MS-DRG 335Surgical
Peritoneal Adhesiolysis with MCC
Major Diagnostic Category 06·Grouped by procedure·FY 2027
MS-DRG 335 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 06 (MDC 06) with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 3.5032 with a geometric mean length of stay of 8.4 days and an arithmetic mean of 10.6 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:
- 3.5032 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 8.4 days (used for transfer payments)
- Average stay:
- 10.6 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
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 (108)
ICD-10-PCS procedures that can group a stay to DRG 335.
- 0DN80ZZRelease Small Intestine, Open Approach
- 0DN83ZZRelease Small Intestine, Percutaneous Approach
- 0DN84ZZRelease Small Intestine, Percutaneous Endoscopic Approach
- 0DN90ZZRelease Duodenum, Open Approach
- 0DN93ZZRelease Duodenum, Percutaneous Approach
- 0DN94ZZRelease Duodenum, Percutaneous Endoscopic Approach
- 0DNA0ZZRelease Jejunum, Open Approach
- 0DNA3ZZRelease Jejunum, Percutaneous Approach
- 0DNA4ZZRelease Jejunum, Percutaneous Endoscopic Approach
- 0DNB0ZZRelease Ileum, Open Approach
- 0DNB3ZZRelease Ileum, Percutaneous Approach
- 0DNB4ZZRelease Ileum, Percutaneous Endoscopic Approach
- 0DNC0ZZRelease Ileocecal Valve, Open Approach
- 0DNC3ZZRelease Ileocecal Valve, Percutaneous Approach
- 0DNC4ZZRelease Ileocecal Valve, Percutaneous Endoscopic Approach
- 0DNE0ZZRelease Large Intestine, Open Approach
- 0DNE3ZZRelease Large Intestine, Percutaneous Approach
- 0DNE4ZZRelease Large Intestine, Percutaneous Endoscopic Approach
- 0DNF0ZZRelease Right Large Intestine, Open Approach
- 0DNF3ZZRelease Right Large Intestine, Percutaneous Approach
- 0DNF4ZZRelease Right Large Intestine, Percutaneous Endoscopic Approach
- 0DNG0ZZRelease Left Large Intestine, Open Approach
- 0DNG3ZZRelease Left Large Intestine, Percutaneous Approach
- 0DNG4ZZRelease Left Large Intestine, Percutaneous Endoscopic Approach
- 0DNH0ZZRelease Cecum, Open Approach
- 0DNH3ZZRelease Cecum, Percutaneous Approach
- 0DNH4ZZRelease Cecum, Percutaneous Endoscopic Approach
- 0DNJ0ZZRelease Appendix, Open Approach
- 0DNJ3ZZRelease Appendix, Percutaneous Approach
- 0DNJ4ZZRelease Appendix, Percutaneous Endoscopic Approach
- 0DNK0ZZRelease Ascending Colon, Open Approach
- 0DNK3ZZRelease Ascending Colon, Percutaneous Approach
- 0DNK4ZZRelease Ascending Colon, Percutaneous Endoscopic Approach
- 0DNL0ZZRelease Transverse Colon, Open Approach
- 0DNL3ZZRelease Transverse Colon, Percutaneous Approach
- 0DNL4ZZRelease Transverse Colon, Percutaneous Endoscopic Approach
- 0DNM0ZZRelease Descending Colon, Open Approach
- 0DNM3ZZRelease Descending Colon, Percutaneous Approach
- 0DNM4ZZRelease Descending Colon, Percutaneous Endoscopic Approach
- 0DNN0ZZRelease Sigmoid Colon, Open Approach
- 0DNN3ZZRelease Sigmoid Colon, Percutaneous Approach
- 0DNN4ZZRelease Sigmoid Colon, Percutaneous Endoscopic Approach
- 0DNU0ZZRelease Omentum, Open Approach
- 0DNU3ZZRelease Omentum, Percutaneous Approach
- 0DNU4ZZRelease Omentum, Percutaneous Endoscopic Approach
- 0DNV0ZZRelease Mesentery, Open Approach
- 0DNV3ZZRelease Mesentery, Percutaneous Approach
- 0DNV4ZZRelease Mesentery, Percutaneous Endoscopic Approach
- 0DNW0ZZRelease Peritoneum, Open Approach
- 0DNW3ZZRelease Peritoneum, Percutaneous Approach
- 0DNW4ZZRelease Peritoneum, Percutaneous Endoscopic Approach
- 0FN00ZZRelease Liver, Open Approach
- 0FN03ZZRelease Liver, Percutaneous Approach
- 0FN04ZZRelease Liver, Percutaneous Endoscopic Approach
- 0FN10ZZRelease Right Lobe Liver, Open Approach
- 0FN13ZZRelease Right Lobe Liver, Percutaneous Approach
- 0FN14ZZRelease Right Lobe Liver, Percutaneous Endoscopic Approach
- 0FN20ZZRelease Left Lobe Liver, Open Approach
- 0FN23ZZRelease Left Lobe Liver, Percutaneous Approach
- 0FN24ZZRelease Left Lobe Liver, Percutaneous Endoscopic Approach
- 0FN40ZZRelease Gallbladder, Open Approach
- 0FN43ZZRelease Gallbladder, Percutaneous Approach
- 0FN44ZZRelease Gallbladder, Percutaneous Endoscopic Approach
- 0FN48ZZRelease Gallbladder, Via Natural or Artificial Opening Endoscopic
- 0FN50ZZRelease Right Hepatic Duct, Open Approach
- 0FN53ZZRelease Right Hepatic Duct, Percutaneous Approach
- 0FN54ZZRelease Right Hepatic Duct, Percutaneous Endoscopic Approach
- 0FN57ZZRelease Right Hepatic Duct, Via Natural or Artificial Opening
- 0FN58ZZRelease Right Hepatic Duct, Via Natural or Artificial Opening Endoscopic
- 0FN60ZZRelease Left Hepatic Duct, Open Approach
- 0FN63ZZRelease Left Hepatic Duct, Percutaneous Approach
- 0FN64ZZRelease Left Hepatic Duct, Percutaneous Endoscopic Approach
- 0FN67ZZRelease Left Hepatic Duct, Via Natural or Artificial Opening
- 0FN68ZZRelease Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic
- 0FN70ZZRelease Common Hepatic Duct, Open Approach
- 0FN73ZZRelease Common Hepatic Duct, Percutaneous Approach
- 0FN74ZZRelease Common Hepatic Duct, Percutaneous Endoscopic Approach
- 0FN77ZZRelease Common Hepatic Duct, Via Natural or Artificial Opening
- 0FN78ZZRelease Common Hepatic Duct, Via Natural or Artificial Opening Endoscopic
- 0FN80ZZRelease Cystic Duct, Open Approach
- 0FN83ZZRelease Cystic Duct, Percutaneous Approach
- 0FN84ZZRelease Cystic Duct, Percutaneous Endoscopic Approach
- 0FN87ZZRelease Cystic Duct, Via Natural or Artificial Opening
- 0FN88ZZRelease Cystic Duct, Via Natural or Artificial Opening Endoscopic
- 0FN90ZZRelease Common Bile Duct, Open Approach
- 0FN93ZZRelease Common Bile Duct, Percutaneous Approach
- 0FN94ZZRelease Common Bile Duct, Percutaneous Endoscopic Approach
- 0FN97ZZRelease Common Bile Duct, Via Natural or Artificial Opening
- 0FN98ZZRelease Common Bile Duct, Via Natural or Artificial Opening Endoscopic
- 0FNC0ZZRelease Ampulla of Vater, Open Approach
- 0FNC3ZZRelease Ampulla of Vater, Percutaneous Approach
- 0FNC4ZZRelease Ampulla of Vater, Percutaneous Endoscopic Approach
- 0FNC7ZZRelease Ampulla of Vater, Via Natural or Artificial Opening
- 0FNC8ZZRelease Ampulla of Vater, Via Natural or Artificial Opening Endoscopic
- 0FND0ZZRelease Pancreatic Duct, Open Approach
- 0FND3ZZRelease Pancreatic Duct, Percutaneous Approach
- 0FND4ZZRelease Pancreatic Duct, Percutaneous Endoscopic Approach
- 0FND7ZZRelease Pancreatic Duct, Via Natural or Artificial Opening
- 0FND8ZZRelease Pancreatic Duct, Via Natural or Artificial Opening Endoscopic
- 0FNF0ZZRelease Accessory Pancreatic Duct, Open Approach
- 0FNF3ZZRelease Accessory Pancreatic Duct, Percutaneous Approach
- 0FNF4ZZRelease Accessory Pancreatic Duct, Percutaneous Endoscopic Approach
- 0FNF7ZZRelease Accessory Pancreatic Duct, Via Natural or Artificial Opening
- 0FNF8ZZRelease Accessory Pancreatic Duct, Via Natural or Artificial Opening Endoscopic
- 0FNG0ZZRelease Pancreas, Open Approach
- 0FNG3ZZRelease Pancreas, Percutaneous Approach
- 0FNG4ZZRelease Pancreas, Percutaneous Endoscopic Approach
- 0FNG8ZZRelease Pancreas, Via Natural or Artificial Opening Endoscopic
