MS-DRGs in MDC 13
Weights in this category range from 0.7040 (DRG 761) to 3.5460 (DRG 731); the change column compares FY2027 with FY2026.
| DRG | Title | Type | Weight | GMLOS | Change |
|---|---|---|---|---|---|
| 731 | Uterine and Adnexa Procedures for Malignancy with MCC | Surgical | 3.5460 | 5.6 | new |
| 732 | Uterine and Adnexa Procedures for Malignancy with CC | Surgical | 1.9200 | 3.0 | new |
| 733 | Uterine and Adnexa Procedures for Malignancy without CC/MCC | Surgical | 1.4320 | 1.6 | new |
| 734 | Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with CC/MCC | Surgical | 1.9170 | 2.1 | -10.0% |
| 735 | Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy without CC/MCC | Surgical | 1.2110 | 1.6 | -10.0% |
| 742 | Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC | Surgical | 1.8450 | 2.6 | +0.5% |
| 743 | Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC | Surgical | 1.2970 | 1.5 | +4.5% |
| 744 | D&C, Conization, Laparoscopy and Tubal Interruption with CC/MCC | Surgical | 2.0620 | 4.2 | +0.6% |
| 745 | D&C, Conization, Laparoscopy and Tubal Interruption without CC/MCC | Surgical | 1.0650 | 1.6 | -6.3% |
| 746 | Vagina, Cervix and Vulva Procedures with CC/MCC | Surgical | 1.6250 | 3.3 | -6.5% |
| 747 | Vagina, Cervix and Vulva Procedures without CC/MCC | Surgical | 0.8670 | 1.3 | +0.8% |
| 748 | Female Reproductive System Reconstructive Procedures | Surgical | 1.3800 | 1.4 | -0.5% |
| 749 | Other Female Reproductive System O.R. Procedures with CC/MCC | Surgical | 2.4710 | 4.7 | -3.8% |
| 750 | Other Female Reproductive System O.R. Procedures without CC/MCC | Surgical | 1.4940 | 1.8 | +1.2% |
| 754 | Malignancy, Female Reproductive System with MCC | Medical | 1.8080 | 5.0 | -1.9% |
| 755 | Malignancy, Female Reproductive System with CC | Medical | 1.1490 | 3.2 | +5.6% |
| 756 | Malignancy, Female Reproductive System without CC/MCC | Medical | 0.8650 | 2.0 | -10.0% |
| 757 | Infections, Female Reproductive System with MCC | Medical | 1.4640 | 4.7 | +2.2% |
| 758 | Infections, Female Reproductive System with CC | Medical | 0.9900 | 3.4 | +1.1% |
| 759 | Infections, Female Reproductive System without CC/MCC | Medical | 0.7690 | 2.9 | +15.8% |
| 760 | Menstrual and Other Female Reproductive System Disorders with CC/MCC | Medical | 1.0120 | 2.8 | +0.4% |
| 761 | Menstrual and Other Female Reproductive System Disorders without CC/MCC | Medical | 0.7040 | 2.0 | +23.3% |
How to read this table
The relative weight is the payment multiplier CMS applies to a hospital's wage-adjusted standardized amount; a weight of 2.0 pays roughly twice an average inpatient case before outliers and add-ons. Geometric mean length of stay is the figure used in post-acute transfer calculations, so stays shorter than it in a transfer DRG are paid per diem. The change column compares the FY2027 final weight with FY2026; moves larger than two percent usually come from code reassignments in the final rule's Table 6 series or from updated cost data, and are worth re-checking in contract models and budgets before October 1. Surgical DRGs require a qualifying operating-room procedure; medical DRGs are reached when no such procedure is coded.
Frequently asked questions
How many MS-DRGs are in MDC 13?
22 MS-DRGs are assigned to MDC 13 (Assignment of Diagnosis Codes) in the FY2027 v44 grouper: 14 surgical and 8 medical.
Which MDC 13 DRG has the highest weight?
DRG 731, Uterine and Adnexa Procedures for Malignancy with MCC, carries the highest FY2027 relative weight in this category at 3.5460; the lowest is DRG 761 at 0.7040.
How is a stay assigned to this MDC?
The grouper maps the principal diagnosis to MDC 13, then checks for a qualifying operating-room procedure to choose between the surgical and medical DRG partitions, and finally applies CC/MCC severity splits.
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.
- IPPS FY2027 Final Rule Table 5 (CMS-1849-F)Version v44 FY2027 · effective 2026-10-01 · file CMS-1849-F Table 5.txtSHA-256 01003dd571c1e2f5…
- IPPS FY2026 Final Rule Table 5 (CMS-1833-F)Version v43 FY2026 · effective 2025-10-01 · file CMS-1833-F Table 5.txtSHA-256 bf8c390d14b3cd3e…
Disclaimer
Operational reference compiled from CMS publications. Relative weights are national factors; actual payment depends on hospital-specific rates and adjustments. Not legal, clinical or billing advice.