DRG 768

Surgical DRG

Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C

TypeSurgicalMDC14Dx Codes19

What is MS-DRG 768?

MS-DRG 768 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 14 (MDC 14). It maps to 19 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.0716 with a geometric mean length of stay of 2.7 days and an arithmetic mean of 3.4 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
Linked Codes
19 diagnosis
9 procedure
Billable Dx
100%
19 of 19 shown

FY 2026 Payment Data

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

Relative Weight
1.0716
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.7 days
Used for transfer payment calculations
Arithmetic Mean LOS
3.4 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Linked ICD-10-PCS Procedure Mappings

  • 10D07Z3

    Extraction of Products of Conception, Low Forceps, Via Natural or Artificial Opening

    BillableSection 1
  • 10D07Z4

    Extraction of Products of Conception, Mid Forceps, Via Natural or Artificial Opening

    BillableSection 1
  • 10D07Z5

    Extraction of Products of Conception, High Forceps, Via Natural or Artificial Opening

    BillableSection 1
  • 10D07Z6

    Extraction of Products of Conception, Vacuum, Via Natural or Artificial Opening

    BillableSection 1
  • 10D07Z7

    Extraction of Products of Conception, Internal Version, Via Natural or Artificial Opening

    BillableSection 1
  • 10D07Z8

    Extraction of Products of Conception, Other, Via Natural or Artificial Opening

    BillableSection 1
  • 10D17Z9

    Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening

    BillableSection 1
  • 10D18Z9

    Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening Endoscopic

    BillableSection 1
  • 10E0XZZ

    Delivery of Products of Conception, External Approach

    BillableSection 1

Linked ICD-10-CM Diagnosis Mappings

  • Z37.0

    Single live birth

    BillableChapter 21
  • Z37.1

    Single stillbirth

    BillableChapter 21
  • Z37.2

    Twins, both liveborn

    BillableChapter 21
  • Z37.3

    Twins, one liveborn and one stillborn

    BillableChapter 21
  • Z37.4

    Twins, both stillborn

    BillableChapter 21
  • Z37.50

    Multiple births, unspecified, all liveborn

    BillableChapter 21
  • Z37.51

    Triplets, all liveborn

    BillableChapter 21
  • Z37.52

    Quadruplets, all liveborn

    BillableChapter 21
  • Z37.53

    Quintuplets, all liveborn

    BillableChapter 21
  • Z37.54

    Sextuplets, all liveborn

    BillableChapter 21
  • Z37.59

    Other multiple births, all liveborn

    BillableChapter 21
  • Z37.60

    Multiple births, unspecified, some liveborn

    BillableChapter 21
  • Z37.61

    Triplets, some liveborn

    BillableChapter 21
  • Z37.62

    Quadruplets, some liveborn

    BillableChapter 21
  • Z37.63

    Quintuplets, some liveborn

    BillableChapter 21
  • Z37.64

    Sextuplets, some liveborn

    BillableChapter 21
  • Z37.69

    Other multiple births, some liveborn

    BillableChapter 21
  • Z37.7

    Other multiple births, all stillborn

    BillableChapter 21
  • Z37.9

    Outcome of delivery, unspecified

    BillableChapter 21