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.
Procedure codes (86)
ICD-10-PCS procedures that can group a stay to DRG 796.
- 0U570ZZDestruction of Bilateral Fallopian Tubes, Open Approach
- 0U573ZZDestruction of Bilateral Fallopian Tubes, Percutaneous Approach
- 0U574ZZDestruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
- 0U577ZZDestruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
- 0U578ZZDestruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
- 0UB50ZZExcision of Right Fallopian Tube, Open Approach
- 0UB53ZZExcision of Right Fallopian Tube, Percutaneous Approach
- 0UB54ZZExcision of Right Fallopian Tube, Percutaneous Endoscopic Approach
- 0UB57ZZExcision of Right Fallopian Tube, Via Natural or Artificial Opening
- 0UB58ZZExcision of Right Fallopian Tube, Via Natural or Artificial Opening Endoscopic
- 0UB60ZZExcision of Left Fallopian Tube, Open Approach
- 0UB63ZZExcision of Left Fallopian Tube, Percutaneous Approach
- 0UB64ZZExcision of Left Fallopian Tube, Percutaneous Endoscopic Approach
- 0UB67ZZExcision of Left Fallopian Tube, Via Natural or Artificial Opening
- 0UB68ZZExcision of Left Fallopian Tube, Via Natural or Artificial Opening Endoscopic
- 0UB70ZZExcision of Bilateral Fallopian Tubes, Open Approach
- 0UB73ZZExcision of Bilateral Fallopian Tubes, Percutaneous Approach
- 0UB74ZZExcision of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
- 0UB77ZZExcision of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
- 0UB78ZZExcision of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
- 0UL50CZOcclusion of Right Fallopian Tube with Extraluminal Device, Open Approach
- 0UL50DZOcclusion of Right Fallopian Tube with Intraluminal Device, Open Approach
- 0UL50ZZOcclusion of Right Fallopian Tube, Open Approach
- 0UL53CZOcclusion of Right Fallopian Tube with Extraluminal Device, Percutaneous Approach
- 0UL53DZOcclusion of Right Fallopian Tube with Intraluminal Device, Percutaneous Approach
- 0UL53ZZOcclusion of Right Fallopian Tube, Percutaneous Approach
- 0UL54CZOcclusion of Right Fallopian Tube with Extraluminal Device, Percutaneous Endoscopic Approach
- 0UL54DZOcclusion of Right Fallopian Tube with Intraluminal Device, Percutaneous Endoscopic Approach
- 0UL54ZZOcclusion of Right Fallopian Tube, Percutaneous Endoscopic Approach
- 0UL57DZOcclusion of Right Fallopian Tube with Intraluminal Device, Via Natural or Artificial Opening
- 0UL57ZZOcclusion of Right Fallopian Tube, Via Natural or Artificial Opening
- 0UL58DZOcclusion of Right Fallopian Tube with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0UL58ZZOcclusion of Right Fallopian Tube, Via Natural or Artificial Opening Endoscopic
- 0UL60CZOcclusion of Left Fallopian Tube with Extraluminal Device, Open Approach
- 0UL60DZOcclusion of Left Fallopian Tube with Intraluminal Device, Open Approach
- 0UL60ZZOcclusion of Left Fallopian Tube, Open Approach
- 0UL63CZOcclusion of Left Fallopian Tube with Extraluminal Device, Percutaneous Approach
- 0UL63DZOcclusion of Left Fallopian Tube with Intraluminal Device, Percutaneous Approach
- 0UL63ZZOcclusion of Left Fallopian Tube, Percutaneous Approach
- 0UL64CZOcclusion of Left Fallopian Tube with Extraluminal Device, Percutaneous Endoscopic Approach
- 0UL64DZOcclusion of Left Fallopian Tube with Intraluminal Device, Percutaneous Endoscopic Approach
- 0UL64ZZOcclusion of Left Fallopian Tube, Percutaneous Endoscopic Approach
- 0UL67DZOcclusion of Left Fallopian Tube with Intraluminal Device, Via Natural or Artificial Opening
- 0UL67ZZOcclusion of Left Fallopian Tube, Via Natural or Artificial Opening
- 0UL68DZOcclusion of Left Fallopian Tube with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0UL68ZZOcclusion of Left Fallopian Tube, Via Natural or Artificial Opening Endoscopic
- 0UL70CZOcclusion of Bilateral Fallopian Tubes with Extraluminal Device, Open Approach
- 0UL70DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Open Approach
- 0UL70ZZOcclusion of Bilateral Fallopian Tubes, Open Approach
- 0UL73CZOcclusion of Bilateral Fallopian Tubes with Extraluminal Device, Percutaneous Approach
- 0UL73DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Percutaneous Approach
- 0UL73ZZOcclusion of Bilateral Fallopian Tubes, Percutaneous Approach
- 0UL74CZOcclusion of Bilateral Fallopian Tubes with Extraluminal Device, Percutaneous Endoscopic Approach
- 0UL74DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Percutaneous Endoscopic Approach
- 0UL74ZZOcclusion of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
- 0UL77DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Via Natural or Artificial Opening
- 0UL77ZZOcclusion of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
- 0UL78DZOcclusion of Bilateral Fallopian Tubes with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0UL78ZZOcclusion of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
- 0UT50ZZResection of Right Fallopian Tube, Open Approach
- 0UT54ZZResection of Right Fallopian Tube, Percutaneous Endoscopic Approach
- 0UT57ZZResection of Right Fallopian Tube, Via Natural or Artificial Opening
- 0UT58ZZResection of Right Fallopian Tube, Via Natural or Artificial Opening Endoscopic
- 0UT5FZZResection of Right Fallopian Tube, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance
- 0UT60ZZResection of Left Fallopian Tube, Open Approach
- 0UT64ZZResection of Left Fallopian Tube, Percutaneous Endoscopic Approach
- 0UT67ZZResection of Left Fallopian Tube, Via Natural or Artificial Opening
- 0UT68ZZResection of Left Fallopian Tube, Via Natural or Artificial Opening Endoscopic
- 0UT6FZZResection of Left Fallopian Tube, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance
- 0UT70ZZResection of Bilateral Fallopian Tubes, Open Approach
- 0UT74ZZResection of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
- 0UT77ZZResection of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
- 0UT78ZZResection of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
- 0UT7FZZResection of Bilateral Fallopian Tubes, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance
- 10D07Z3Extraction of Products of Conception, Low Forceps, Via Natural or Artificial Opening
- 10D07Z4Extraction of Products of Conception, Mid Forceps, Via Natural or Artificial Opening
- 10D07Z5Extraction of Products of Conception, High Forceps, Via Natural or Artificial Opening
- 10D07Z6Extraction of Products of Conception, Vacuum, Via Natural or Artificial Opening
- 10D07Z7Extraction of Products of Conception, Internal Version, Via Natural or Artificial Opening
- 10D07Z8Extraction of Products of Conception, Other, Via Natural or Artificial Opening
- 10D10ZZExtraction of Products of Conception, Retained, Open Approach
- 10D17Z9Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening
- 10D17ZZExtraction of Products of Conception, Retained, Via Natural or Artificial Opening
- 10D18Z9Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening Endoscopic
- 10D18ZZExtraction of Products of Conception, Retained, Via Natural or Artificial Opening Endoscopic
- 10E0XZZDelivery of Products of Conception, External Approach
Diagnosis codes (19)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 796. 100% of the codes listed are billable.
- Z37.0Single live birth
- Z37.1Single stillbirth
- Z37.2Twins, both liveborn
- Z37.3Twins, one liveborn and one stillborn
- Z37.4Twins, both stillborn
- Z37.50Multiple births, unspecified, all liveborn
- Z37.51Triplets, all liveborn
- Z37.52Quadruplets, all liveborn
- Z37.53Quintuplets, all liveborn
- Z37.54Sextuplets, all liveborn
- Z37.59Other multiple births, all liveborn
- Z37.60Multiple births, unspecified, some liveborn
- Z37.61Triplets, some liveborn
- Z37.62Quadruplets, some liveborn
- Z37.63Quintuplets, some liveborn
- Z37.64Sextuplets, some liveborn
- Z37.69Other multiple births, some liveborn
- Z37.7Other multiple births, all stillborn
- Z37.9Outcome of delivery, unspecified
