Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC
Major Diagnostic Category 07·Grouped by diagnosis·FY 2027
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 120 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.8219 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.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 1.8219 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 4.6 days (used for transfer payments)
- Average stay:
- 6.3 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.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 441 | Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC (this page) | 1.8219 | 4.6 days |
| 442 | Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC | 0.9602 | 3.1 days |
| 443 | Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC | 0.6885 | 2.4 days |
Diagnosis codes (120)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 441. 100% of the codes listed are billable.
- A06.4Amebic liver abscess
- A51.45Secondary syphilitic hepatitis
- A52.74Syphilis of liver and other viscera
- B15.0Hepatitis A with hepatic coma
- B15.9Hepatitis A without hepatic coma
- B16.0Acute hepatitis B with delta-agent with hepatic coma
- B16.1Acute hepatitis B with delta-agent without hepatic coma
- B16.2Acute hepatitis B without delta-agent with hepatic coma
- B16.9Acute hepatitis B without delta-agent and without hepatic coma
- B17.0Acute delta-(super) infection of hepatitis B carrier
- B17.10Acute hepatitis C without hepatic coma
- B17.11Acute hepatitis C with hepatic coma
- B17.2Acute hepatitis E
- B17.8Other specified acute viral hepatitis
- B17.9Acute viral hepatitis, unspecified
- B18.0Chronic viral hepatitis B with delta-agent
- B18.1Chronic viral hepatitis B without delta-agent
- B18.2Chronic viral hepatitis C
- B18.8Other chronic viral hepatitis
- B18.9Chronic viral hepatitis, unspecified
- B19.0Unspecified viral hepatitis with hepatic coma
- B19.10Unspecified viral hepatitis B without hepatic coma
- B19.11Unspecified viral hepatitis B with hepatic coma
- B19.20Unspecified viral hepatitis C without hepatic coma
- B19.21Unspecified viral hepatitis C with hepatic coma
- B19.9Unspecified viral hepatitis without hepatic coma
- B25.1Cytomegaloviral hepatitis
- B26.81Mumps hepatitis
- B58.1Toxoplasma hepatitis
- B65.1Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis]
- B66.0Opisthorchiasis
- B66.1Clonorchiasis
- B66.3Fascioliasis
- B66.5Fasciolopsiasis
- B67.0Echinococcus granulosus infection of liver
- B67.5Echinococcus multilocularis infection of liver
- B67.8Echinococcosis, unspecified, of liver
- D13.4Benign neoplasm of liver
- D13.5Benign neoplasm of extrahepatic bile ducts
- E80.4Gilbert syndrome
- E80.5Crigler-Najjar syndrome
- E80.6Other disorders of bilirubin metabolism
- E80.7Disorder of bilirubin metabolism, unspecified
- I27.840Fontan-associated liver disease [FALD]
- I81Portal vein thrombosis
- I82.0Budd-Chiari syndrome
- K70.0Alcoholic fatty liver
- K71.0Toxic liver disease with cholestasis
- K71.10Toxic liver disease with hepatic necrosis, without coma
- K71.11Toxic liver disease with hepatic necrosis, with coma
- K71.2Toxic liver disease with acute hepatitis
- K71.3Toxic liver disease with chronic persistent hepatitis
- K71.4Toxic liver disease with chronic lobular hepatitis
- K71.50Toxic liver disease with chronic active hepatitis without ascites
- K71.51Toxic liver disease with chronic active hepatitis with ascites
- K71.6Toxic liver disease with hepatitis, not elsewhere classified
- K71.7Toxic liver disease with fibrosis and cirrhosis of liver
- K71.8Toxic liver disease with other disorders of liver
- K71.9Toxic liver disease, unspecified
- K72.00Acute and subacute hepatic failure without coma
- K72.01Acute and subacute hepatic failure with coma
- K72.10Chronic hepatic failure without coma
- K72.11Chronic hepatic failure with coma
- K72.90Hepatic failure, unspecified without coma
- K72.91Hepatic failure, unspecified with coma
- K73.0Chronic persistent hepatitis, not elsewhere classified
- K73.1Chronic lobular hepatitis, not elsewhere classified
- K73.2Chronic active hepatitis, not elsewhere classified
- K73.8Other chronic hepatitis, not elsewhere classified
- K73.9Chronic hepatitis, unspecified
- K74.1Hepatic sclerosis
- K74.2Hepatic fibrosis with hepatic sclerosis
- K75.0Abscess of liver
- K75.1Phlebitis of portal vein
- K75.2Nonspecific reactive hepatitis
- K75.3Granulomatous hepatitis, not elsewhere classified
- K75.4Autoimmune hepatitis
- K75.81Nonalcoholic steatohepatitis (NASH)
- K75.89Other specified inflammatory liver diseases
- K75.9Inflammatory liver disease, unspecified
- K76.0Fatty (change of) liver, not elsewhere classified
- K76.1Chronic passive congestion of liver
- K76.2Central hemorrhagic necrosis of liver
- K76.3Infarction of liver
- K76.4Peliosis hepatis
- K76.5Hepatic veno-occlusive disease
- K76.6Portal hypertension
- K76.7Hepatorenal syndrome
- K76.82Hepatic encephalopathy
- K76.83Intestinal failure-associated liver disease
- K76.89Other specified diseases of liver
- K76.9Liver disease, unspecified
- K77Liver disorders in diseases classified elsewhere
- Q44.0Agenesis, aplasia and hypoplasia of gallbladder
- Q44.1Other congenital malformations of gallbladder
- Q44.4Choledochal cyst
- Q44.5Other congenital malformations of bile ducts
- Q44.6Cystic disease of liver
- Q44.70Other congenital malformation of liver, unspecified
- Q44.71Alagille syndrome
- Q44.79Other congenital malformations of liver
- R16.0Hepatomegaly, not elsewhere classified
- R16.2Hepatomegaly with splenomegaly, not elsewhere classified
- R17Unspecified jaundice
- R82.2Biliuria
- R94.5Abnormal results of liver function studies
- S36.112AContusion of liver, initial encounter
- S36.113ALaceration of liver, unspecified degree, initial encounter
- S36.114AMinor laceration of liver, initial encounter
- S36.115AModerate laceration of liver, initial encounter
- S36.116AMajor laceration of liver, initial encounter
- S36.118AOther injury of liver, initial encounter
- S36.119AUnspecified injury of liver, initial encounter
- T86.40Unspecified complication of liver transplant
- T86.41Liver transplant rejection
- T86.42Liver transplant failure
- T86.43Liver transplant infection
- T86.49Other complications of liver transplant
- Z52.6Liver donor
- Z94.4Liver transplant status
