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MS-DRGMedical

441

DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC

MS-DRG 441 groups Medicare inpatient hospital stays for: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC. This is a medical 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 CategoryMDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas
DRG TypeMedical
Severity LevelMCC
Relative Weight1.7947
Relative Weight (10% Cap Applied)1.7947
Geometric Mean Length of Stay4.6 days
Arithmetic Mean Length of Stay6.3 days
Post-Acute Transfer DRGYes
Special Pay Transfer DRGNo

Defining Codes (FY2026)

119 diagnosis codes can drive assignment here: A06.4, A51.45, A52.74, B15.0, B15.9, B16.0, B16.1, B16.2, B16.9, B17.0, B17.10, B17.11 and 107 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 441 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 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas [MDC]

Defining diagnoses (119)

  • A06.4 — Amebic liver abscess [Grouper diagnosis]
  • A51.45 — Secondary syphilitic hepatitis [Grouper diagnosis]
  • A52.74 — Syphilis of liver and other viscera [Grouper diagnosis]
  • B15.0 — Hepatitis A with hepatic coma [Grouper diagnosis]
  • B15.9 — Hepatitis A without hepatic coma [Grouper diagnosis]
  • B16.0 — Acute hepatitis B with delta-agent with hepatic coma [Grouper diagnosis]
  • B16.1 — Acute hepatitis B with delta-agent without hepatic coma [Grouper diagnosis]
  • B16.2 — Acute hepatitis B without delta-agent with hepatic coma [Grouper diagnosis]
  • and 111 more

DRG family

  • DRG 442 — DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC [DRG family]: “DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC — same CMS DRG family (441-443), split by severity.”
  • DRG 443 — DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC [DRG family]: “DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC — same CMS DRG family (441-443), split by severity.”