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MS-DRG 732 · MDC 13 · Surgical

MS-DRG 732: Uterine and Adnexa Procedures for Malignancy with CC

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 732

FY2027 relative weight
1.9200
Higher than 60% of all MS-DRGs
Change vs FY2026
New DRG
No FY2026 weight
Geometric mean LOS
3.0 days
Arithmetic mean 3.9 days
MDC
13
Assignment of Diagnosis Codes
Severity level
with CC (complication or comorbidity)
Transfer policy
Not a transfer DRG

TL;DR

MS-DRG 732 is a surgical group in MDC 13 (Assignment of Diagnosis Codes) at the middle severity level of its family. CMS assigns it a FY2027 relative weight of 1.9200 with a geometric mean length of stay of 3.0 days and an arithmetic mean of 3.9. It is new for FY2027, so there is no prior-year weight to compare. That weight is higher than 60% of all surgical and medical MS-DRGs. Its CC/MCC family (DRG 731, DRG 733) spans weights 1.4320 to 3.5460. The v44 Definitions Manual assigns it through 689 operating room procedures codes and 58 principal diagnosis codes.

What changed from FY2026 to FY2027

DRG 732 is new in the v44 grouper effective October 1, 2026, so there is no FY2026 weight to compare. Review the FY2027 final rule Table 6 series for the code moves that created it and confirm that your encoder and contract modeling have loaded v44.

CC and MCC family

DRG 732 shares its base definition with 2 other MS-DRGs split by severity. The family's weights span 1.4320 to 3.5460, a 2.48× spread, which is the payment effect of documenting qualifying complications and comorbidities.

MS-DRGs in the same base group as DRG 732
DRGTitleFY2027 weightGMLOS
731Uterine and Adnexa Procedures for Malignancy with MCC3.54605.6
732Uterine and Adnexa Procedures for Malignancy with CC1.92003.0
733Uterine and Adnexa Procedures for Malignancy without CC/MCC1.43201.6

Grouper logic (v44 Definitions Manual)

Operating Room Procedures: 689 ICD-10 codes drive assignment to this group; the first 12 are shown.

Operating Room Procedures codes assigned to DRG 732 (sample)
ICD-10 codeDescription
015P0ZZDestruction of Sacral Sympathetic Nerve, Open Approach
015P3ZZDestruction of Sacral Sympathetic Nerve, Percutaneous Approach
015P4ZZDestruction of Sacral Sympathetic Nerve, Percutaneous Endoscopic Approach
0U15075Bypass Right Fallopian Tube to Right Fallopian Tube with Autologous Tissue Substitute, Open Approach
0U15076Bypass Right Fallopian Tube to Left Fallopian Tube with Autologous Tissue Substitute, Open Approach
0U15079Bypass Right Fallopian Tube to Uterus with Autologous Tissue Substitute, Open Approach
0U150J5Bypass Right Fallopian Tube to Right Fallopian Tube with Synthetic Substitute, Open Approach
0U150J6Bypass Right Fallopian Tube to Left Fallopian Tube with Synthetic Substitute, Open Approach
0U150J9Bypass Right Fallopian Tube to Uterus with Synthetic Substitute, Open Approach
0U150K5Bypass Right Fallopian Tube to Right Fallopian Tube with Nonautologous Tissue Substitute, Open Approach
0U150K6Bypass Right Fallopian Tube to Left Fallopian Tube with Nonautologous Tissue Substitute, Open Approach
0U150K9Bypass Right Fallopian Tube to Uterus with Nonautologous Tissue Substitute, Open Approach

Principal Diagnosis: 58 ICD-10 codes drive assignment to this group; the first 12 are shown.

Principal Diagnosis codes assigned to DRG 732 (sample)
ICD-10 codeDescription
C510Malignant neoplasm of labium majus
C511Malignant neoplasm of labium minus
C512Malignant neoplasm of clitoris
C518Malignant neoplasm of overlapping sites of vulva
C519Malignant neoplasm of vulva, unspecified
C52Malignant neoplasm of vagina
C530Malignant neoplasm of endocervix
C531Malignant neoplasm of exocervix
C538Malignant neoplasm of overlapping sites of cervix uteri
C539Malignant neoplasm of cervix uteri, unspecified
C540Malignant neoplasm of isthmus uteri
C541Malignant neoplasm of endometrium

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 13 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 732 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.

Frequently asked questions — DRG 732

What is MS-DRG 732?

MS-DRG 732 is "Uterine and Adnexa Procedures for Malignancy with CC", a surgical Medicare Severity Diagnosis-Related Group in MDC 13, 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 732?

The FY2027 relative weight is 1.9200 (IPPS final rule Table 5, effective October 1, 2026). The DRG is new for FY2027.

What is the average length of stay for DRG 732?

CMS reports a geometric mean length of stay of 3.0 days and an arithmetic mean of 3.9 days for FY2027. The geometric mean is used for transfer-payment calculations.

Which DRGs are in the same CC/MCC family as 732?

DRG 731 (Uterine and Adnexa Procedures for Malignancy with MCC, weight 3.5460); DRG 733 (Uterine and Adnexa Procedures for Malignancy without CC/MCC, weight 1.4320). The family's weights range from 1.4320 to 3.5460, so documented complications and comorbidities change payment materially.

What documentation supports the severity level of DRG 732?

DRG 732 is reached when the stay carries a secondary diagnosis from the CMS Complication or Comorbidity list but none from the MCC list. Common CC captures include chronic kidney disease stage 3 and above, uncontrolled diabetes with manifestations, malnutrition of specified severity and heart failure of a stated type. Each must be documented by the treating clinician and show clinical relevance in the record; a condition listed only in the problem list without assessment is the most frequent reason a CC is removed on audit and the stay drops to the base DRG.

Which codes group to DRG 732?

The v44 Definitions Manual lists 689 operating room procedures codes and 58 principal diagnosis codes for this group. Examples from the operating room procedures list: 015P0ZZ (Destruction of Sacral Sympathetic Nerve, Open Approach); 015P3ZZ (Destruction of Sacral Sympathetic Nerve, Percutaneous Approach); 015P4ZZ (Destruction of Sacral Sympathetic Nerve, Percutaneous Endoscopic Approach); 0U15075 (Bypass Right Fallopian Tube to Right Fallopian Tube with Autologous Tissue Substitute, Open Approach).

Is DRG 732 a post-acute transfer DRG?

No. DRG 732 is not on the FY2027 post-acute care transfer list, so the transfer per-diem policy does not apply to it.

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.