Vaginal Delivery without Sterilization or D&C with MCC
Major Diagnostic Category 14·Grouped by diagnosis·FY 2027
MS-DRG 805 is a Medical 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 1.1273 with a geometric mean length of stay of 3 days and an arithmetic mean of 4.2 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:
- 1.1273 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3 days (used for transfer payments)
- Average stay:
- 4.2 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.
Diagnosis codes (19)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 805. 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
Procedure codes (9)
ICD-10-PCS procedures that can group a stay to DRG 805.
- 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
- 10D17Z9Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening
- 10D18Z9Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening Endoscopic
- 10E0XZZDelivery of Products of Conception, External Approach
