MS-DRG 796Surgical

Vaginal Delivery with Sterilization and/or D&C with MCC

Major Diagnostic Category 14·Grouped by procedure·FY 2027

MS-DRG 796 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 14 (MDC 14) with a Major Complication or Comorbidity (MCC). It maps to 19 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.1810 with a geometric mean length of stay of 3.5 days and an arithmetic mean of 4.4 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:
1.1810 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3.5 days (used for transfer payments)
Average stay:
4.4 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.

DRGTitleRelative weightMean stay
796Vaginal Delivery with Sterilization and/or D&C with MCC (this page)1.18103.5 days
797Vaginal Delivery with Sterilization and/or D&C with CC0.98072.6 days
798Vaginal Delivery with Sterilization and/or D&C without CC/MCC0.92502 days

Procedure codes (86)

ICD-10-PCS procedures that can group a stay to DRG 796.