All ICD10 Codes

DRG 665

Surgical DRG

Prostatectomy with MCC

TypeSurgicalMDC11

What is MS-DRG 665?

MS-DRG 665 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 3.1212 with a geometric mean length of stay of 7.1 days and an arithmetic mean of 9.8 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
18 procedure

FY 2026 Payment Data

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

Relative Weight
3.1212
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
7.1 days
Used for transfer payment calculations
Arithmetic Mean LOS
9.8 days
Average length of stay
Post-Acute Transfer
No
Not subject to the 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
665Prostatectomy with MCCThis page3.12127.1 days
666Prostatectomy with CC1.74933.6 days
667Prostatectomy without CC/MCC1.10622.1 days

Linked ICD-10-PCS Procedure Mappings

  • 0V500Z3

    Destruction of Prostate using Laser Interstitial Thermal Therapy, Open Approach

    BillableSection 0
  • 0V500ZZ

    Destruction of Prostate, Open Approach

    BillableSection 0
  • 0V503Z3

    Destruction of Prostate using Laser Interstitial Thermal Therapy, Percutaneous Approach

    BillableSection 0
  • 0V503ZZ

    Destruction of Prostate, Percutaneous Approach

    BillableSection 0
  • 0V504Z3

    Destruction of Prostate using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0V504ZZ

    Destruction of Prostate, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0V507ZZ

    Destruction of Prostate, Via Natural or Artificial Opening

    BillableSection 0
  • 0V508ZZ

    Destruction of Prostate, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0VB07ZZ

    Excision of Prostate, Via Natural or Artificial Opening

    BillableSection 0
  • 0VB08ZZ

    Excision of Prostate, Via Natural or Artificial Opening Endoscopic

    BillableSection 0
  • 0VT00ZE

    Resection of Prostate, Open Approach, Capsule Intact

    BillableSection 0
  • 0VT00ZZ

    Resection of Prostate, Open Approach

    BillableSection 0
  • 0VT04ZE

    Resection of Prostate, Percutaneous Endoscopic Approach, Capsule Intact

    BillableSection 0
  • 0VT04ZZ

    Resection of Prostate, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0VT07ZE

    Resection of Prostate, Via Natural or Artificial Opening, Capsule Intact

    BillableSection 0
  • 0VT07ZZ

    Resection of Prostate, Via Natural or Artificial Opening

    BillableSection 0
  • 0VT08ZE

    Resection of Prostate, Via Natural or Artificial Opening Endoscopic, Capsule Intact

    BillableSection 0
  • 0VT08ZZ

    Resection of Prostate, Via Natural or Artificial Opening Endoscopic

    BillableSection 0