MS-DRGs in MDC 14
Weights in this category range from 0.5000 (DRG 833) to 2.2480 (DRG 783); the change column compares FY2027 with FY2026.
| DRG | Title | Type | Weight | GMLOS | Change |
|---|---|---|---|---|---|
| 768 | Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C | Surgical | 1.0510 | 2.7 | -2.0% |
| 769 | Postpartum and Post Abortion Diagnoses with O.R. Procedures | Surgical | 1.6670 | 3.1 | -1.4% |
| 770 | Abortion with D&C, Aspiration Curettage or Hysterotomy | Surgical | 1.0990 | 2.2 | +9.6% |
| 776 | Postpartum and Post Abortion Diagnoses without O.R. Procedures | Medical | 0.6720 | 2.2 | +2.6% |
| 779 | Abortion without D&C | Medical | 1.0200 | 2.4 | +21.3% |
| 783 | Cesarean Section with Sterilization with MCC | Surgical | 2.2480 | 5.3 | -8.4% |
| 784 | Cesarean Section with Sterilization with CC | Surgical | 1.0450 | 3.0 | -1.4% |
| 785 | Cesarean Section with Sterilization without CC/MCC | Surgical | 0.8770 | 2.4 | -8.5% |
| 786 | Cesarean Section without Sterilization with MCC | Surgical | 1.6370 | 4.6 | -0.7% |
| 787 | Cesarean Section without Sterilization with CC | Surgical | 1.0870 | 3.3 | -2.7% |
| 788 | Cesarean Section without Sterilization without CC/MCC | Surgical | 0.9130 | 2.8 | -4.8% |
| 796 | Vaginal Delivery with Sterilization and/or D&C with MCC | Surgical | 1.1810 | 3.5 | +1.2% |
| 797 | Vaginal Delivery with Sterilization and/or D&C with CC | Surgical | 0.9800 | 2.6 | -2.0% |
| 798 | Vaginal Delivery with Sterilization and/or D&C without CC/MCC | Surgical | 0.9250 | 2.0 | -3.3% |
| 805 | Vaginal Delivery without Sterilization or D&C with MCC | Medical | 1.1300 | 3.0 | +4.7% |
| 806 | Vaginal Delivery without Sterilization or D&C with CC | Medical | 0.7890 | 2.3 | +4.6% |
| 807 | Vaginal Delivery without Sterilization or D&C without CC/MCC | Medical | 0.6800 | 2.0 | +0.9% |
| 817 | Other Antepartum Diagnoses with O.R. Procedures with MCC | Surgical | 2.0530 | 2.7 | -10.0% |
| 818 | Other Antepartum Diagnoses with O.R. Procedures with CC | Surgical | 1.2940 | 3.0 | +11.7% |
| 819 | Other Antepartum Diagnoses with O.R. Procedures without CC/MCC | Surgical | 0.7740 | 1.9 | -10.0% |
| 831 | Other Antepartum Diagnoses without O.R. Procedures with MCC | Medical | 1.1550 | 3.4 | -3.9% |
| 832 | Other Antepartum Diagnoses without O.R. Procedures with CC | Medical | 0.7580 | 2.7 | +5.0% |
| 833 | Other Antepartum Diagnoses without O.R. Procedures without CC/MCC | Medical | 0.5000 | 1.8 | -4.4% |
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 14?
23 MS-DRGs are assigned to MDC 14 (Assignment of Diagnosis Codes) in the FY2027 v44 grouper: 15 surgical and 8 medical.
Which MDC 14 DRG has the highest weight?
DRG 783, Cesarean Section with Sterilization with MCC, carries the highest FY2027 relative weight in this category at 2.2480; the lowest is DRG 833 at 0.5000.
How is a stay assigned to this MDC?
The grouper maps the principal diagnosis to MDC 14, 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.