DRG 442

Medical DRG

Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC

TypeMedicalMDC07Dx Codes119

What is MS-DRG 442?

MS-DRG 442 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 07 (MDC 07) with a Complication or Comorbidity (CC). It maps to 119 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 0.9653 with a geometric mean length of stay of 3.2 days and an arithmetic mean of 4 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
119 diagnosis
Billable Dx
100%
119 of 119 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
0.9653
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.2 days
Used for transfer payment calculations
Arithmetic Mean LOS
4 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

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.

DRGTitleRel. WeightGMLOS
441Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC1.79474.6 days
442Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CCThis page0.96533.2 days
443Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC0.69972.4 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