MS-DRGs

26 categories, 189 billing codes — Separate inpatient payment grouping (not a procedure code set). Curated representative subset of ~189 commonly-referenced MS-DRGs across the 25 MDCs + Pre-MDC, NOT exhaustive of the full ~773 active DRGs in CMS FY2025 Table 5. DRG numbers/titles drawn from general industry knowledge, not verified against a live CMS source — validate against official CMS Table 5 before billing/payment use..

  • Pre-MDC (Transplants and Tracheostomy)8 codes
    001Heart Transplant or Implant of Heart Assist System with MCC002Heart Transplant or Implant of Heart Assist System without MCC003ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. Procedure005Liver Transplant with MCC or Intestinal Transplant007Lung Transplant008Simultaneous Pancreas/Kidney Transplant010Pancreas Transplant011Bone Marrow Transplant
  • MDC 1: Diseases and Disorders of the Nervous System10 codes
    020Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC023Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Chemo Implant or Epilepsy with Neurostimulator025Craniotomy and Endovascular Intracranial Procedures with MCC027Craniotomy and Endovascular Intracranial Procedures without CC/MCC057Degenerative Nervous System Disorders without MCC061Acute Ischemic Stroke with Use of Thrombolytic Agent with MCC064Intracranial Hemorrhage or Cerebral Infarction with MCC065Intracranial Hemorrhage or Cerebral Infarction with CC066Intracranial Hemorrhage or Cerebral Infarction without CC/MCC070Nonspecific CVA and Precerebral Occlusion without Infarct with MCC
  • MDC 2: Diseases and Disorders of the Eye5 codes
    113Orbital Procedures with CC/MCC115Extraocular Procedures Except Orbit121Acute Major Eye Infections with CC/MCC124Other Disorders of the Eye with MCC125Other Disorders of the Eye without MCC
  • MDC 3: Diseases and Disorders of the Ear, Nose, Mouth and Throat7 codes
    129Major Head and Neck Procedures with CC/MCC or Major Device131Cranial/Facial Procedures with CC/MCC134Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC146Ear, Nose, Mouth, Throat and Cranial/Facial Malignancies with MCC149Dysequilibrium156Nasal Trauma and Deformity157Dental and Oral Diseases with MCC
  • MDC 4: Diseases and Disorders of the Respiratory System13 codes
    163Major Chest Procedures with MCC166Other Respiratory System O.R. Procedures with MCC175Pulmonary Embolism with MCC177Respiratory Infections and Inflammations with MCC178Respiratory Infections and Inflammations with CC189Pulmonary Edema and Respiratory Failure190Chronic Obstructive Pulmonary Disease with MCC191Chronic Obstructive Pulmonary Disease with CC192Chronic Obstructive Pulmonary Disease without CC/MCC193Simple Pneumonia and Pleurisy with MCC194Simple Pneumonia and Pleurisy with CC195Simple Pneumonia and Pleurisy without CC/MCC207Respiratory System Diagnosis with Ventilator Support >96 Hours
  • MDC 5: Diseases and Disorders of the Circulatory System19 codes
    216Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC219Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC231Coronary Bypass with PTCA with MCC233Coronary Bypass with Cardiac Catheterization with MCC235Coronary Bypass without Cardiac Catheterization with MCC246Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with MCC247Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without MCC252Other Vascular Procedures with MCC258Cardiac Pacemaker Device Replacement with MCC260Cardiac Pacemaker Device Replacement without CC/MCC280Acute Myocardial Infarction, Discharged Alive with MCC281Acute Myocardial Infarction, Discharged Alive with CC282Acute Myocardial Infarction, Discharged Alive without CC/MCC291Heart Failure and Shock with MCC292Heart Failure and Shock with CC293Heart Failure and Shock without CC/MCC302Atherosclerosis with MCC308Cardiac Arrhythmia and Conduction Disorders with MCC309Cardiac Arrhythmia and Conduction Disorders with CC
  • MDC 6: Diseases and Disorders of the Digestive System13 codes
    326Stomach, Esophageal and Duodenal Procedures with MCC329Major Small and Large Bowel Procedures with MCC330Major Small and Large Bowel Procedures with CC331Major Small and Large Bowel Procedures without CC/MCC346Rectal Resection with MCC371Major Gastrointestinal Disorders and Peritoneal Infections with MCC372Major Gastrointestinal Disorders and Peritoneal Infections with CC377Gastrointestinal Hemorrhage with MCC378Gastrointestinal Hemorrhage with CC379Gastrointestinal Hemorrhage without CC/MCC388Gastrointestinal Obstruction with MCC391Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC393Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without CC/MCC
  • MDC 7: Diseases and Disorders of the Hepatobiliary System and Pancreas8 codes
    405Pancreas, Liver and Shunt Procedures with MCC415Cholecystectomy with Common Duct Exploration with MCC419Laparoscopic Cholecystectomy without C.D.E. with CC420Laparoscopic Cholecystectomy without C.D.E. without CC/MCC424Other Hepatobiliary or Pancreas O.R. Procedures with MCC432Cirrhosis and Alcoholic Hepatitis with MCC435Malignancy of Hepatobiliary System or Pancreas with MCC441Disorders of Pancreas Except Malignancy with MCC
  • MDC 8: Diseases and Disorders of the Musculoskeletal System and Connective Tissue15 codes
    453Combined Anterior/Posterior Spinal Fusion with MCC456Spinal Fusion Except Cervical with Spinal Curvature/Malignancy or 9+ Fusions with MCC460Spinal Fusion Except Cervical without MCC462Bilateral or Multiple Major Joint Procedures of Lower Extremity466Revision of Hip or Knee Replacement with MCC469Major Joint Replacement or Reattachment of Lower Extremity with MCC470Major Joint Replacement or Reattachment of Lower Extremity without MCC480Hip and Femur Procedures Except Major Joint with MCC481Hip and Femur Procedures Except Major Joint with CC482Hip and Femur Procedures Except Major Joint without CC/MCC491Back and Neck Procedures Except Spinal Fusion without CC/MCC533Fractures of Hip and Pelvis with MCC534Fractures of Hip and Pelvis without MCC551Medical Back Problems with MCC552Medical Back Problems without MCC
  • MDC 9: Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast7 codes
    570Skin Debridement with MCC573Skin Graft for Skin Ulcer or Cellulitis with MCC579Other Skin, Subcutaneous Tissue and Breast Procedures with MCC582Mastectomy for Malignancy with MCC592Skin Ulcers with MCC602Cellulitis with MCC603Cellulitis without MCC
  • MDC 10: Endocrine, Nutritional and Metabolic Diseases and Disorders7 codes
    619O.R. Procedures for Obesity with MCC628Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC637Diabetes with MCC638Diabetes with CC639Diabetes without CC/MCC640Nutritional and Miscellaneous Metabolic Disorders with MCC641Nutritional and Miscellaneous Metabolic Disorders without MCC
  • MDC 11: Diseases and Disorders of the Kidney and Urinary Tract9 codes
    652Kidney Transplant656Major Bladder Procedures with MCC662Minor Bladder Procedures with MCC673Other Kidney and Urinary Tract Procedures with MCC682Renal Failure with MCC683Renal Failure with CC684Renal Failure without CC/MCC689Kidney and Urinary Tract Infections with MCC690Kidney and Urinary Tract Infections without MCC
  • MDC 12: Diseases and Disorders of the Male Reproductive System4 codes
    707Major Male Pelvic Procedures with CC/MCC715Other Male Reproductive System O.R. Procedures for Malignancy with CC/MCC722Malignancy, Male Reproductive System with MCC730Other Male Reproductive System Diagnoses with CC/MCC
  • MDC 13: Diseases and Disorders of the Female Reproductive System5 codes
    734Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with CC/MCC736Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with MCC743D&C, Conization, Laparoscopy and Tubal Interruption with CC/MCC750Malignancy, Female Reproductive System with MCC761Menstrual and Other Female Reproductive System Disorders
  • MDC 14: Pregnancy, Childbirth and the Puerperium8 codes
    765Cesarean Section with CC/MCC766Cesarean Section without CC/MCC767Vaginal Delivery with Sterilization and/or D&C768Vaginal Delivery with O.R. Procedure Except Sterilization and/or D&C774Vaginal Delivery with Complicating Diagnoses775Vaginal Delivery without Complicating Diagnoses777Ectopic Pregnancy781Other Antepartum Diagnoses with Medical Complications
  • MDC 15: Newborns and Other Neonates with Conditions Originating in the Perinatal Period6 codes
    789Neonates, Died or Transferred to Another Acute Care Facility790Extreme Immaturity or Respiratory Distress Syndrome, Neonate791Prematurity with Major Problems793Full Term Neonate with Major Problems794Neonate with Other Significant Problems795Normal Newborn
  • MDC 16: Diseases and Disorders of Blood, Blood-Forming Organs, Immunological Disorders5 codes
    799Splenectomy with MCC808Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC811Red Blood Cell Disorders with MCC813Coagulation Disorders814Reticuloendothelial and Immunity Disorders with MCC
  • MDC 17: Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms5 codes
    820Lymphoma and Leukemia with Major O.R. Procedure with MCC834Acute Leukemia without Major O.R. Procedure with MCC837Chemotherapy with Acute Leukemia as Secondary Diagnosis with MCC842Lymphoma and Non-Acute Leukemia with MCC846Chemotherapy without Acute Leukemia as Secondary Diagnosis with MCC
  • MDC 18: Infectious and Parasitic Diseases6 codes
    853Infectious and Parasitic Diseases with O.R. Procedure with MCC856Postoperative or Post-Traumatic Infections with O.R. Procedure with MCC862Postoperative and Post-Traumatic Infections without O.R. Procedure with MCC870Septicemia or Severe Sepsis with Mechanical Ventilation >96 Hours871Septicemia or Severe Sepsis without Mechanical Ventilation >96 Hours with MCC872Septicemia or Severe Sepsis without Mechanical Ventilation >96 Hours without MCC
  • MDC 19: Mental Diseases and Disorders6 codes
    876O.R. Procedure with Principal Diagnosis of Mental Illness880Acute Adjustment Reaction and Psychosocial Dysfunction881Depressive Neuroses885Psychoses886Behavioral and Developmental Disorders887Other Mental Disorder Diagnoses
  • MDC 20: Alcohol/Drug Use and Alcohol/Drug Induced Organic Mental Disorders4 codes
    894Alcohol/Drug Abuse or Dependence, Left Against Medical Advice895Alcohol/Drug Abuse or Dependence with Rehabilitation Therapy896Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy with MCC897Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without MCC
  • MDC 21: Injuries, Poisonings and Toxic Effects of Drugs4 codes
    901Wound Debridements for Injuries with MCC913Traumatic Injury with MCC917Poisoning and Toxic Effects of Drugs with MCC918Poisoning and Toxic Effects of Drugs without MCC
  • MDC 22: Burns3 codes
    927Extensive Burns or Full Thickness Burns with Mechanical Ventilation >96 Hours with Skin Graft933Full Thickness Burn with Skin Graft or Inhalation Injury with MCC935Extensive Burns or Full Thickness Burns without Mechanical Ventilation >96 Hours without Skin Graft
  • MDC 23: Factors Influencing Health Status and Other Contacts with Health Services4 codes
    945Rehabilitation with CC/MCC946Rehabilitation without CC/MCC947Signs and Symptoms with MCC948Signs and Symptoms without MCC
  • MDC 24: Multiple Significant Trauma4 codes
    955Craniotomy for Multiple Significant Trauma957Other O.R. Procedures for Multiple Significant Trauma with MCC963Other Multiple Significant Trauma with MCC965Other Multiple Significant Trauma without CC/MCC
  • MDC 25: Human Immunodeficiency Virus Infections4 codes
    969HIV with Extensive O.R. Procedure with MCC974HIV with Major Related Condition with MCC976HIV with Major Related Condition without CC/MCC977HIV with or without Other Related Condition