MS-DRG 655Surgical
Major Bladder Procedures without CC/MCC
Major Diagnostic Category 11·Grouped by procedure·FY 2027
MS-DRG 655 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) without a significant Complication or Comorbidity. For FY 2027 it carries a relative weight of 2.0552 with a geometric mean length of stay of 2.9 days and an arithmetic mean of 3.6 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:
- 2.0552 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.9 days (used for transfer payments)
- Average stay:
- 3.6 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 (133)
ICD-10-PCS procedures that can group a stay to DRG 655.
- 0DX80ZBTransfer Small Intestine to Bladder, Open Approach
- 0DX84ZBTransfer Small Intestine to Bladder, Percutaneous Endoscopic Approach
- 0DXE0ZBTransfer Large Intestine to Bladder, Open Approach
- 0DXE4ZBTransfer Large Intestine to Bladder, Percutaneous Endoscopic Approach
- 0JUC07ZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach
- 0JUC0JZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Open Approach
- 0JUC0KZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach
- 0JUC37ZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Percutaneous Approach
- 0JUC3JZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Percutaneous Approach
- 0JUC3KZSupplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach
- 0T1B079Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Open Approach
- 0T1B07CBypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Open Approach
- 0T1B07DBypass Bladder to Cutaneous with Autologous Tissue Substitute, Open Approach
- 0T1B0J9Bypass Bladder to Colocutaneous with Synthetic Substitute, Open Approach
- 0T1B0JCBypass Bladder to Ileocutaneous with Synthetic Substitute, Open Approach
- 0T1B0JDBypass Bladder to Cutaneous with Synthetic Substitute, Open Approach
- 0T1B0K9Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Open Approach
- 0T1B0KCBypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Open Approach
- 0T1B0KDBypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Open Approach
- 0T1B0Z9Bypass Bladder to Colocutaneous, Open Approach
- 0T1B0ZCBypass Bladder to Ileocutaneous, Open Approach
- 0T1B3JDBypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Approach
- 0T1B479Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0T1B47CBypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0T1B47DBypass Bladder to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0T1B4J9Bypass Bladder to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0T1B4JCBypass Bladder to Ileocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0T1B4JDBypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0T1B4K9Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0T1B4KCBypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0T1B4KDBypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0T1B4Z9Bypass Bladder to Colocutaneous, Percutaneous Endoscopic Approach
- 0T1B4ZCBypass Bladder to Ileocutaneous, Percutaneous Endoscopic Approach
- 0T7B0DZDilation of Bladder with Intraluminal Device, Open Approach
- 0T7B0ZZDilation of Bladder, Open Approach
- 0T7B3DZDilation of Bladder with Intraluminal Device, Percutaneous Approach
- 0T7B3ZZDilation of Bladder, Percutaneous Approach
- 0T7B4DZDilation of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach
- 0T7B4ZZDilation of Bladder, Percutaneous Endoscopic Approach
- 0T7B8DZDilation of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0T7B8ZZDilation of Bladder, Via Natural or Artificial Opening Endoscopic
- 0TBB0ZZExcision of Bladder, Open Approach
- 0TBB3ZZExcision of Bladder, Percutaneous Approach
- 0TBB4ZZExcision of Bladder, Percutaneous Endoscopic Approach
- 0TBC0ZZExcision of Bladder Neck, Open Approach
- 0TBC3ZZExcision of Bladder Neck, Percutaneous Approach
- 0TBC4ZZExcision of Bladder Neck, Percutaneous Endoscopic Approach
- 0TMB0ZZReattachment of Bladder, Open Approach
- 0TMB4ZZReattachment of Bladder, Percutaneous Endoscopic Approach
- 0TMC0ZZReattachment of Bladder Neck, Open Approach
- 0TMC4ZZReattachment of Bladder Neck, Percutaneous Endoscopic Approach
- 0TQB0ZZRepair Bladder, Open Approach
- 0TQB3ZZRepair Bladder, Percutaneous Approach
- 0TQB4ZZRepair Bladder, Percutaneous Endoscopic Approach
- 0TQB7ZZRepair Bladder, Via Natural or Artificial Opening
- 0TQB8ZZRepair Bladder, Via Natural or Artificial Opening Endoscopic
- 0TQC0ZZRepair Bladder Neck, Open Approach
- 0TQC3ZZRepair Bladder Neck, Percutaneous Approach
- 0TQC4ZZRepair Bladder Neck, Percutaneous Endoscopic Approach
- 0TQC7ZZRepair Bladder Neck, Via Natural or Artificial Opening
- 0TQC8ZZRepair Bladder Neck, Via Natural or Artificial Opening Endoscopic
- 0TRB07ZReplacement of Bladder with Autologous Tissue Substitute, Open Approach
- 0TRB0JZReplacement of Bladder with Synthetic Substitute, Open Approach
- 0TRB0KZReplacement of Bladder with Nonautologous Tissue Substitute, Open Approach
- 0TRB47ZReplacement of Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0TRB4JZReplacement of Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0TRB4KZReplacement of Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0TRB77ZReplacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening
- 0TRB7JZReplacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening
- 0TRB7KZReplacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
- 0TRB87ZReplacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
- 0TRB8JZReplacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
- 0TRB8KZReplacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
- 0TRC07ZReplacement of Bladder Neck with Autologous Tissue Substitute, Open Approach
- 0TRC0JZReplacement of Bladder Neck with Synthetic Substitute, Open Approach
- 0TRC0KZReplacement of Bladder Neck with Nonautologous Tissue Substitute, Open Approach
- 0TRC47ZReplacement of Bladder Neck with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0TRC4JZReplacement of Bladder Neck with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0TRC4KZReplacement of Bladder Neck with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0TRC77ZReplacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening
- 0TRC7JZReplacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening
- 0TRC7KZReplacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
- 0TRC87ZReplacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
- 0TRC8JZReplacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
- 0TRC8KZReplacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
- 0TSB0ZZReposition Bladder, Open Approach
- 0TSB4ZZReposition Bladder, Percutaneous Endoscopic Approach
- 0TTB0ZZResection of Bladder, Open Approach
- 0TTB4ZZResection of Bladder, Percutaneous Endoscopic Approach
- 0TTB7ZZResection of Bladder, Via Natural or Artificial Opening
- 0TTB8ZZResection of Bladder, Via Natural or Artificial Opening Endoscopic
- 0TTC0ZZResection of Bladder Neck, Open Approach
- 0TTC4ZZResection of Bladder Neck, Percutaneous Endoscopic Approach
- 0TTC7ZZResection of Bladder Neck, Via Natural or Artificial Opening
- 0TTC8ZZResection of Bladder Neck, Via Natural or Artificial Opening Endoscopic
- 0TUB07ZSupplement Bladder with Autologous Tissue Substitute, Open Approach
- 0TUB0JZSupplement Bladder with Synthetic Substitute, Open Approach
- 0TUB0KZSupplement Bladder with Nonautologous Tissue Substitute, Open Approach
- 0TUB47ZSupplement Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0TUB4JZSupplement Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0TUB4KZSupplement Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0TUB77ZSupplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening
- 0TUB7JZSupplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening
- 0TUB7KZSupplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
- 0TUB87ZSupplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
- 0TUB8JZSupplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
- 0TUB8KZSupplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
- 0TVB0CZRestriction of Bladder with Extraluminal Device, Open Approach
- 0TVB0DZRestriction of Bladder with Intraluminal Device, Open Approach
- 0TVB0ZZRestriction of Bladder, Open Approach
- 0TVB3CZRestriction of Bladder with Extraluminal Device, Percutaneous Approach
- 0TVB3DZRestriction of Bladder with Intraluminal Device, Percutaneous Approach
- 0TVB3ZZRestriction of Bladder, Percutaneous Approach
- 0TVB4CZRestriction of Bladder with Extraluminal Device, Percutaneous Endoscopic Approach
- 0TVB4DZRestriction of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach
- 0TVB4ZZRestriction of Bladder, Percutaneous Endoscopic Approach
- 0TVB7DZRestriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening
- 0TVB7ZZRestriction of Bladder, Via Natural or Artificial Opening
- 0TVB8DZRestriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0TVB8ZZRestriction of Bladder, Via Natural or Artificial Opening Endoscopic
- 0TVC0CZRestriction of Bladder Neck with Extraluminal Device, Open Approach
- 0TVC0DZRestriction of Bladder Neck with Intraluminal Device, Open Approach
- 0TVC0ZZRestriction of Bladder Neck, Open Approach
- 0TVC3CZRestriction of Bladder Neck with Extraluminal Device, Percutaneous Approach
- 0TVC3DZRestriction of Bladder Neck with Intraluminal Device, Percutaneous Approach
- 0TVC3ZZRestriction of Bladder Neck, Percutaneous Approach
- 0TVC4CZRestriction of Bladder Neck with Extraluminal Device, Percutaneous Endoscopic Approach
- 0TVC4DZRestriction of Bladder Neck with Intraluminal Device, Percutaneous Endoscopic Approach
- 0TVC4ZZRestriction of Bladder Neck, Percutaneous Endoscopic Approach
- 0TVC7DZRestriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening
- 0TVC7ZZRestriction of Bladder Neck, Via Natural or Artificial Opening
- 0TVC8DZRestriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0TVC8ZZRestriction of Bladder Neck, Via Natural or Artificial Opening Endoscopic