DRG 385

Medical DRG

Inflammatory Bowel Disease with MCC

TypeMedicalMDC06Dx Codes77

What is MS-DRG 385?

MS-DRG 385 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 77 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.5823 with a geometric mean length of stay of 4.8 days and an arithmetic mean of 6.5 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
77 diagnosis
Billable Dx
100%
77 of 77 shown

FY 2026 Payment Data

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

Relative Weight
1.5823
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
4.8 days
Used for transfer payment calculations
Arithmetic Mean LOS
6.5 days
Average length of stay
Post-Acute Transfer
No
Not subject to the 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
385Inflammatory Bowel Disease with MCCThis page1.58234.8 days
386Inflammatory Bowel Disease with CC0.97633.3 days
387Inflammatory Bowel Disease without CC/MCC0.68132.5 days

Linked ICD-10-CM Diagnosis Mappings

  • K50.00

    Crohn's disease of small intestine without complications

    BillableChapter 11
  • K50.011

    Crohn's disease of small intestine with rectal bleeding

    BillableChapter 11
  • K50.012

    Crohn's disease of small intestine with intestinal obstruction

    BillableChapter 11
  • K50.013

    Crohn's disease of small intestine with fistula

    BillableChapter 11
  • K50.014

    Crohn's disease of small intestine with abscess

    BillableChapter 11
  • K50.018

    Crohn's disease of small intestine with other complication

    BillableChapter 11
  • K50.019

    Crohn's disease of small intestine with unspecified complications

    BillableChapter 11
  • K50.10

    Crohn's disease of large intestine without complications

    BillableChapter 11
  • K50.111

    Crohn's disease of large intestine with rectal bleeding

    BillableChapter 11
  • K50.112

    Crohn's disease of large intestine with intestinal obstruction

    BillableChapter 11
  • K50.113

    Crohn's disease of large intestine with fistula

    BillableChapter 11
  • K50.114

    Crohn's disease of large intestine with abscess

    BillableChapter 11
  • K50.118

    Crohn's disease of large intestine with other complication

    BillableChapter 11
  • K50.119

    Crohn's disease of large intestine with unspecified complications

    BillableChapter 11
  • K50.80

    Crohn's disease of both small and large intestine without complications

    BillableChapter 11
  • K50.811

    Crohn's disease of both small and large intestine with rectal bleeding

    BillableChapter 11
  • K50.812

    Crohn's disease of both small and large intestine with intestinal obstruction

    BillableChapter 11
  • K50.813

    Crohn's disease of both small and large intestine with fistula

    BillableChapter 11
  • K50.814

    Crohn's disease of both small and large intestine with abscess

    BillableChapter 11
  • K50.818

    Crohn's disease of both small and large intestine with other complication

    BillableChapter 11
  • K50.819

    Crohn's disease of both small and large intestine with unspecified complications

    BillableChapter 11
  • K50.90

    Crohn's disease, unspecified, without complications

    BillableChapter 11
  • K50.911

    Crohn's disease, unspecified, with rectal bleeding

    BillableChapter 11
  • K50.912

    Crohn's disease, unspecified, with intestinal obstruction

    BillableChapter 11
  • K50.913

    Crohn's disease, unspecified, with fistula

    BillableChapter 11
  • K50.914

    Crohn's disease, unspecified, with abscess

    BillableChapter 11
  • K50.918

    Crohn's disease, unspecified, with other complication

    BillableChapter 11
  • K50.919

    Crohn's disease, unspecified, with unspecified complications

    BillableChapter 11
  • K51.00

    Ulcerative (chronic) pancolitis without complications

    BillableChapter 11
  • K51.011

    Ulcerative (chronic) pancolitis with rectal bleeding

    BillableChapter 11
  • K51.012

    Ulcerative (chronic) pancolitis with intestinal obstruction

    BillableChapter 11
  • K51.013

    Ulcerative (chronic) pancolitis with fistula

    BillableChapter 11
  • K51.014

    Ulcerative (chronic) pancolitis with abscess

    BillableChapter 11
  • K51.018

    Ulcerative (chronic) pancolitis with other complication

    BillableChapter 11
  • K51.019

    Ulcerative (chronic) pancolitis with unspecified complications

    BillableChapter 11
  • K51.20

    Ulcerative (chronic) proctitis without complications

    BillableChapter 11
  • K51.211

    Ulcerative (chronic) proctitis with rectal bleeding

    BillableChapter 11
  • K51.212

    Ulcerative (chronic) proctitis with intestinal obstruction

    BillableChapter 11
  • K51.213

    Ulcerative (chronic) proctitis with fistula

    BillableChapter 11
  • K51.214

    Ulcerative (chronic) proctitis with abscess

    BillableChapter 11
  • K51.218

    Ulcerative (chronic) proctitis with other complication

    BillableChapter 11
  • K51.219

    Ulcerative (chronic) proctitis with unspecified complications

    BillableChapter 11
  • K51.30

    Ulcerative (chronic) rectosigmoiditis without complications

    BillableChapter 11
  • K51.311

    Ulcerative (chronic) rectosigmoiditis with rectal bleeding

    BillableChapter 11
  • K51.312

    Ulcerative (chronic) rectosigmoiditis with intestinal obstruction

    BillableChapter 11
  • K51.313

    Ulcerative (chronic) rectosigmoiditis with fistula

    BillableChapter 11
  • K51.314

    Ulcerative (chronic) rectosigmoiditis with abscess

    BillableChapter 11
  • K51.318

    Ulcerative (chronic) rectosigmoiditis with other complication

    BillableChapter 11
  • K51.319

    Ulcerative (chronic) rectosigmoiditis with unspecified complications

    BillableChapter 11
  • K51.40

    Inflammatory polyps of colon without complications

    BillableChapter 11
  • K51.411

    Inflammatory polyps of colon with rectal bleeding

    BillableChapter 11
  • K51.412

    Inflammatory polyps of colon with intestinal obstruction

    BillableChapter 11
  • K51.413

    Inflammatory polyps of colon with fistula

    BillableChapter 11
  • K51.414

    Inflammatory polyps of colon with abscess

    BillableChapter 11
  • K51.418

    Inflammatory polyps of colon with other complication

    BillableChapter 11
  • K51.419

    Inflammatory polyps of colon with unspecified complications

    BillableChapter 11
  • K51.50

    Left sided colitis without complications

    BillableChapter 11
  • K51.511

    Left sided colitis with rectal bleeding

    BillableChapter 11
  • K51.512

    Left sided colitis with intestinal obstruction

    BillableChapter 11
  • K51.513

    Left sided colitis with fistula

    BillableChapter 11
  • K51.514

    Left sided colitis with abscess

    BillableChapter 11
  • K51.518

    Left sided colitis with other complication

    BillableChapter 11
  • K51.519

    Left sided colitis with unspecified complications

    BillableChapter 11
  • K51.80

    Other ulcerative colitis without complications

    BillableChapter 11
  • K51.811

    Other ulcerative colitis with rectal bleeding

    BillableChapter 11
  • K51.812

    Other ulcerative colitis with intestinal obstruction

    BillableChapter 11
  • K51.813

    Other ulcerative colitis with fistula

    BillableChapter 11
  • K51.814

    Other ulcerative colitis with abscess

    BillableChapter 11
  • K51.818

    Other ulcerative colitis with other complication

    BillableChapter 11
  • K51.819

    Other ulcerative colitis with unspecified complications

    BillableChapter 11
  • K51.90

    Ulcerative colitis, unspecified, without complications

    BillableChapter 11
  • K51.911

    Ulcerative colitis, unspecified with rectal bleeding

    BillableChapter 11
  • K51.912

    Ulcerative colitis, unspecified with intestinal obstruction

    BillableChapter 11
  • K51.913

    Ulcerative colitis, unspecified with fistula

    BillableChapter 11
  • K51.914

    Ulcerative colitis, unspecified with abscess

    BillableChapter 11
  • K51.918

    Ulcerative colitis, unspecified with other complication

    BillableChapter 11
  • K51.919

    Ulcerative colitis, unspecified with unspecified complications

    BillableChapter 11