Gastrointestinal Obstruction with CC
Major Diagnostic Category 06·Grouped by diagnosis·FY 2027
MS-DRG 389 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 06 (MDC 06) with a Complication or Comorbidity (CC). It maps to 19 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.7891 with a geometric mean length of stay of 2.9 days and an arithmetic mean of 3.6 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:
- 0.7891 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.9 days (used for transfer payments)
- Average stay:
- 3.6 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 (19)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 389. 100% of the codes listed are billable.
- K56.0Paralytic ileus
- K56.1Intussusception
- K56.2Volvulus
- K56.3Gallstone ileus
- K56.41Fecal impaction
- K56.49Other impaction of intestine
- K56.50Intestinal adhesions [bands], unspecified as to partial versus complete obstruction
- K56.51Intestinal adhesions [bands], with partial obstruction
- K56.52Intestinal adhesions [bands] with complete obstruction
- K56.600Partial intestinal obstruction, unspecified as to cause
- K56.601Complete intestinal obstruction, unspecified as to cause
- K56.609Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction
- K56.690Other partial intestinal obstruction
- K56.691Other complete intestinal obstruction
- K56.699Other intestinal obstruction unspecified as to partial versus complete obstruction
- K56.7Ileus, unspecified
- K91.30Postprocedural intestinal obstruction, unspecified as to partial versus complete
- K91.31Postprocedural partial intestinal obstruction
- K91.32Postprocedural complete intestinal obstruction
