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MS-DRG 332 · MDC 06 · Surgical

MS-DRG 332: Rectal Resection with MCC

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Data effective
Data currency: IPPS Table 5 FY2027 final rule (effective October 1, 2026); Definitions Manual v44 (effective October 1, 2026). Next CMS release: April 1, 2027 (v44.1 mid-year update), then the FY2028 final rule in August 2027.

Key facts for DRG 332

FY2027 relative weight
3.7870
Higher than 85% of all MS-DRGs
Change vs FY2026
+4.6%
FY2026 weight 3.6210
Geometric mean LOS
5.8 days
Arithmetic mean 8.5 days
MDC
06
Assignment of Diagnosis Codes
Severity level
with MCC (major complication or comorbidity)
Transfer policy
Post-acute transfer DRG

TL;DR

MS-DRG 332 is a surgical group in MDC 06 (Assignment of Diagnosis Codes) at the highest-severity level of its family. CMS assigns it a FY2027 relative weight of 3.7870 with a geometric mean length of stay of 5.8 days and an arithmetic mean of 8.5. Its weight moved up 4.6% from FY2026 (3.6210). That weight is higher than 85% of all surgical and medical MS-DRGs. Its CC/MCC family (DRG 333, DRG 334) spans weights 1.6840 to 3.7870. The v44 Definitions Manual assigns it through 19 operating room procedures codes.

What changed from FY2026 to FY2027

CMS recalibrates every MS-DRG weight annually from the prior year's MedPAR claims. For DRG 332 the FY2027 relative weight is 3.7870 against 3.6210 in FY2026, a rise of 4.58%, which exceeds the 2% threshold worth re-checking in contract models.

FY2026 versus FY2027 payment factors for MS-DRG 332
MetricFY2026FY2027Change
Relative weight3.62103.7870+0.1660
Geometric mean LOS (days)6.45.8-0.6
Arithmetic mean LOS (days)8.98.5-0.4
Weights shown are the FY2027 final values after the 10% cap on year-over-year reductions where applicable.

CC and MCC family

DRG 332 shares its base definition with 2 other MS-DRGs split by severity. The family's weights span 1.6840 to 3.7870, a 2.25× spread, which is the payment effect of documenting qualifying complications and comorbidities.

MS-DRGs in the same base group as DRG 332
DRGTitleFY2027 weightGMLOS
332Rectal Resection with MCC3.78705.8
333Rectal Resection with CC2.12803.3
334Rectal Resection without CC/MCC1.68402.2

Grouper logic (v44 Definitions Manual)

Operating Room Procedures: 19 ICD-10 codes drive assignment to this group; the first 12 are shown.

Operating Room Procedures codes assigned to DRG 332 (sample)
ICD-10 codeDescription
0DBP0ZZExcision of Rectum, Open Approach
0DBP4ZZExcision of Rectum, Percutaneous Endoscopic Approach
0DHQ0LZInsertion of Artificial Sphincter into Anus, Open Approach
0DHQ3LZInsertion of Artificial Sphincter into Anus, Percutaneous Approach
0DHQ4LZInsertion of Artificial Sphincter into Anus, Percutaneous Endoscopic Approach
0DPQ0LZRemoval of Artificial Sphincter from Anus, Open Approach
0DPQ3LZRemoval of Artificial Sphincter from Anus, Percutaneous Approach
0DPQ4LZRemoval of Artificial Sphincter from Anus, Percutaneous Endoscopic Approach
0DPQ7LZRemoval of Artificial Sphincter from Anus, Via Natural or Artificial Opening
0DPQ8LZRemoval of Artificial Sphincter from Anus, Via Natural or Artificial Opening Endoscopic
0DTP0ZZResection of Rectum, Open Approach
0DTP4ZZResection of Rectum, Percutaneous Endoscopic Approach

Documentation and denial exposure

As a surgical DRG, assignment depends on a qualifying operating-room procedure being coded from the operative report; a missing or non-OR procedure code drops the stay into a medical DRG in MDC 06 with a lower weight. Because this family splits by severity, auditors target CC and MCC capture: each secondary diagnosis must be documented as present, monitored, evaluated or treated during the stay to survive a DRG-validation review. Typical inpatient denial codes for this group: CARC 16 (claim lacks information needed to group the stay), CARC 50 (the admission or procedure is judged not medically necessary), CARC 97 (a service is bundled into the DRG payment).

How QuickIntell uses DRG 332 data

QuickCode groups inpatient encounters against the current v44 logic, flags CC and MCC candidates that lack supporting documentation, and shows the weight difference across the family before the claim drops. QuickScribe captures the attending's language that supports severity, and QuickRCM works DRG-validation denials with the grouper evidence attached.

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Frequently asked questions — DRG 332

What is MS-DRG 332?

MS-DRG 332 is "Rectal Resection with MCC", a surgical Medicare Severity Diagnosis-Related Group in MDC 06, Assignment of Diagnosis Codes. Medicare pays inpatient stays grouped here at the hospital's base rate multiplied by the DRG relative weight.

What is the FY2027 relative weight for DRG 332?

The FY2027 relative weight is 3.7870 (IPPS final rule Table 5, effective October 1, 2026). In FY2026 it was 3.6210, a change of +4.6%.

What is the average length of stay for DRG 332?

CMS reports a geometric mean length of stay of 5.8 days and an arithmetic mean of 8.5 days for FY2027. The geometric mean is used for transfer-payment calculations.

Which DRGs are in the same CC/MCC family as 332?

DRG 333 (Rectal Resection with CC, weight 2.1280); DRG 334 (Rectal Resection without CC/MCC, weight 1.6840). The family's weights range from 1.6840 to 3.7870, so documented complications and comorbidities change payment materially.

What documentation supports the severity level of DRG 332?

DRG 332 requires at least one secondary diagnosis on the CMS Major Complication or Comorbidity list, documented as present and clinically addressed during the stay (monitored, evaluated, treated or extending the stay). Conditions such as acute respiratory failure, severe sepsis or acute kidney injury with specified cause qualify only when the attending's note states the diagnosis itself, not just the lab values. Recovery auditors downgrade this group to the CC or base level when the MCC rests on an unconfirmed query or a resolved historical condition, so the query response and the discharge summary must agree.

Which codes group to DRG 332?

The v44 Definitions Manual lists 19 operating room procedures codes for this group. Examples from the operating room procedures list: 0DBP0ZZ (Excision of Rectum, Open Approach); 0DBP4ZZ (Excision of Rectum, Percutaneous Endoscopic Approach); 0DHQ0LZ (Insertion of Artificial Sphincter into Anus, Open Approach); 0DHQ3LZ (Insertion of Artificial Sphincter into Anus, Percutaneous Approach).

Is DRG 332 a post-acute transfer DRG?

Yes. CMS flags DRG 332 under the post-acute care transfer policy, so a discharge to a qualifying post-acute setting before the geometric mean length of stay is paid a per-diem amount rather than the full DRG payment.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-01. Verify against the primary file before billing or contracting decisions.

Disclaimer

This page is an operational reference compiled from the CMS IPPS FY2027 final rule (Table 5) and the v44 ICD-10 MS-DRG Definitions Manual. Relative weights are national factors; actual payment depends on each hospital's wage-adjusted base rate, add-ons, outliers and transfer adjustments. Nothing here is legal, clinical or billing advice; verify grouping against your encoder and the published CMS files.