ICD-10 MS-DRG v42 (2025)

Medicare Severity Diagnosis Related Group

MDC 07: DISEASES & DISORDERS OF THE HEPATOBILIARY SYSTEM & PANCREAS

ICD10CM Code Assignment

Surgical DRGs

405   PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
406   PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
407   PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
408   BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
409   BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
410   BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
411   CHOLECYSTECTOMY WITH C.D.E. WITH MCC
412   CHOLECYSTECTOMY WITH C.D.E. WITH CC
413   CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC
414   CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
415   CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
416   CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC
417   LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
418   LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
419   LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
420   HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
421   HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
422   HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
423   OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
424   OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
425   OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

If the Principal Diagnosis designated a DRG should be selected from this MDC, AND an O.R. (Operating Room) procedure was performed but does not match the Surgical DRGs listed above, see the Unrelated Operating Room Procedures DRGs.


Medical DRGs

432   CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC
433   CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
434   CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC
435   MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
436   MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
437   MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC
438   DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
439   DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
440   DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
441   DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
442   DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
443   DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
444   DISORDERS OF THE BILIARY TRACT WITH MCC
445   DISORDERS OF THE BILIARY TRACT WITH CC
446   DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
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