MS-DRGSurgical
425
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
MS-DRG 425 groups Medicare inpatient hospital stays for: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC. This is a surgical MS-DRG. It falls under MDC 07 (Diseases and Disorders of the Hepatobiliary System and Pancreas).
Payment & Classification Data
Official CMS values from the current fiscal year's IPPS Final Rule.
| Major Diagnostic Category | MDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas |
| DRG Type | Surgical |
| Severity Level | None |
| Relative Weight | 1.5003 |
| Relative Weight (10% Cap Applied) | 1.5003 |
| Geometric Mean Length of Stay | 2.6 days |
| Arithmetic Mean Length of Stay | 3.2 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2026)
1,102 procedure codes appear in its surgical logic (Other Hepatobiliary or Pancreas O.R. Procedures: 1,102): 008W0ZZ, 008W3ZZ, 008W4ZZ, 008X0ZZ, 008X3ZZ, 008X4ZZ, 008Y0ZZ, 008Y3ZZ, 008Y4ZZ, 00PT07Z, 00PT0JZ, 00PT0KZ and 1,090 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.