DRG 441
Medical DRGDisorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC
What is MS-DRG 441?
MS-DRG 441 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 119 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.7947 with a geometric mean length of stay of 4.6 days and an arithmetic mean of 6.3 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
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.
| DRG | Title | Rel. Weight | GMLOS |
|---|---|---|---|
| 441 | Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCCThis page | 1.7947 | 4.6 days |
| 442 | Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC | 0.9653 | 3.2 days |
| 443 | Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC | 0.6997 | 2.4 days |
Linked ICD-10-CM Diagnosis Mappings
- A06.4
Amebic liver abscess
BillableChapter 1 - A51.45
Secondary syphilitic hepatitis
BillableChapter 1 - A52.74
Syphilis of liver and other viscera
BillableChapter 1 - B15.0
Hepatitis A with hepatic coma
BillableChapter 1 - B15.9
Hepatitis A without hepatic coma
BillableChapter 1 - B16.0
Acute hepatitis B with delta-agent with hepatic coma
BillableChapter 1 - B16.1
Acute hepatitis B with delta-agent without hepatic coma
BillableChapter 1 - B16.2
Acute hepatitis B without delta-agent with hepatic coma
BillableChapter 1 - B16.9
Acute hepatitis B without delta-agent and without hepatic coma
BillableChapter 1 - B17.0
Acute delta-(super) infection of hepatitis B carrier
BillableChapter 1 - B17.10
Acute hepatitis C without hepatic coma
BillableChapter 1 - B17.11
Acute hepatitis C with hepatic coma
BillableChapter 1 - B17.2
Acute hepatitis E
BillableChapter 1 - B17.8
Other specified acute viral hepatitis
BillableChapter 1 - B17.9
Acute viral hepatitis, unspecified
BillableChapter 1 - B18.0
Chronic viral hepatitis B with delta-agent
BillableChapter 1 - B18.1
Chronic viral hepatitis B without delta-agent
BillableChapter 1 - B18.2
Chronic viral hepatitis C
BillableChapter 1 - B18.8
Other chronic viral hepatitis
BillableChapter 1 - B18.9
Chronic viral hepatitis, unspecified
BillableChapter 1 - B19.0
Unspecified viral hepatitis with hepatic coma
BillableChapter 1 - B19.10
Unspecified viral hepatitis B without hepatic coma
BillableChapter 1 - B19.11
Unspecified viral hepatitis B with hepatic coma
BillableChapter 1 - B19.20
Unspecified viral hepatitis C without hepatic coma
BillableChapter 1 - B19.21
Unspecified viral hepatitis C with hepatic coma
BillableChapter 1 - B19.9
Unspecified viral hepatitis without hepatic coma
BillableChapter 1 - B25.1
Cytomegaloviral hepatitis
BillableChapter 1 - B26.81
Mumps hepatitis
BillableChapter 1 - B58.1
Toxoplasma hepatitis
BillableChapter 1 - B65.1
Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis]
BillableChapter 1 - B66.0
Opisthorchiasis
BillableChapter 1 - B66.1
Clonorchiasis
BillableChapter 1 - B66.3
Fascioliasis
BillableChapter 1 - B66.5
Fasciolopsiasis
BillableChapter 1 - B67.0
Echinococcus granulosus infection of liver
BillableChapter 1 - B67.5
Echinococcus multilocularis infection of liver
BillableChapter 1 - B67.8
Echinococcosis, unspecified, of liver
BillableChapter 1 - D13.4
Benign neoplasm of liver
BillableChapter 2 - D13.5
Benign neoplasm of extrahepatic bile ducts
BillableChapter 2 - E80.4
Gilbert syndrome
BillableChapter 4 - E80.5
Crigler-Najjar syndrome
BillableChapter 4 - E80.6
Other disorders of bilirubin metabolism
BillableChapter 4 - E80.7
Disorder of bilirubin metabolism, unspecified
BillableChapter 4 - I27.840
Fontan-associated liver disease [FALD]
BillableChapter 9 - I81
Portal vein thrombosis
BillableChapter 9 - I82.0
Budd-Chiari syndrome
BillableChapter 9 - K70.0
Alcoholic fatty liver
BillableChapter 11 - K71.0
Toxic liver disease with cholestasis
BillableChapter 11 - K71.10
Toxic liver disease with hepatic necrosis, without coma
BillableChapter 11 - K71.11
Toxic liver disease with hepatic necrosis, with coma
BillableChapter 11 - K71.2
Toxic liver disease with acute hepatitis
BillableChapter 11 - K71.3
Toxic liver disease with chronic persistent hepatitis
BillableChapter 11 - K71.4
Toxic liver disease with chronic lobular hepatitis
BillableChapter 11 - K71.50
Toxic liver disease with chronic active hepatitis without ascites
BillableChapter 11 - K71.51
Toxic liver disease with chronic active hepatitis with ascites
BillableChapter 11 - K71.6
Toxic liver disease with hepatitis, not elsewhere classified
BillableChapter 11 - K71.7
Toxic liver disease with fibrosis and cirrhosis of liver
BillableChapter 11 - K71.8
Toxic liver disease with other disorders of liver
BillableChapter 11 - K71.9
Toxic liver disease, unspecified
BillableChapter 11 - K72.00
Acute and subacute hepatic failure without coma
BillableChapter 11 - K72.01
Acute and subacute hepatic failure with coma
BillableChapter 11 - K72.10
Chronic hepatic failure without coma
BillableChapter 11 - K72.11
Chronic hepatic failure with coma
BillableChapter 11 - K72.90
Hepatic failure, unspecified without coma
BillableChapter 11 - K72.91
Hepatic failure, unspecified with coma
BillableChapter 11 - K73.0
Chronic persistent hepatitis, not elsewhere classified
BillableChapter 11 - K73.1
Chronic lobular hepatitis, not elsewhere classified
BillableChapter 11 - K73.2
Chronic active hepatitis, not elsewhere classified
BillableChapter 11 - K73.8
Other chronic hepatitis, not elsewhere classified
BillableChapter 11 - K73.9
Chronic hepatitis, unspecified
BillableChapter 11 - K74.1
Hepatic sclerosis
BillableChapter 11 - K74.2
Hepatic fibrosis with hepatic sclerosis
BillableChapter 11 - K75.0
Abscess of liver
BillableChapter 11 - K75.1
Phlebitis of portal vein
BillableChapter 11 - K75.2
Nonspecific reactive hepatitis
BillableChapter 11 - K75.3
Granulomatous hepatitis, not elsewhere classified
BillableChapter 11 - K75.4
Autoimmune hepatitis
BillableChapter 11 - K75.81
Nonalcoholic steatohepatitis (NASH)
BillableChapter 11 - K75.89
Other specified inflammatory liver diseases
BillableChapter 11 - K75.9
Inflammatory liver disease, unspecified
BillableChapter 11 - K76.0
Fatty (change of) liver, not elsewhere classified
BillableChapter 11 - K76.1
Chronic passive congestion of liver
BillableChapter 11 - K76.2
Central hemorrhagic necrosis of liver
BillableChapter 11 - K76.3
Infarction of liver
BillableChapter 11 - K76.4
Peliosis hepatis
BillableChapter 11 - K76.5
Hepatic veno-occlusive disease
BillableChapter 11 - K76.6
Portal hypertension
BillableChapter 11 - K76.7
Hepatorenal syndrome
BillableChapter 11 - K76.82
Hepatic encephalopathy
BillableChapter 11 - K76.89
Other specified diseases of liver
BillableChapter 11 - K76.9
Liver disease, unspecified
BillableChapter 11 - K77
Liver disorders in diseases classified elsewhere
BillableChapter 11 - Q44.0
Agenesis, aplasia and hypoplasia of gallbladder
BillableChapter 17 - Q44.1
Other congenital malformations of gallbladder
BillableChapter 17 - Q44.4
Choledochal cyst
BillableChapter 17 - Q44.5
Other congenital malformations of bile ducts
BillableChapter 17 - Q44.6
Cystic disease of liver
BillableChapter 17 - Q44.70
Other congenital malformation of liver, unspecified
BillableChapter 17 - Q44.71
Alagille syndrome
BillableChapter 17 - Q44.79
Other congenital malformations of liver
BillableChapter 17 - R16.0
Hepatomegaly, not elsewhere classified
BillableChapter 18 - R16.2
Hepatomegaly with splenomegaly, not elsewhere classified
BillableChapter 18 - R17
Unspecified jaundice
BillableChapter 18 - R82.2
Biliuria
BillableChapter 18 - R94.5
Abnormal results of liver function studies
BillableChapter 18 - S36.112A
Contusion of liver, initial encounter
BillableChapter 19 - S36.113A
Laceration of liver, unspecified degree, initial encounter
BillableChapter 19 - S36.114A
Minor laceration of liver, initial encounter
BillableChapter 19 - S36.115A
Moderate laceration of liver, initial encounter
BillableChapter 19 - S36.116A
Major laceration of liver, initial encounter
BillableChapter 19 - S36.118A
Other injury of liver, initial encounter
BillableChapter 19 - S36.119A
Unspecified injury of liver, initial encounter
BillableChapter 19 - T86.40
Unspecified complication of liver transplant
BillableChapter 19 - T86.41
Liver transplant rejection
BillableChapter 19 - T86.42
Liver transplant failure
BillableChapter 19 - T86.43
Liver transplant infection
BillableChapter 19 - T86.49
Other complications of liver transplant
BillableChapter 19 - Z52.6
Liver donor
BillableChapter 21 - Z94.4
Liver transplant status
BillableChapter 21