MELD 3.0 (and MELD-Na): liver disease severity

Hepatology & GI

The transplant-allocation score. MELD 3.0 adds sex and albumin and corrected the under-ranking of women; OPTN adopted it in 2023.

What you enter

Bilirubin (mg/dL or µmol/L)
INR
Creatinine (mg/dL or µmol/L)
Sodium (mmol/L)
Albumin (g/dL or g/L)
Sex: Male / Female
Dialysis twice in the last week: No / Yes

FORMULAMELD 3.0 = 1.33(female) + 4.56 ln(bili) + 0.82(137−Na) − 0.24(137−Na)ln(bili) + 9.09 ln(INR) + 11.14 ln(Cr) + 1.85(3.5−alb) − 1.83(3.5−alb)ln(Cr) + 6; floors 1.0, Cr cap 3.0, Na 125–137, albumin 1.5–3.5

SourceKim WR et al. MELD 3.0: The Model for End-Stage Liver Disease updated for the modern era. Gastroenterology 2021;161:1887-95ReviewedFormula and thresholds checked against the source on 2026-08-22. If the source updates, this line will say so.