395 MS-DRG: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
MS-DRG 395 groups Medicare inpatient hospital stays for: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC. 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 FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 06 — Diseases and Disorders of the Digestive System |
| DRG Type | Medical |
| Severity Level | None |
| Relative Weight | 0.6382 |
| Relative Weight (10% Cap Applied) | 0.6382 |
| Geometric Mean Length of Stay | 2 days |
| Arithmetic Mean Length of Stay | 2.4 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
575 diagnosis codes can drive assignment here: A51.1, A54.6, A56.3, B00.81, D12.0, D12.1, D12.2, D12.3, D12.4, D12.5, D12.6, D12.7 and 563 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 395 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 · FY2027
Defining diagnoses (575)
- A51.1 — Primary anal syphilis[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A54.6 — Gonococcal infection of anus and rectum[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A56.3 — Chlamydial infection of anus and rectum[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- B00.81 — Herpesviral hepatitis[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- D12.0 — Benign neoplasm of cecum[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- D12.1 — Benign neoplasm of appendix[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- D12.2 — Benign neoplasm of ascending colon[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- D12.3 — Benign neoplasm of transverse colon[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 567 more
DRG family
- DRG 393 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC[DRG family]: “OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC — same CMS DRG family (393-395), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 393-395) · FY2027
- DRG 394 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC[DRG family]: “OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC — same CMS DRG family (393-395), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 393-395) · FY2027
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 — v44. All data sources · How to read the labels