All ICD10 Codes

DRG 140

Surgical DRG

Major Head and Neck Procedures with MCC

TypeSurgicalMDC03

What is MS-DRG 140?

MS-DRG 140 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 03 (MDC 03) with a Major Complication or Comorbidity (MCC). For FY 2026 it carries a relative weight of 4.2653 with a geometric mean length of stay of 6.9 days and an arithmetic mean of 9.1 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
MDC
Major Diagnostic Category 03
Linked Codes
0 diagnosis
183 procedure

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
4.2653
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
6.9 days
Used for transfer payment calculations
Arithmetic Mean LOS
9.1 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
140Major Head and Neck Procedures with MCCThis page4.26536.9 days
141Major Head and Neck Procedures with CC2.18113 days
142Major Head and Neck Procedures without CC/MCC1.59641.9 days

Linked ICD-10-PCS Procedure Mappings

  • 03LH0CZ

    Occlusion of Right Common Carotid Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03LH0ZZ

    Occlusion of Right Common Carotid Artery, Open Approach

    BillableSection 0
  • 03LH3CZ

    Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LH3ZZ

    Occlusion of Right Common Carotid Artery, Percutaneous Approach

    BillableSection 0
  • 03LH4CZ

    Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LH4ZZ

    Occlusion of Right Common Carotid Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LJ0CZ

    Occlusion of Left Common Carotid Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03LJ0ZZ

    Occlusion of Left Common Carotid Artery, Open Approach

    BillableSection 0
  • 03LJ3CZ

    Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LJ3ZZ

    Occlusion of Left Common Carotid Artery, Percutaneous Approach

    BillableSection 0
  • 03LJ4CZ

    Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LJ4ZZ

    Occlusion of Left Common Carotid Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LM0CZ

    Occlusion of Right External Carotid Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03LM0ZZ

    Occlusion of Right External Carotid Artery, Open Approach

    BillableSection 0
  • 03LM3CZ

    Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LM3ZZ

    Occlusion of Right External Carotid Artery, Percutaneous Approach

    BillableSection 0
  • 03LM4CZ

    Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LM4ZZ

    Occlusion of Right External Carotid Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LN0CZ

    Occlusion of Left External Carotid Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03LN0ZZ

    Occlusion of Left External Carotid Artery, Open Approach

    BillableSection 0
  • 03LN3CZ

    Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LN3ZZ

    Occlusion of Left External Carotid Artery, Percutaneous Approach

    BillableSection 0
  • 03LN4CZ

    Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LN4ZZ

    Occlusion of Left External Carotid Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LR0CZ

    Occlusion of Face Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03LR0ZZ

    Occlusion of Face Artery, Open Approach

    BillableSection 0
  • 03LR3CZ

    Occlusion of Face Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LR3ZZ

    Occlusion of Face Artery, Percutaneous Approach

    BillableSection 0
  • 03LR4CZ

    Occlusion of Face Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LR4ZZ

    Occlusion of Face Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LS0CZ

    Occlusion of Right Temporal Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03LS0ZZ

    Occlusion of Right Temporal Artery, Open Approach

    BillableSection 0
  • 03LS3CZ

    Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LS3ZZ

    Occlusion of Right Temporal Artery, Percutaneous Approach

    BillableSection 0
  • 03LS4CZ

    Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LS4ZZ

    Occlusion of Right Temporal Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LT0CZ

    Occlusion of Left Temporal Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03LT0ZZ

    Occlusion of Left Temporal Artery, Open Approach

    BillableSection 0
  • 03LT3CZ

    Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LT3ZZ

    Occlusion of Left Temporal Artery, Percutaneous Approach

    BillableSection 0
  • 03LT4CZ

    Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LT4ZZ

    Occlusion of Left Temporal Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 07T00ZZ

    Resection of Head Lymphatic, Open Approach

    BillableSection 0
  • 07T04ZZ

    Resection of Head Lymphatic, Percutaneous Endoscopic Approach

    BillableSection 0
  • 07T10ZZ

    Resection of Right Neck Lymphatic, Open Approach

    BillableSection 0
  • 07T14ZZ

    Resection of Right Neck Lymphatic, Percutaneous Endoscopic Approach

    BillableSection 0
  • 07T20ZZ

    Resection of Left Neck Lymphatic, Open Approach

    BillableSection 0
  • 07T24ZZ

    Resection of Left Neck Lymphatic, Percutaneous Endoscopic Approach

    BillableSection 0
  • 08Q0XZZ

    Repair Right Eye, External Approach

    BillableSection 0
  • 08Q1XZZ

    Repair Left Eye, External Approach

    BillableSection 0
  • 08T0XZZ

    Resection of Right Eye, External Approach

    BillableSection 0
  • 08T1XZZ

    Resection of Left Eye, External Approach

    BillableSection 0
  • 09HD01Z

    Insertion of Radioactive Element into Right Inner Ear, Open Approach

    BillableSection 0
  • 09HD05Z

    Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Open Approach

    BillableSection 0
  • 09HD06Z

    Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Open Approach

    BillableSection 0
  • 09HD0SZ

    Insertion of Hearing Device into Right Inner Ear, Open Approach

    BillableSection 0
  • 09HD35Z

    Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach

    BillableSection 0
  • 09HD36Z

    Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach

    BillableSection 0
  • 09HD41Z

    Insertion of Radioactive Element into Right Inner Ear, Percutaneous Endoscopic Approach

    BillableSection 0
  • 09HD45Z

    Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach

    BillableSection 0
  • 09HD46Z

    Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach

    BillableSection 0
  • 09HD4SZ

    Insertion of Hearing Device into Right Inner Ear, Percutaneous Endoscopic Approach

    BillableSection 0
  • 09HE01Z

    Insertion of Radioactive Element into Left Inner Ear, Open Approach

    BillableSection 0
  • 09HE05Z

    Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Open Approach

    BillableSection 0
  • 09HE06Z

    Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Open Approach

    BillableSection 0
  • 09HE0SZ

    Insertion of Hearing Device into Left Inner Ear, Open Approach

    BillableSection 0
  • 09HE35Z

    Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach

    BillableSection 0
  • 09HE36Z

    Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach

    BillableSection 0
  • 09HE41Z

    Insertion of Radioactive Element into Left Inner Ear, Percutaneous Endoscopic Approach

    BillableSection 0
  • 09HE45Z

    Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach

    BillableSection 0
  • 09HE46Z

    Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach

    BillableSection 0
  • 09HE4SZ

    Insertion of Hearing Device into Left Inner Ear, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0B510ZZ

    Destruction of Trachea, Open Approach

    BillableSection 0
  • 0B513ZZ

    Destruction of Trachea, Percutaneous Approach

    BillableSection 0
  • 0B514ZZ

    Destruction of Trachea, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0B517ZZ

    Destruction of Trachea, Via Natural or Artificial Opening

    BillableSection 0
  • 0B518ZZ

    Destruction of Trachea, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0BW10FZ

    Revision of Tracheostomy Device in Trachea, Open Approach

    BillableSection 0
  • 0BW14FZ

    Revision of Tracheostomy Device in Trachea, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0CBS0ZZ

    Excision of Larynx, Open Approach

    BillableSection 0
  • 0CBS4ZZ

    Excision of Larynx, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0CT20ZZ

    Resection of Hard Palate, Open Approach

    BillableSection 0
  • 0CT2XZZ

    Resection of Hard Palate, External Approach

    BillableSection 0
  • 0CT70ZZ

    Resection of Tongue, Open Approach

    BillableSection 0
  • 0CT7XZZ

    Resection of Tongue, External Approach

    BillableSection 0
  • 0HR1X73

    Replacement of Face Skin with Autologous Tissue Substitute, Full Thickness, External Approach

    BillableSection 0
  • 0HR1X74

    Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach

    BillableSection 0
  • 0HR4X73

    Replacement of Neck Skin with Autologous Tissue Substitute, Full Thickness, External Approach

    BillableSection 0
  • 0HR4XJZ

    Replacement of Neck Skin with Synthetic Substitute, External Approach

    BillableSection 0
  • 0JR107Z

    Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0JR10KZ

    Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0JX40ZB

    Transfer Right Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach

    BillableSection 0
  • 0JX40ZC

    Transfer Right Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JX50ZB

    Transfer Left Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach

    BillableSection 0
  • 0JX50ZC

    Transfer Left Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0NBT0ZZ

    Excision of Right Mandible, Open Approach

    BillableSection 0
  • 0NBT4ZZ

    Excision of Right Mandible, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NBV0ZZ

    Excision of Left Mandible, Open Approach

    BillableSection 0
  • 0NBV4ZZ

    Excision of Left Mandible, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NNP0ZZ

    Release Right Orbit, Open Approach

    BillableSection 0
  • 0NNP3ZZ

    Release Right Orbit, Percutaneous Approach

    BillableSection 0
  • 0NNP4ZZ

    Release Right Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NNQ0ZZ

    Release Left Orbit, Open Approach

    BillableSection 0
  • 0NNQ3ZZ

    Release Left Orbit, Percutaneous Approach

    BillableSection 0
  • 0NNQ4ZZ

    Release Left Orbit, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRT07Z

    Replacement of Right Mandible with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0NRT0JZ

    Replacement of Right Mandible with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRT0KZ

    Replacement of Right Mandible with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0NRT37Z

    Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRT3JZ

    Replacement of Right Mandible with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRT3KZ

    Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRT47Z

    Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRT4JZ

    Replacement of Right Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRT4KZ

    Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRV07Z

    Replacement of Left Mandible with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0NRV0JZ

    Replacement of Left Mandible with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0NRV0KZ

    Replacement of Left Mandible with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0NRV37Z

    Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRV3JZ

    Replacement of Left Mandible with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRV3KZ

    Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0NRV47Z

    Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRV4JZ

    Replacement of Left Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NRV4KZ

    Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NS104Z

    Reposition Frontal Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NS10ZZ

    Reposition Frontal Bone, Open Approach

    BillableSection 0
  • 0NS134Z

    Reposition Frontal Bone with Internal Fixation Device, Percutaneous Approach

    BillableSection 0
  • 0NS13ZZ

    Reposition Frontal Bone, Percutaneous Approach

    BillableSection 0
  • 0NS144Z

    Reposition Frontal Bone with Internal Fixation Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NS14ZZ

    Reposition Frontal Bone, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NS704Z

    Reposition Occipital Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NS70ZZ

    Reposition Occipital Bone, Open Approach

    BillableSection 0
  • 0NS734Z

    Reposition Occipital Bone with Internal Fixation Device, Percutaneous Approach

    BillableSection 0
  • 0NS73ZZ

    Reposition Occipital Bone, Percutaneous Approach

    BillableSection 0
  • 0NS744Z

    Reposition Occipital Bone with Internal Fixation Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NS74ZZ

    Reposition Occipital Bone, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0NSB04Z

    Reposition Nasal Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSB0ZZ

    Reposition Nasal Bone, Open Approach

    BillableSection 0
  • 0NSC04Z

    Reposition Sphenoid Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSC0ZZ

    Reposition Sphenoid Bone, Open Approach

    BillableSection 0
  • 0NSF04Z

    Reposition Right Ethmoid Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSF0ZZ

    Reposition Right Ethmoid Bone, Open Approach

    BillableSection 0
  • 0NSG04Z

    Reposition Left Ethmoid Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSG0ZZ

    Reposition Left Ethmoid Bone, Open Approach

    BillableSection 0
  • 0NSH04Z

    Reposition Right Lacrimal Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSH0ZZ

    Reposition Right Lacrimal Bone, Open Approach

    BillableSection 0
  • 0NSJ04Z

    Reposition Left Lacrimal Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSJ0ZZ

    Reposition Left Lacrimal Bone, Open Approach

    BillableSection 0
  • 0NSK04Z

    Reposition Right Palatine Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSK0ZZ

    Reposition Right Palatine Bone, Open Approach

    BillableSection 0
  • 0NSL04Z

    Reposition Left Palatine Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSL0ZZ

    Reposition Left Palatine Bone, Open Approach

    BillableSection 0
  • 0NSM04Z

    Reposition Right Zygomatic Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSN04Z

    Reposition Left Zygomatic Bone with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSP04Z

    Reposition Right Orbit with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSP0ZZ

    Reposition Right Orbit, Open Approach

    BillableSection 0
  • 0NSQ04Z

    Reposition Left Orbit with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSQ0ZZ

    Reposition Left Orbit, Open Approach

    BillableSection 0
  • 0NSR04Z

    Reposition Maxilla with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSR0ZZ

    Reposition Maxilla, Open Approach

    BillableSection 0
  • 0NST04Z

    Reposition Right Mandible with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NSV04Z

    Reposition Left Mandible with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0NTT0ZZ

    Resection of Right Mandible, Open Approach

    BillableSection 0
  • 0NTV0ZZ

    Resection of Left Mandible, Open Approach

    BillableSection 0
  • 0RBD0ZZ

    Excision of Left Temporomandibular Joint, Open Approach

    BillableSection 0
  • 0RBD3ZZ

    Excision of Left Temporomandibular Joint, Percutaneous Approach

    BillableSection 0
  • 0RBD4ZZ

    Excision of Left Temporomandibular Joint, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0RRC07Z

    Replacement of Right Temporomandibular Joint with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0RRC0JZ

    Replacement of Right Temporomandibular Joint with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0RRC0KZ

    Replacement of Right Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0RRD07Z

    Replacement of Left Temporomandibular Joint with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0RRD0JZ

    Replacement of Left Temporomandibular Joint with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0RRD0KZ

    Replacement of Left Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0RSC04Z

    Reposition Right Temporomandibular Joint with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0RSC0ZZ

    Reposition Right Temporomandibular Joint, Open Approach

    BillableSection 0
  • 0RSD04Z

    Reposition Left Temporomandibular Joint with Internal Fixation Device, Open Approach

    BillableSection 0
  • 0RSD0ZZ

    Reposition Left Temporomandibular Joint, Open Approach

    BillableSection 0
  • 0RTC0ZZ

    Resection of Right Temporomandibular Joint, Open Approach

    BillableSection 0
  • 0RTD0ZZ

    Resection of Left Temporomandibular Joint, Open Approach

    BillableSection 0
  • 0W9100Z

    Drainage of Cranial Cavity with Drainage Device, Open Approach

    BillableSection 0
  • 0W910ZZ

    Drainage of Cranial Cavity, Open Approach

    BillableSection 0
  • 0WC10ZZ

    Extirpation of Matter from Cranial Cavity, Open Approach

    BillableSection 0
  • 0WC13ZZ

    Extirpation of Matter from Cranial Cavity, Percutaneous Approach

    BillableSection 0
  • 0WC14ZZ

    Extirpation of Matter from Cranial Cavity, Percutaneous Endoscopic Approach

    BillableSection 0