- MS-DRGs are grouped by "Medical Service" to provide a meaningful way of summarizing utilization data.
- MS-DRGs are based on FY 2020 regulations.
| MS-DRG | MS-DRG Description |
|---|---|
| 003 | ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. |
| 004 | TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. |
| 005 | LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT |
| 006 | LIVER TRANSPLANT W/O MCC |
| 007 | LUNG TRANSPLANT |
| 008 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT |
| 010 | PANCREAS TRANSPLANT |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W CC |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W/O CC/MCC |
| 113 | ORBITAL PROCEDURES W CC/MCC |
| 114 | ORBITAL PROCEDURES W/O CC/MCC |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT |
| 116 | INTRAOCULAR PROCEDURES W CC/MCC |
| 117 | INTRAOCULAR PROCEDURES W/O CC/MCC |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE |
| 130 | MAJOR HEAD & NECK PROCEDURES W/O CC/MCC |
| 131 | CRANIAL/FACIAL PROCEDURES W CC/MCC |
| 132 | CRANIAL/FACIAL PROCEDURES W/O CC/MCC |
| 133 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC |
| 135 | SINUS & MASTOID PROCEDURES W CC/MCC |
| 136 | SINUS & MASTOID PROCEDURES W/O CC/MCC |
| 137 | MOUTH PROCEDURES W CC/MCC |
| 138 | MOUTH PROCEDURES W/O CC/MCC |
| 139 | SALIVARY GLAND PROCEDURES |
| 163 | MAJOR CHEST PROCEDURES W MCC |
| 164 | MAJOR CHEST PROCEDURES W CC |
| 165 | MAJOR CHEST PROCEDURES W/O CC/MCC |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES W MCC |
| 167 | OTHER RESP SYSTEM O.R. PROCEDURES W CC |
| 168 | OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC |
| 326 | STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC |
| 327 | STOMACH, ESOPHAGEAL & DUODENAL PROC W CC |
| 328 | STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES W CC |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC |
| 332 | RECTAL RESECTION W MCC |
| 333 | RECTAL RESECTION W CC |
| 334 | RECTAL RESECTION W/O CC/MCC |
| 335 | PERITONEAL ADHESIOLYSIS W MCC |
| 336 | PERITONEAL ADHESIOLYSIS W CC |
| 337 | PERITONEAL ADHESIOLYSIS W/O CC/MCC |
| 338 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC |
| 339 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC |
| 340 | APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC |
| 341 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC |
| 342 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC |
| 343 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC |
| 344 | MINOR SMALL & LARGE BOWEL PROCEDURES W MCC |
| 345 | MINOR SMALL & LARGE BOWEL PROCEDURES W CC |
| 346 | MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC |
| 347 | ANAL & STOMAL PROCEDURES W MCC |
| 348 | ANAL & STOMAL PROCEDURES W CC |
| 349 | ANAL & STOMAL PROCEDURES W/O CC/MCC |
| 350 | INGUINAL & FEMORAL HERNIA PROCEDURES W MCC |
| 351 | INGUINAL & FEMORAL HERNIA PROCEDURES W CC |
| 352 | INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC |
| 405 | PANCREAS, LIVER & SHUNT PROCEDURES W MCC |
| 406 | PANCREAS, LIVER & SHUNT PROCEDURES W CC |
| 407 | PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC |
| 408 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC |
| 409 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC |
| 410 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC |
| 411 | CHOLECYSTECTOMY W C.D.E. W MCC |
| 412 | CHOLECYSTECTOMY W C.D.E. W CC |
| 413 | CHOLECYSTECTOMY W C.D.E. W/O CC/MCC |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC |
| 463 | WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC |
| 464 | WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC |
| 465 | WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC |
| 570 | SKIN DEBRIDEMENT W MCC |
| 571 | SKIN DEBRIDEMENT W CC |
| 572 | SKIN DEBRIDEMENT W/O CC/MCC |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC |
| 576 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC |
| 577 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC |
| 578 | SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC |
| 579 | OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC |
| 580 | OTHER SKIN, SUBCUT TISS & BREAST PROC W CC |
| 581 | OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC |
| 584 | BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC |
| 585 | BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC |
| 614 | ADRENAL & PITUITARY PROCEDURES W CC/MCC |
| 615 | ADRENAL & PITUITARY PROCEDURES W/O CC/MCC |
| 619 | O.R. PROCEDURES FOR OBESITY W MCC |
| 620 | O.R. PROCEDURES FOR OBESITY W CC |
| 621 | O.R. PROCEDURES FOR OBESITY W/O CC/MCC |
| 622 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC |
| 623 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC |
| 624 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC |
| 625 | THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC |
| 626 | THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC |
| 627 | THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC |
| 628 | OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC |
| 629 | OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC |
| 630 | OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC |
| 652 | KIDNEY TRANSPLANT |
| 709 | PENIS PROCEDURES W CC/MCC |
| 710 | PENIS PROCEDURES W/O CC/MCC |
| 711 | TESTES PROCEDURES W CC/MCC |
| 712 | TESTES PROCEDURES W/O CC/MCC |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC |
| 799 | SPLENECTOMY W MCC |
| 800 | SPLENECTOMY W CC |
| 801 | SPLENECTOMY W/O CC/MCC |
| 802 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC |
| 803 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC |
| 804 | OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC |
| 853 | INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC |
| 854 | INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC |
| 855 | INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC |
| 876 | O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES W MCC |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES W CC |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC |
| 904 | SKIN GRAFTS FOR INJURIES W CC/MCC |
| 905 | SKIN GRAFTS FOR INJURIES W/O CC/MCC |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES W MCC |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES W CC |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC |
| 939 | O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC |
| 940 | O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC |
| 941 | O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC |
| 969 | HIV W EXTENSIVE O.R. PROCEDURE W MCC |
| 970 | HIV W EXTENSIVE O.R. PROCEDURE W/O MCC |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC |
| 983 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC |
| 987 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC |
| 988 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC |