MS-DRG 420Surgical
Hepatobiliary Diagnostic Procedures with MCC
Major Diagnostic Category 07·Grouped by procedure·FY 2027
MS-DRG 420 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 07 (MDC 07) with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 3.0664 with a geometric mean length of stay of 6.5 days and an arithmetic mean of 8.7 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:
- 3.0664 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 6.5 days (used for transfer payments)
- Average stay:
- 8.7 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 (113)
ICD-10-PCS procedures that can group a stay to DRG 420.
- 07JP0ZZInspection of Spleen, Open Approach
- 0D9U0ZXDrainage of Omentum, Open Approach, Diagnostic
- 0D9U4ZXDrainage of Omentum, Percutaneous Endoscopic Approach, Diagnostic
- 0D9V0ZXDrainage of Mesentery, Open Approach, Diagnostic
- 0D9V4ZXDrainage of Mesentery, Percutaneous Endoscopic Approach, Diagnostic
- 0D9W0ZXDrainage of Peritoneum, Open Approach, Diagnostic
- 0D9W4ZXDrainage of Peritoneum, Percutaneous Endoscopic Approach, Diagnostic
- 0DBU0ZXExcision of Omentum, Open Approach, Diagnostic
- 0DBV0ZXExcision of Mesentery, Open Approach, Diagnostic
- 0DBW0ZXExcision of Peritoneum, Open Approach, Diagnostic
- 0DJ00ZZInspection of Upper Intestinal Tract, Open Approach
- 0DJ60ZZInspection of Stomach, Open Approach
- 0DJ64ZZInspection of Stomach, Percutaneous Endoscopic Approach
- 0DJD0ZZInspection of Lower Intestinal Tract, Open Approach
- 0DJU0ZZInspection of Omentum, Open Approach
- 0DJU4ZZInspection of Omentum, Percutaneous Endoscopic Approach
- 0DJV0ZZInspection of Mesentery, Open Approach
- 0DJV4ZZInspection of Mesentery, Percutaneous Endoscopic Approach
- 0DJW0ZZInspection of Peritoneum, Open Approach
- 0DJW4ZZInspection of Peritoneum, Percutaneous Endoscopic Approach
- 0F900ZXDrainage of Liver, Open Approach, Diagnostic
- 0F910ZXDrainage of Right Lobe Liver, Open Approach, Diagnostic
- 0F920ZXDrainage of Left Lobe Liver, Open Approach, Diagnostic
- 0F940ZXDrainage of Gallbladder, Open Approach, Diagnostic
- 0F944ZXDrainage of Gallbladder, Percutaneous Endoscopic Approach, Diagnostic
- 0F950ZXDrainage of Right Hepatic Duct, Open Approach, Diagnostic
- 0F960ZXDrainage of Left Hepatic Duct, Open Approach, Diagnostic
- 0F970ZXDrainage of Common Hepatic Duct, Open Approach, Diagnostic
- 0F980ZXDrainage of Cystic Duct, Open Approach, Diagnostic
- 0F990ZXDrainage of Common Bile Duct, Open Approach, Diagnostic
- 0F9C0ZXDrainage of Ampulla of Vater, Open Approach, Diagnostic
- 0F9D0ZXDrainage of Pancreatic Duct, Open Approach, Diagnostic
- 0F9F0ZXDrainage of Accessory Pancreatic Duct, Open Approach, Diagnostic
- 0F9G0ZXDrainage of Pancreas, Open Approach, Diagnostic
- 0FB00ZXExcision of Liver, Open Approach, Diagnostic
- 0FB04ZXExcision of Liver, Percutaneous Endoscopic Approach, Diagnostic
- 0FB10ZXExcision of Right Lobe Liver, Open Approach, Diagnostic
- 0FB14ZXExcision of Right Lobe Liver, Percutaneous Endoscopic Approach, Diagnostic
- 0FB20ZXExcision of Left Lobe Liver, Open Approach, Diagnostic
- 0FB24ZXExcision of Left Lobe Liver, Percutaneous Endoscopic Approach, Diagnostic
- 0FB40ZXExcision of Gallbladder, Open Approach, Diagnostic
- 0FB50ZXExcision of Right Hepatic Duct, Open Approach, Diagnostic
- 0FB60ZXExcision of Left Hepatic Duct, Open Approach, Diagnostic
- 0FB70ZXExcision of Common Hepatic Duct, Open Approach, Diagnostic
- 0FB80ZXExcision of Cystic Duct, Open Approach, Diagnostic
- 0FB90ZXExcision of Common Bile Duct, Open Approach, Diagnostic
- 0FBC0ZXExcision of Ampulla of Vater, Open Approach, Diagnostic
- 0FBD0ZXExcision of Pancreatic Duct, Open Approach, Diagnostic
- 0FBF0ZXExcision of Accessory Pancreatic Duct, Open Approach, Diagnostic
- 0FBG0ZXExcision of Pancreas, Open Approach, Diagnostic
- 0FD04ZXExtraction of Liver, Percutaneous Endoscopic Approach, Diagnostic
- 0FD14ZXExtraction of Right Lobe Liver, Percutaneous Endoscopic Approach, Diagnostic
- 0FD24ZXExtraction of Left Lobe Liver, Percutaneous Endoscopic Approach, Diagnostic
- 0FJ00ZZInspection of Liver, Open Approach
- 0FJ04ZZInspection of Liver, Percutaneous Endoscopic Approach
- 0FJ40ZZInspection of Gallbladder, Open Approach
- 0FJ44ZZInspection of Gallbladder, Percutaneous Endoscopic Approach
- 0FJD0ZZInspection of Pancreatic Duct, Open Approach
- 0FJD4ZZInspection of Pancreatic Duct, Percutaneous Endoscopic Approach
- 0FJG0ZZInspection of Pancreas, Open Approach
- 0FJG4ZZInspection of Pancreas, Percutaneous Endoscopic Approach
- 0W9G00ZDrainage of Peritoneal Cavity with Drainage Device, Open Approach
- 0W9G0ZXDrainage of Peritoneal Cavity, Open Approach, Diagnostic
- 0W9G0ZZDrainage of Peritoneal Cavity, Open Approach
- 0W9G40ZDrainage of Peritoneal Cavity with Drainage Device, Percutaneous Endoscopic Approach
- 0W9G4ZXDrainage of Peritoneal Cavity, Percutaneous Endoscopic Approach, Diagnostic
- 0W9G4ZZDrainage of Peritoneal Cavity, Percutaneous Endoscopic Approach
- 0W9H0ZXDrainage of Retroperitoneum, Open Approach, Diagnostic
- 0W9H3ZXDrainage of Retroperitoneum, Percutaneous Approach, Diagnostic
- 0W9H4ZXDrainage of Retroperitoneum, Percutaneous Endoscopic Approach, Diagnostic
- 0W9J0ZXDrainage of Pelvic Cavity, Open Approach, Diagnostic
- 0W9J4ZXDrainage of Pelvic Cavity, Percutaneous Endoscopic Approach, Diagnostic
- 0WBH0ZXExcision of Retroperitoneum, Open Approach, Diagnostic
- 0WCJ0ZZExtirpation of Matter from Pelvic Cavity, Open Approach
- 0WCP0ZZExtirpation of Matter from Gastrointestinal Tract, Open Approach
- 0WCR0ZZExtirpation of Matter from Genitourinary Tract, Open Approach
- 0WJF4ZZInspection of Abdominal Wall, Percutaneous Endoscopic Approach
- 0WJG0ZZInspection of Peritoneal Cavity, Open Approach
- 0WJG4ZZInspection of Peritoneal Cavity, Percutaneous Endoscopic Approach
- 0WJH4ZZInspection of Retroperitoneum, Percutaneous Endoscopic Approach
- 0WJJ0ZZInspection of Pelvic Cavity, Open Approach
- 0WJJ4ZZInspection of Pelvic Cavity, Percutaneous Endoscopic Approach
- 0WJP0ZZInspection of Gastrointestinal Tract, Open Approach
- 0WJP4ZZInspection of Gastrointestinal Tract, Percutaneous Endoscopic Approach
- 0WJR0ZZInspection of Genitourinary Tract, Open Approach
- 0WJR4ZZInspection of Genitourinary Tract, Percutaneous Endoscopic Approach
- 0Y950ZXDrainage of Right Inguinal Region, Open Approach, Diagnostic
- 0Y953ZXDrainage of Right Inguinal Region, Percutaneous Approach, Diagnostic
- 0Y954ZXDrainage of Right Inguinal Region, Percutaneous Endoscopic Approach, Diagnostic
- 0Y960ZXDrainage of Left Inguinal Region, Open Approach, Diagnostic
- 0Y963ZXDrainage of Left Inguinal Region, Percutaneous Approach, Diagnostic
- 0Y964ZXDrainage of Left Inguinal Region, Percutaneous Endoscopic Approach, Diagnostic
- 0YB50ZXExcision of Right Inguinal Region, Open Approach, Diagnostic
- 0YB53ZXExcision of Right Inguinal Region, Percutaneous Approach, Diagnostic
- 0YB54ZXExcision of Right Inguinal Region, Percutaneous Endoscopic Approach, Diagnostic
- 0YB60ZXExcision of Left Inguinal Region, Open Approach, Diagnostic
- 0YB63ZXExcision of Left Inguinal Region, Percutaneous Approach, Diagnostic
- 0YB64ZXExcision of Left Inguinal Region, Percutaneous Endoscopic Approach, Diagnostic
- 0YB70ZXExcision of Right Femoral Region, Open Approach, Diagnostic
- 0YB73ZXExcision of Right Femoral Region, Percutaneous Approach, Diagnostic
- 0YB74ZXExcision of Right Femoral Region, Percutaneous Endoscopic Approach, Diagnostic
- 0YB80ZXExcision of Left Femoral Region, Open Approach, Diagnostic
- 0YB83ZXExcision of Left Femoral Region, Percutaneous Approach, Diagnostic
- 0YB84ZXExcision of Left Femoral Region, Percutaneous Endoscopic Approach, Diagnostic
- 0YJ54ZZInspection of Right Inguinal Region, Percutaneous Endoscopic Approach
- 0YJ64ZZInspection of Left Inguinal Region, Percutaneous Endoscopic Approach
- 0YJ74ZZInspection of Right Femoral Region, Percutaneous Endoscopic Approach
- 0YJ84ZZInspection of Left Femoral Region, Percutaneous Endoscopic Approach
- 0YJA4ZZInspection of Bilateral Inguinal Region, Percutaneous Endoscopic Approach
- 0YJE4ZZInspection of Bilateral Femoral Region, Percutaneous Endoscopic Approach
- 4A0C45ZMeasurement of Biliary Flow, Percutaneous Endoscopic Approach
- 4A0C4BZMeasurement of Biliary Pressure, Percutaneous Endoscopic Approach
- XFJD4CCInspection of Pancreatic Duct using Single-use Choledochoscope, Percutaneous Endoscopic Approach, New Technology Group 12
