- MS-DRGs are grouped by "Medical Service" to provide a meaningful way of summarizing utilization data.
- MS-DRGs are based on FY 2023 regulations.
| MS-DRG | MS-DRG Description |
|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT |
| 006 | LIVER TRANSPLANT WITHOUT MCC |
| 007 | LUNG TRANSPLANT |
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT |
| 010 | PANCREAS TRANSPLANT |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS |
| 113 | ORBITAL PROCEDURES WITH CC/MCC |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC |
| 137 | MOUTH PROCEDURES WITH CC/MCC |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC |
| 139 | SALIVARY GLAND PROCEDURES |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC |
| 163 | MAJOR CHEST PROCEDURES WITH MCC |
| 164 | MAJOR CHEST PROCEDURES WITH CC |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC |
| 332 | RECTAL RESECTION WITH MCC |
| 333 | RECTAL RESECTION WITH CC |
| 334 | RECTAL RESECTION WITHOUT CC/MCC |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC |
| 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 |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC |
| 570 | SKIN DEBRIDEMENT WITH MCC |
| 571 | SKIN DEBRIDEMENT WITH CC |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC |
| 652 | KIDNEY TRANSPLANT |
| 709 | PENIS PROCEDURES WITH CC/MCC |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC |
| 711 | TESTES PROCEDURES WITH CC/MCC |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC |
| 799 | SPLENECTOMY WITH MCC |
| 800 | SPLENECTOMY WITH CC |
| 801 | SPLENECTOMY WITHOUT CC/MCC |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC |