MS-DRG
MS-DRG 378: G.I. Hemorrhage with CC
GI bleed + CC
DRG
378
MDC
MDC 06: Digestive System
Severity
with CC
Relative weight
0.8542
Avg LOS
3.0 days
Typical indications
- GI bleed + anemia
Common denial patterns
- CC validation
Appeal angles
Document CC.
Context: how MS-DRGs work
MS-DRGs bundle hospital inpatient payment into a single amount per admission. Each DRG has a relative weight that multiplies the hospital's base rate to determine payment. 378 has relative weight 0.8542. Major Complication or Comorbidity (MCC) and Complication or Comorbidity (CC) secondary diagnoses can move a case to a higher-paying DRG within the same family.
Frequently asked questions
What is MS-DRG 378?
G.I. Hemorrhage with CC. GI bleed + CC.
What are typical indications?
GI bleed + anemia.
Why are claims under this DRG denied?
CC validation.
How do I appeal?
Document CC.
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