MS-DRG 425Surgical

Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC

Major Diagnostic Category 07·Grouped by procedure·FY 2027

MS-DRG 425 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 07 (MDC 07) without a significant Complication or Comorbidity. For FY 2027 it carries a relative weight of 1.8827 with a geometric mean length of stay of 2.6 days and an arithmetic mean of 3.7 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:
1.8827 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
2.6 days (used for transfer payments)
Average stay:
3.7 days (arithmetic mean)
Post-acute transfer policy:
No (not subject to it)

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.

DRGTitleRelative weightMean stay
423Other Hepatobiliary or Pancreas O.R. Procedures with MCC4.16497.8 days
424Other Hepatobiliary or Pancreas O.R. Procedures with CC2.15964.4 days
425Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC (this page)1.88272.6 days

Procedure codes (1,107)

ICD-10-PCS procedures that can group a stay to DRG 425.

Showing the first 1,000 of 1,107 codes. Use search to find a specific code.