All ICD10 Codes

DRG 653

Surgical DRG

Major Bladder Procedures with MCC

TypeSurgicalMDC11

What is MS-DRG 653?

MS-DRG 653 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) with a Major Complication or Comorbidity (MCC). For FY 2026 it carries a relative weight of 5.1964 with a geometric mean length of stay of 9.5 days and an arithmetic mean of 12.4 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
MDC
Major Diagnostic Category 11
Linked Codes
0 diagnosis
133 procedure

FY 2026 Payment Data

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

Relative Weight
5.1964
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
9.5 days
Used for transfer payment calculations
Arithmetic Mean LOS
12.4 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care 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
653Major Bladder Procedures with MCCThis page5.19649.5 days
654Major Bladder Procedures with CC2.79935.1 days
655Major Bladder Procedures without CC/MCC2.11663.2 days

Linked ICD-10-PCS Procedure Mappings

  • 0DX80ZB

    Transfer Small Intestine to Bladder, Open Approach

    BillableSection 0
  • 0DX84ZB

    Transfer Small Intestine to Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0DXE0ZB

    Transfer Large Intestine to Bladder, Open Approach

    BillableSection 0
  • 0DXE4ZB

    Transfer Large Intestine to Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0JUC07Z

    Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0JUC0JZ

    Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0JUC0KZ

    Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0JUC37Z

    Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0JUC3JZ

    Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0JUC3KZ

    Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach

    BillableSection 0
  • 0T1B079

    Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0T1B07C

    Bypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0T1B07D

    Bypass Bladder to Cutaneous with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0T1B0J9

    Bypass Bladder to Colocutaneous with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0T1B0JC

    Bypass Bladder to Ileocutaneous with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0T1B0JD

    Bypass Bladder to Cutaneous with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0T1B0K9

    Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0T1B0KC

    Bypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0T1B0KD

    Bypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0T1B0Z9

    Bypass Bladder to Colocutaneous, Open Approach

    BillableSection 0
  • 0T1B0ZC

    Bypass Bladder to Ileocutaneous, Open Approach

    BillableSection 0
  • 0T1B3JD

    Bypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 0T1B479

    Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B47C

    Bypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B47D

    Bypass Bladder to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B4J9

    Bypass Bladder to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B4JC

    Bypass Bladder to Ileocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B4JD

    Bypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B4K9

    Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B4KC

    Bypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B4KD

    Bypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B4Z9

    Bypass Bladder to Colocutaneous, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T1B4ZC

    Bypass Bladder to Ileocutaneous, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T7B0DZ

    Dilation of Bladder with Intraluminal Device, Open Approach

    BillableSection 0
  • 0T7B0ZZ

    Dilation of Bladder, Open Approach

    BillableSection 0
  • 0T7B3DZ

    Dilation of Bladder with Intraluminal Device, Percutaneous Approach

    BillableSection 0
  • 0T7B3ZZ

    Dilation of Bladder, Percutaneous Approach

    BillableSection 0
  • 0T7B4DZ

    Dilation of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T7B4ZZ

    Dilation of Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0T7B8DZ

    Dilation of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0T7B8ZZ

    Dilation of Bladder, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TBB0ZZ

    Excision of Bladder, Open Approach

    BillableSection 0
  • 0TBB3ZZ

    Excision of Bladder, Percutaneous Approach

    BillableSection 0
  • 0TBB4ZZ

    Excision of Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TBC0ZZ

    Excision of Bladder Neck, Open Approach

    BillableSection 0
  • 0TBC3ZZ

    Excision of Bladder Neck, Percutaneous Approach

    BillableSection 0
  • 0TBC4ZZ

    Excision of Bladder Neck, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TMB0ZZ

    Reattachment of Bladder, Open Approach

    BillableSection 0
  • 0TMB4ZZ

    Reattachment of Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TMC0ZZ

    Reattachment of Bladder Neck, Open Approach

    BillableSection 0
  • 0TMC4ZZ

    Reattachment of Bladder Neck, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TQB0ZZ

    Repair Bladder, Open Approach

    BillableSection 0
  • 0TQB3ZZ

    Repair Bladder, Percutaneous Approach

    BillableSection 0
  • 0TQB4ZZ

    Repair Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TQB7ZZ

    Repair Bladder, Via Natural or Artificial Opening

    BillableSection 0
  • 0TQB8ZZ

    Repair Bladder, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TQC0ZZ

    Repair Bladder Neck, Open Approach

    BillableSection 0
  • 0TQC3ZZ

    Repair Bladder Neck, Percutaneous Approach

    BillableSection 0
  • 0TQC4ZZ

    Repair Bladder Neck, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TQC7ZZ

    Repair Bladder Neck, Via Natural or Artificial Opening

    BillableSection 0
  • 0TQC8ZZ

    Repair Bladder Neck, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TRB07Z

    Replacement of Bladder with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0TRB0JZ

    Replacement of Bladder with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0TRB0KZ

    Replacement of Bladder with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0TRB47Z

    Replacement of Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TRB4JZ

    Replacement of Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TRB4KZ

    Replacement of Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TRB77Z

    Replacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TRB7JZ

    Replacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TRB7KZ

    Replacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TRB87Z

    Replacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TRB8JZ

    Replacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TRB8KZ

    Replacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TRC07Z

    Replacement of Bladder Neck with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0TRC0JZ

    Replacement of Bladder Neck with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0TRC0KZ

    Replacement of Bladder Neck with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0TRC47Z

    Replacement of Bladder Neck with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TRC4JZ

    Replacement of Bladder Neck with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TRC4KZ

    Replacement of Bladder Neck with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TRC77Z

    Replacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TRC7JZ

    Replacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TRC7KZ

    Replacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TRC87Z

    Replacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TRC8JZ

    Replacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TRC8KZ

    Replacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TSB0ZZ

    Reposition Bladder, Open Approach

    BillableSection 0
  • 0TSB4ZZ

    Reposition Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TTB0ZZ

    Resection of Bladder, Open Approach

    BillableSection 0
  • 0TTB4ZZ

    Resection of Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TTB7ZZ

    Resection of Bladder, Via Natural or Artificial Opening

    BillableSection 0
  • 0TTB8ZZ

    Resection of Bladder, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TTC0ZZ

    Resection of Bladder Neck, Open Approach

    BillableSection 0
  • 0TTC4ZZ

    Resection of Bladder Neck, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TTC7ZZ

    Resection of Bladder Neck, Via Natural or Artificial Opening

    BillableSection 0
  • 0TTC8ZZ

    Resection of Bladder Neck, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TUB07Z

    Supplement Bladder with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0TUB0JZ

    Supplement Bladder with Synthetic Substitute, Open Approach

    BillableSection 0
  • 0TUB0KZ

    Supplement Bladder with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 0TUB47Z

    Supplement Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TUB4JZ

    Supplement Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TUB4KZ

    Supplement Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TUB77Z

    Supplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TUB7JZ

    Supplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TUB7KZ

    Supplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening

    BillableSection 0
  • 0TUB87Z

    Supplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TUB8JZ

    Supplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TUB8KZ

    Supplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TVB0CZ

    Restriction of Bladder with Extraluminal Device, Open Approach

    BillableSection 0
  • 0TVB0DZ

    Restriction of Bladder with Intraluminal Device, Open Approach

    BillableSection 0
  • 0TVB0ZZ

    Restriction of Bladder, Open Approach

    BillableSection 0
  • 0TVB3CZ

    Restriction of Bladder with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 0TVB3DZ

    Restriction of Bladder with Intraluminal Device, Percutaneous Approach

    BillableSection 0
  • 0TVB3ZZ

    Restriction of Bladder, Percutaneous Approach

    BillableSection 0
  • 0TVB4CZ

    Restriction of Bladder with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TVB4DZ

    Restriction of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TVB4ZZ

    Restriction of Bladder, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TVB7DZ

    Restriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening

    BillableSection 0
  • 0TVB7ZZ

    Restriction of Bladder, Via Natural or Artificial Opening

    BillableSection 0
  • 0TVB8DZ

    Restriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TVB8ZZ

    Restriction of Bladder, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TVC0CZ

    Restriction of Bladder Neck with Extraluminal Device, Open Approach

    BillableSection 0
  • 0TVC0DZ

    Restriction of Bladder Neck with Intraluminal Device, Open Approach

    BillableSection 0
  • 0TVC0ZZ

    Restriction of Bladder Neck, Open Approach

    BillableSection 0
  • 0TVC3CZ

    Restriction of Bladder Neck with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 0TVC3DZ

    Restriction of Bladder Neck with Intraluminal Device, Percutaneous Approach

    BillableSection 0
  • 0TVC3ZZ

    Restriction of Bladder Neck, Percutaneous Approach

    BillableSection 0
  • 0TVC4CZ

    Restriction of Bladder Neck with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TVC4DZ

    Restriction of Bladder Neck with Intraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TVC4ZZ

    Restriction of Bladder Neck, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0TVC7DZ

    Restriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening

    BillableSection 0
  • 0TVC7ZZ

    Restriction of Bladder Neck, Via Natural or Artificial Opening

    BillableSection 0
  • 0TVC8DZ

    Restriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0TVC8ZZ

    Restriction of Bladder Neck, Via Natural or Artificial Opening Endoscopic

    BillableSection 0