MS-DRG 140Surgical
Major Head and Neck Procedures with MCC
Major Diagnostic Category 03·Grouped by procedure·FY 2027
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 2027 it carries a relative weight of 4.3117 with a geometric mean length of stay of 7 days and an arithmetic mean of 9.2 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 4.3117 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 7 days (used for transfer payments)
- Average stay:
- 9.2 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
Same condition, other severity levels
CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.
Procedure codes (183)
ICD-10-PCS procedures that can group a stay to DRG 140.
- 03LH0CZOcclusion of Right Common Carotid Artery with Extraluminal Device, Open Approach
- 03LH0ZZOcclusion of Right Common Carotid Artery, Open Approach
- 03LH3CZOcclusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Approach
- 03LH3ZZOcclusion of Right Common Carotid Artery, Percutaneous Approach
- 03LH4CZOcclusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
- 03LH4ZZOcclusion of Right Common Carotid Artery, Percutaneous Endoscopic Approach
- 03LJ0CZOcclusion of Left Common Carotid Artery with Extraluminal Device, Open Approach
- 03LJ0ZZOcclusion of Left Common Carotid Artery, Open Approach
- 03LJ3CZOcclusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach
- 03LJ3ZZOcclusion of Left Common Carotid Artery, Percutaneous Approach
- 03LJ4CZOcclusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
- 03LJ4ZZOcclusion of Left Common Carotid Artery, Percutaneous Endoscopic Approach
- 03LM0CZOcclusion of Right External Carotid Artery with Extraluminal Device, Open Approach
- 03LM0ZZOcclusion of Right External Carotid Artery, Open Approach
- 03LM3CZOcclusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Approach
- 03LM3ZZOcclusion of Right External Carotid Artery, Percutaneous Approach
- 03LM4CZOcclusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
- 03LM4ZZOcclusion of Right External Carotid Artery, Percutaneous Endoscopic Approach
- 03LN0CZOcclusion of Left External Carotid Artery with Extraluminal Device, Open Approach
- 03LN0ZZOcclusion of Left External Carotid Artery, Open Approach
- 03LN3CZOcclusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Approach
- 03LN3ZZOcclusion of Left External Carotid Artery, Percutaneous Approach
- 03LN4CZOcclusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
- 03LN4ZZOcclusion of Left External Carotid Artery, Percutaneous Endoscopic Approach
- 03LR0CZOcclusion of Face Artery with Extraluminal Device, Open Approach
- 03LR0ZZOcclusion of Face Artery, Open Approach
- 03LR3CZOcclusion of Face Artery with Extraluminal Device, Percutaneous Approach
- 03LR3ZZOcclusion of Face Artery, Percutaneous Approach
- 03LR4CZOcclusion of Face Artery with Extraluminal Device, Percutaneous Endoscopic Approach
- 03LR4ZZOcclusion of Face Artery, Percutaneous Endoscopic Approach
- 03LS0CZOcclusion of Right Temporal Artery with Extraluminal Device, Open Approach
- 03LS0ZZOcclusion of Right Temporal Artery, Open Approach
- 03LS3CZOcclusion of Right Temporal Artery with Extraluminal Device, Percutaneous Approach
- 03LS3ZZOcclusion of Right Temporal Artery, Percutaneous Approach
- 03LS4CZOcclusion of Right Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
- 03LS4ZZOcclusion of Right Temporal Artery, Percutaneous Endoscopic Approach
- 03LT0CZOcclusion of Left Temporal Artery with Extraluminal Device, Open Approach
- 03LT0ZZOcclusion of Left Temporal Artery, Open Approach
- 03LT3CZOcclusion of Left Temporal Artery with Extraluminal Device, Percutaneous Approach
- 03LT3ZZOcclusion of Left Temporal Artery, Percutaneous Approach
- 03LT4CZOcclusion of Left Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
- 03LT4ZZOcclusion of Left Temporal Artery, Percutaneous Endoscopic Approach
- 07T00ZZResection of Head Lymphatic, Open Approach
- 07T04ZZResection of Head Lymphatic, Percutaneous Endoscopic Approach
- 07T10ZZResection of Right Neck Lymphatic, Open Approach
- 07T14ZZResection of Right Neck Lymphatic, Percutaneous Endoscopic Approach
- 07T20ZZResection of Left Neck Lymphatic, Open Approach
- 07T24ZZResection of Left Neck Lymphatic, Percutaneous Endoscopic Approach
- 08Q0XZZRepair Right Eye, External Approach
- 08Q1XZZRepair Left Eye, External Approach
- 08T0XZZResection of Right Eye, External Approach
- 08T1XZZResection of Left Eye, External Approach
- 09HD01ZInsertion of Radioactive Element into Right Inner Ear, Open Approach
- 09HD05ZInsertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Open Approach
- 09HD06ZInsertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Open Approach
- 09HD0SZInsertion of Hearing Device into Right Inner Ear, Open Approach
- 09HD35ZInsertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach
- 09HD36ZInsertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach
- 09HD41ZInsertion of Radioactive Element into Right Inner Ear, Percutaneous Endoscopic Approach
- 09HD45ZInsertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach
- 09HD46ZInsertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach
- 09HD4SZInsertion of Hearing Device into Right Inner Ear, Percutaneous Endoscopic Approach
- 09HE01ZInsertion of Radioactive Element into Left Inner Ear, Open Approach
- 09HE05ZInsertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Open Approach
- 09HE06ZInsertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Open Approach
- 09HE0SZInsertion of Hearing Device into Left Inner Ear, Open Approach
- 09HE35ZInsertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach
- 09HE36ZInsertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach
- 09HE41ZInsertion of Radioactive Element into Left Inner Ear, Percutaneous Endoscopic Approach
- 09HE45ZInsertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach
- 09HE46ZInsertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach
- 09HE4SZInsertion of Hearing Device into Left Inner Ear, Percutaneous Endoscopic Approach
- 0B510ZZDestruction of Trachea, Open Approach
- 0B513ZZDestruction of Trachea, Percutaneous Approach
- 0B514ZZDestruction of Trachea, Percutaneous Endoscopic Approach
- 0B517ZZDestruction of Trachea, Via Natural or Artificial Opening
- 0B518ZZDestruction of Trachea, Via Natural or Artificial Opening Endoscopic
- 0BW10FZRevision of Tracheostomy Device in Trachea, Open Approach
- 0BW14FZRevision of Tracheostomy Device in Trachea, Percutaneous Endoscopic Approach
- 0CBS0ZZExcision of Larynx, Open Approach
- 0CBS4ZZExcision of Larynx, Percutaneous Endoscopic Approach
- 0CT20ZZResection of Hard Palate, Open Approach
- 0CT2XZZResection of Hard Palate, External Approach
- 0CT70ZZResection of Tongue, Open Approach
- 0CT7XZZResection of Tongue, External Approach
- 0HR1X73Replacement of Face Skin with Autologous Tissue Substitute, Full Thickness, External Approach
- 0HR1X74Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
- 0HR4X73Replacement of Neck Skin with Autologous Tissue Substitute, Full Thickness, External Approach
- 0HR4XJZReplacement of Neck Skin with Synthetic Substitute, External Approach
- 0JR107ZReplacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach
- 0JR10KZReplacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach
- 0JX40ZBTransfer Right Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
- 0JX40ZCTransfer Right Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
- 0JX50ZBTransfer Left Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
- 0JX50ZCTransfer Left Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
- 0NBT0ZZExcision of Right Mandible, Open Approach
- 0NBT4ZZExcision of Right Mandible, Percutaneous Endoscopic Approach
- 0NBV0ZZExcision of Left Mandible, Open Approach
- 0NBV4ZZExcision of Left Mandible, Percutaneous Endoscopic Approach
- 0NNP0ZZRelease Right Orbit, Open Approach
- 0NNP3ZZRelease Right Orbit, Percutaneous Approach
- 0NNP4ZZRelease Right Orbit, Percutaneous Endoscopic Approach
- 0NNQ0ZZRelease Left Orbit, Open Approach
- 0NNQ3ZZRelease Left Orbit, Percutaneous Approach
- 0NNQ4ZZRelease Left Orbit, Percutaneous Endoscopic Approach
- 0NRT07ZReplacement of Right Mandible with Autologous Tissue Substitute, Open Approach
- 0NRT0JZReplacement of Right Mandible with Synthetic Substitute, Open Approach
- 0NRT0KZReplacement of Right Mandible with Nonautologous Tissue Substitute, Open Approach
- 0NRT37ZReplacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Approach
- 0NRT3JZReplacement of Right Mandible with Synthetic Substitute, Percutaneous Approach
- 0NRT3KZReplacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Approach
- 0NRT47ZReplacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0NRT4JZReplacement of Right Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0NRT4KZReplacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0NRV07ZReplacement of Left Mandible with Autologous Tissue Substitute, Open Approach
- 0NRV0JZReplacement of Left Mandible with Synthetic Substitute, Open Approach
- 0NRV0KZReplacement of Left Mandible with Nonautologous Tissue Substitute, Open Approach
- 0NRV37ZReplacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Approach
- 0NRV3JZReplacement of Left Mandible with Synthetic Substitute, Percutaneous Approach
- 0NRV3KZReplacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Approach
- 0NRV47ZReplacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0NRV4JZReplacement of Left Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0NRV4KZReplacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0NS104ZReposition Frontal Bone with Internal Fixation Device, Open Approach
- 0NS10ZZReposition Frontal Bone, Open Approach
- 0NS134ZReposition Frontal Bone with Internal Fixation Device, Percutaneous Approach
- 0NS13ZZReposition Frontal Bone, Percutaneous Approach
- 0NS144ZReposition Frontal Bone with Internal Fixation Device, Percutaneous Endoscopic Approach
- 0NS14ZZReposition Frontal Bone, Percutaneous Endoscopic Approach
- 0NS704ZReposition Occipital Bone with Internal Fixation Device, Open Approach
- 0NS70ZZReposition Occipital Bone, Open Approach
- 0NS734ZReposition Occipital Bone with Internal Fixation Device, Percutaneous Approach
- 0NS73ZZReposition Occipital Bone, Percutaneous Approach
- 0NS744ZReposition Occipital Bone with Internal Fixation Device, Percutaneous Endoscopic Approach
- 0NS74ZZReposition Occipital Bone, Percutaneous Endoscopic Approach
- 0NSB04ZReposition Nasal Bone with Internal Fixation Device, Open Approach
- 0NSB0ZZReposition Nasal Bone, Open Approach
- 0NSC04ZReposition Sphenoid Bone with Internal Fixation Device, Open Approach
- 0NSC0ZZReposition Sphenoid Bone, Open Approach
- 0NSF04ZReposition Right Ethmoid Bone with Internal Fixation Device, Open Approach
- 0NSF0ZZReposition Right Ethmoid Bone, Open Approach
- 0NSG04ZReposition Left Ethmoid Bone with Internal Fixation Device, Open Approach
- 0NSG0ZZReposition Left Ethmoid Bone, Open Approach
- 0NSH04ZReposition Right Lacrimal Bone with Internal Fixation Device, Open Approach
- 0NSH0ZZReposition Right Lacrimal Bone, Open Approach
- 0NSJ04ZReposition Left Lacrimal Bone with Internal Fixation Device, Open Approach
- 0NSJ0ZZReposition Left Lacrimal Bone, Open Approach
- 0NSK04ZReposition Right Palatine Bone with Internal Fixation Device, Open Approach
- 0NSK0ZZReposition Right Palatine Bone, Open Approach
- 0NSL04ZReposition Left Palatine Bone with Internal Fixation Device, Open Approach
- 0NSL0ZZReposition Left Palatine Bone, Open Approach
- 0NSM04ZReposition Right Zygomatic Bone with Internal Fixation Device, Open Approach
- 0NSN04ZReposition Left Zygomatic Bone with Internal Fixation Device, Open Approach
- 0NSP04ZReposition Right Orbit with Internal Fixation Device, Open Approach
- 0NSP0ZZReposition Right Orbit, Open Approach
- 0NSQ04ZReposition Left Orbit with Internal Fixation Device, Open Approach
- 0NSQ0ZZReposition Left Orbit, Open Approach
- 0NSR04ZReposition Maxilla with Internal Fixation Device, Open Approach
- 0NSR0ZZReposition Maxilla, Open Approach
- 0NST04ZReposition Right Mandible with Internal Fixation Device, Open Approach
- 0NSV04ZReposition Left Mandible with Internal Fixation Device, Open Approach
- 0NTT0ZZResection of Right Mandible, Open Approach
- 0NTV0ZZResection of Left Mandible, Open Approach
- 0RBD0ZZExcision of Left Temporomandibular Joint, Open Approach
- 0RBD3ZZExcision of Left Temporomandibular Joint, Percutaneous Approach
- 0RBD4ZZExcision of Left Temporomandibular Joint, Percutaneous Endoscopic Approach
- 0RRC07ZReplacement of Right Temporomandibular Joint with Autologous Tissue Substitute, Open Approach
- 0RRC0JZReplacement of Right Temporomandibular Joint with Synthetic Substitute, Open Approach
- 0RRC0KZReplacement of Right Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach
- 0RRD07ZReplacement of Left Temporomandibular Joint with Autologous Tissue Substitute, Open Approach
- 0RRD0JZReplacement of Left Temporomandibular Joint with Synthetic Substitute, Open Approach
- 0RRD0KZReplacement of Left Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach
- 0RSC04ZReposition Right Temporomandibular Joint with Internal Fixation Device, Open Approach
- 0RSC0ZZReposition Right Temporomandibular Joint, Open Approach
- 0RSD04ZReposition Left Temporomandibular Joint with Internal Fixation Device, Open Approach
- 0RSD0ZZReposition Left Temporomandibular Joint, Open Approach
- 0RTC0ZZResection of Right Temporomandibular Joint, Open Approach
- 0RTD0ZZResection of Left Temporomandibular Joint, Open Approach
- 0W9100ZDrainage of Cranial Cavity with Drainage Device, Open Approach
- 0W910ZZDrainage of Cranial Cavity, Open Approach
- 0WC10ZZExtirpation of Matter from Cranial Cavity, Open Approach
- 0WC13ZZExtirpation of Matter from Cranial Cavity, Percutaneous Approach
- 0WC14ZZExtirpation of Matter from Cranial Cavity, Percutaneous Endoscopic Approach