Gastrointestinal Hemorrhage with CC
Major Diagnostic Category 06·Grouped by diagnosis·FY 2027
MS-DRG 378 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 06 (MDC 06) with a Complication or Comorbidity (CC). It maps to 44 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.9732 with a geometric mean length of stay of 2.9 days and an arithmetic mean of 3.4 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:
- 0.9732 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.9 days (used for transfer payments)
- Average stay:
- 3.4 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.
Diagnosis codes (44)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 378. 100% of the codes listed are billable.
- 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