Gastrointestinal Obstruction with MCC: Inpatient Reimbursement Overview
DRG 388 encompasses inpatient stays for gastrointestinal obstruction when a Major Complication or Comorbidity is present; it includes obstructive processes that require higher-acuity care. This Diagnosis-Related Group matters for inpatient reimbursement because the presence of a Major Complication or Comorbidity increases resource use and impacts Centers for Medicare & Medicaid Services payment classification and hospital case-mix index.
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DRG 388 Overview
DRG 388 covers inpatient admissions for gastrointestinal obstruction with at least one Major Complication or Comorbidity present. Typical clinical cases include small-bowel or large-bowel obstruction due to adhesions, hernia, malignancy, or inflammatory causes accompanied by severe physiologic derangements or significant comorbid conditions. This Diagnosis-Related Group affects resource intensity because the Major Complication or Comorbidity often necessitates more complex diagnostics, higher-acuity medical management, or operative intervention. It is important for Centers for Medicare & Medicaid Services payment determinations and hospital case-mix reimbursement.