All ICD10 Codes
MS-DRG 436Medical

Malignancy of Hepatobiliary System or Pancreas with CC

Major Diagnostic Category 07·Grouped by diagnosis·FY 2027

MS-DRG 436 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 07 (MDC 07) with a Complication or Comorbidity (CC). It maps to 25 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.1224 with a geometric mean length of stay of 3.3 days and an arithmetic mean of 4.2 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:
1.1224 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3.3 days (used for transfer payments)
Average stay:
4.2 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
435Malignancy of Hepatobiliary System or Pancreas with MCC1.84304.7 days
436Malignancy of Hepatobiliary System or Pancreas with CC (this page)1.12243.3 days
437Malignancy of Hepatobiliary System or Pancreas without CC/MCC0.80812.3 days

Diagnosis codes (25)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 436. 100% of the codes listed are billable.