen

    BillableChapter 2
  • C78.4

    Secondary malignant neoplasm of small intestine

    BillableChapter 2
  • C78.5

    Secondary malignant neoplasm of large intestine and rectum

    BillableChapter 2
  • C78.6

    Secondary malignant neoplasm of retroperitoneum and peritoneum

    BillableChapter 2
  • C78.80

    Secondary malignant neoplasm of unspecified digestive organ

    BillableChapter 2
  • C78.89

    Secondary malignant neoplasm of other digestive organs

    BillableChapter 2
  • C7A.010

    Malignant carcinoid tumor of the duodenum

    BillableChapter 2
  • C7A.011

    Malignant carcinoid tumor of the jejunum

    BillableChapter 2
  • C7A.012

    Malignant carcinoid tumor of the ileum

    BillableChapter 2
  • C7A.019

    Malignant carcinoid tumor of the small intestine, unspecified portion

    BillableChapter 2
  • C7A.020

    Malignant carcinoid tumor of the appendix

    BillableChapter 2
  • C7A.021

    Malignant carcinoid tumor of the cecum

    BillableChapter 2
  • C7A.022

    Malignant carcinoid tumor of the ascending colon

    BillableChapter 2
  • C7A.023

    Malignant carcinoid tumor of the transverse colon

    BillableChapter 2
  • C7A.024

    Malignant carcinoid tumor of the descending colon

    BillableChapter 2
  • C7A.025

    Malignant carcinoid tumor of the sigmoid colon

    BillableChapter 2
  • C7A.026

    Malignant carcinoid tumor of the rectum

    BillableChapter 2
  • C7A.029

    Malignant carcinoid tumor of the large intestine, unspecified portion

    BillableChapter 2
  • C7A.092

    Malignant carcinoid tumor of the stomach

    BillableChapter 2
  • C7A.094

    Malignant carcinoid tumor of the foregut, unspecified

    BillableChapter 2
  • C7A.095

    Malignant carcinoid tumor of the midgut, unspecified

    BillableChapter 2
  • C7A.096

    Malignant carcinoid tumor of the hindgut, unspecified

    BillableChapter 2
  • C7B.04

    Secondary carcinoid tumors of peritoneum

    BillableChapter 2
  • D00.1

    Carcinoma in situ of esophagus

    BillableChapter 2
  • D00.2

    Carcinoma in situ of stomach

    BillableChapter 2
  • D01.0

    Carcinoma in situ of colon

    BillableChapter 2
  • D01.1

    Carcinoma in situ of rectosigmoid junction

    BillableChapter 2
  • D01.2

    Carcinoma in situ of rectum

    BillableChapter 2
  • D01.3

    Carcinoma in situ of anus and anal canal

    BillableChapter 2
  • D01.40

    Carcinoma in situ of unspecified part of intestine

    BillableChapter 2
  • D01.49

    Carcinoma in situ of other parts of intestine

    BillableChapter 2
  • D01.7

    Carcinoma in situ of other specified digestive organs

    BillableChapter 2
  • D01.9

    Carcinoma in situ of digestive organ, unspecified

    BillableChapter 2
  • D37.1

    Neoplasm of uncertain behavior of stomach

    BillableChapter 2
  • D37.2

    Neoplasm of uncertain behavior of small intestine

    BillableChapter 2
  • D37.3

    Neoplasm of uncertain behavior of appendix

    BillableChapter 2
  • D37.4

    Neoplasm of uncertain behavior of colon

    BillableChapter 2
  • D37.5

    Neoplasm of uncertain behavior of rectum

    BillableChapter 2
  • D37.8

    Neoplasm of uncertain behavior of other specified digestive organs

    BillableChapter 2
  • D37.9

    Neoplasm of uncertain behavior of digestive organ, unspecified

    BillableChapter 2
  • D48.3

    Neoplasm of uncertain behavior of retroperitoneum

    BillableChapter 2
  • D48.4

    Neoplasm of uncertain behavior of peritoneum

    BillableChapter 2
  • D49.0

    Neoplasm of unspecified behavior of digestive system

    BillableChapter 2