MS-DRG
MS-DRG 379: G.I. Hemorrhage without CC/MCC
Uncomplicated GI bleed
DRG
379
MDC
MDC 06: Digestive System
Severity
without CC/MCC
Relative weight
0.6234
Avg LOS
2.2 days
Typical indications
- Self-limited GI bleed
Common denial patterns
- Inpatient vs observation
Appeal angles
Document Hgb drop + endoscopy plan.
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. 379 has relative weight 0.6234. 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 379?
G.I. Hemorrhage without CC/MCC. Uncomplicated GI bleed.
What are typical indications?
Self-limited GI bleed.
Why are claims under this DRG denied?
Inpatient vs observation.
How do I appeal?
Document Hgb drop + endoscopy plan.
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