MS-DRG 432Medical

Cirrhosis and Alcoholic Hepatitis with MCC

Major Diagnostic Category 07·Grouped by diagnosis·FY 2027

MS-DRG 432 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 07 (MDC 07) with a Major Complication or Comorbidity (MCC). It maps to 17 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.9828 with a geometric mean length of stay of 4.9 days and an arithmetic mean of 6.7 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

FY 2027 payment data

From Table 5 of the FY 2027 IPPS Final Rule (CMS).

Relative weight:: 1.9828 (payment multiplier vs. the average case (1.0))
Geometric mean stay:: 4.9 days (used for transfer payments)
Average stay:: 6.7 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.

DRG	Title	Relative weight	Mean stay
432	Cirrhosis and Alcoholic Hepatitis with MCC (this page)	1.9828	4.9 days
433	Cirrhosis and Alcoholic Hepatitis with CC	1.0397	3.2 days
434	Cirrhosis and Alcoholic Hepatitis without CC/MCC	0.6413	2.1 days

Diagnosis codes (17)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 432. 100% of the codes listed are billable.