375 MS-DRG: DIGESTIVE MALIGNANCY WITH CC
MS-DRG 375 groups Medicare inpatient hospital stays for: DIGESTIVE MALIGNANCY WITH CC. This is a medical MS-DRG. It falls under MDC 06 (Diseases and Disorders of the Digestive System).
Payment & Classification Data
Official CMS values from the current fiscal year's IPPS Final Rule.
| Major Diagnostic Category | MDC 06 — Diseases and Disorders of the Digestive System |
| DRG Type | Medical |
| Severity Level | CC |
| Relative Weight | 1.2096 |
| Relative Weight (10% Cap Applied) | 1.2096 |
| Geometric Mean Length of Stay | 3.5 days |
| Arithmetic Mean Length of Stay | 4.5 days |
| Post-Acute Transfer DRG | Yes |
| Special Pay Transfer DRG | No |
Defining Codes (FY2026)
93 diagnosis codes can drive assignment here: C15.3, C15.4, C15.5, C15.8, C15.9, C16.0, C16.1, C16.2, C16.3, C16.4, C16.5, C16.6 and 81 more.
From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.
Contextual Map
Every relationship of 375 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Major Diagnostic Category
- MDC 06 — Diseases and Disorders of the Digestive System[MDC]— CMS MS-DRG Definitions Manual · FY2026
Defining diagnoses (93)
- C15.3 — Malignant neoplasm of upper third of esophagus[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- C15.4 — Malignant neoplasm of middle third of esophagus[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- C15.5 — Malignant neoplasm of lower third of esophagus[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- C15.8 — Malignant neoplasm of overlapping sites of esophagus[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- C15.9 — Malignant neoplasm of esophagus, unspecified[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- C16.0 — Malignant neoplasm of cardia[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- C16.1 — Malignant neoplasm of fundus of stomach[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- C16.2 — Malignant neoplasm of body of stomach[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 85 more
DRG family
- DRG 374 — DIGESTIVE MALIGNANCY WITH MCC[DRG family]: “DIGESTIVE MALIGNANCY WITH MCC — same CMS DRG family (374-376), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 374-376) · FY2026
- DRG 376 — DIGESTIVE MALIGNANCY WITHOUT CC/MCC[DRG family]: “DIGESTIVE MALIGNANCY WITHOUT CC/MCC — same CMS DRG family (374-376), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 374-376) · FY2026
Read from: CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43. All data sources · How to read the labels