MS-DRG · FY 2026 v43.0

MS-DRG 137 – Mouth Procedures with CC/MCC

A Surgical DRG in MDC 03 (Diseases & Disorders of the Ear, Nose, Mouth & Throat). Inpatient cases group to DRG 137 when one of the 358 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 1.4932 with a geometric mean length of stay of 3.4 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
1.4932
Relative Weight
3.4
Geometric Mean LOS (days)
4.9
Arithmetic Mean LOS (days)
358
Procedure Codes

Severity family

DRG 137with CC/MCCWeight 1.4932 · GMLOS 3.4 daysDRG 138without CC/MCCWeight 0.8862 · GMLOS 1.6 days
How a case is assigned to DRG 137

The grouper first assigns the case to MDC 03 from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG), then applies the severity split from secondary diagnoses: with CC/MCC → 137; without CC/MCC → 138.

ICD-10-PCS

Procedure Codes 358 codes · 84 categories

358 of 358 shown
0C00 Mouth and Throat, Alteration4 codes
  • 0C00X7Z Alteration of Upper Lip with Autologous Tissue Substitute, External Approach
  • 0C00XJZ Alteration of Upper Lip with Synthetic Substitute, External Approach
  • 0C00XKZ Alteration of Upper Lip with Nonautologous Tissue Substitute, External Approach
  • 0C00XZZ Alteration of Upper Lip, External Approach
0C01 Mouth and Throat, Alteration4 codes
  • 0C01X7Z Alteration of Lower Lip with Autologous Tissue Substitute, External Approach
  • 0C01XJZ Alteration of Lower Lip with Synthetic Substitute, External Approach
  • 0C01XKZ Alteration of Lower Lip with Nonautologous Tissue Substitute, External Approach
  • 0C01XZZ Alteration of Lower Lip, External Approach
0C50 Mouth and Throat, Destruction3 codes
  • 0C500ZZ Destruction of Upper Lip, Open Approach
  • 0C503ZZ Destruction of Upper Lip, Percutaneous Approach
  • 0C50XZZ Destruction of Upper Lip, External Approach
0C51 Mouth and Throat, Destruction3 codes
  • 0C510ZZ Destruction of Lower Lip, Open Approach
  • 0C513ZZ Destruction of Lower Lip, Percutaneous Approach
  • 0C51XZZ Destruction of Lower Lip, External Approach
0C52 Mouth and Throat, Destruction3 codes
  • 0C520ZZ Destruction of Hard Palate, Open Approach
  • 0C523ZZ Destruction of Hard Palate, Percutaneous Approach
  • 0C52XZZ Destruction of Hard Palate, External Approach
0C53 Mouth and Throat, Destruction3 codes
  • 0C530ZZ Destruction of Soft Palate, Open Approach
  • 0C533ZZ Destruction of Soft Palate, Percutaneous Approach
  • 0C53XZZ Destruction of Soft Palate, External Approach
0C54 Mouth and Throat, Destruction3 codes
  • 0C540ZZ Destruction of Buccal Mucosa, Open Approach
  • 0C543ZZ Destruction of Buccal Mucosa, Percutaneous Approach
  • 0C54XZZ Destruction of Buccal Mucosa, External Approach
0C57 Mouth and Throat, Destruction3 codes
  • 0C570ZZ Destruction of Tongue, Open Approach
  • 0C573ZZ Destruction of Tongue, Percutaneous Approach
  • 0C57XZZ Destruction of Tongue, External Approach
0C5N Mouth and Throat, Destruction3 codes
  • 0C5N0ZZ Destruction of Uvula, Open Approach
  • 0C5N3ZZ Destruction of Uvula, Percutaneous Approach
  • 0C5NXZZ Destruction of Uvula, External Approach
0C90 Mouth and Throat, Drainage4 codes
  • 0C9000Z Drainage of Upper Lip with Drainage Device, Open Approach
  • 0C900ZZ Drainage of Upper Lip, Open Approach
  • 0C90X0Z Drainage of Upper Lip with Drainage Device, External Approach
  • 0C90XZZ Drainage of Upper Lip, External Approach
0C91 Mouth and Throat, Drainage4 codes
  • 0C9100Z Drainage of Lower Lip with Drainage Device, Open Approach
  • 0C910ZZ Drainage of Lower Lip, Open Approach
  • 0C91X0Z Drainage of Lower Lip with Drainage Device, External Approach
  • 0C91XZZ Drainage of Lower Lip, External Approach
0C92 Mouth and Throat, Drainage7 codes
  • 0C9200Z Drainage of Hard Palate with Drainage Device, Open Approach
  • 0C920ZX Drainage of Hard Palate, Open Approach, Diagnostic
  • 0C920ZZ Drainage of Hard Palate, Open Approach
  • 0C923ZX Drainage of Hard Palate, Percutaneous Approach, Diagnostic
  • 0C92X0Z Drainage of Hard Palate with Drainage Device, External Approach
  • 0C92XZX Drainage of Hard Palate, External Approach, Diagnostic
  • 0C92XZZ Drainage of Hard Palate, External Approach
0C93 Mouth and Throat, Drainage7 codes
  • 0C9300Z Drainage of Soft Palate with Drainage Device, Open Approach
  • 0C930ZX Drainage of Soft Palate, Open Approach, Diagnostic
  • 0C930ZZ Drainage of Soft Palate, Open Approach
  • 0C933ZX Drainage of Soft Palate, Percutaneous Approach, Diagnostic
  • 0C93X0Z Drainage of Soft Palate with Drainage Device, External Approach
  • 0C93XZX Drainage of Soft Palate, External Approach, Diagnostic
  • 0C93XZZ Drainage of Soft Palate, External Approach
0C94 Mouth and Throat, Drainage4 codes
  • 0C9400Z Drainage of Buccal Mucosa with Drainage Device, Open Approach
  • 0C940ZZ Drainage of Buccal Mucosa, Open Approach
  • 0C94X0Z Drainage of Buccal Mucosa with Drainage Device, External Approach
  • 0C94XZZ Drainage of Buccal Mucosa, External Approach
0C97 Mouth and Throat, Drainage5 codes
  • 0C9700Z Drainage of Tongue with Drainage Device, Open Approach
  • 0C970ZX Drainage of Tongue, Open Approach, Diagnostic
  • 0C970ZZ Drainage of Tongue, Open Approach
  • 0C97X0Z Drainage of Tongue with Drainage Device, External Approach
  • 0C97XZZ Drainage of Tongue, External Approach
0C9N Mouth and Throat, Drainage7 codes
  • 0C9N00Z Drainage of Uvula with Drainage Device, Open Approach
  • 0C9N0ZX Drainage of Uvula, Open Approach, Diagnostic
  • 0C9N0ZZ Drainage of Uvula, Open Approach
  • 0C9N3ZX Drainage of Uvula, Percutaneous Approach, Diagnostic
  • 0C9NX0Z Drainage of Uvula with Drainage Device, External Approach
  • 0C9NXZX Drainage of Uvula, External Approach, Diagnostic
  • 0C9NXZZ Drainage of Uvula, External Approach
0CB0 Mouth and Throat, Excision3 codes
  • 0CB00ZZ Excision of Upper Lip, Open Approach
  • 0CB03ZZ Excision of Upper Lip, Percutaneous Approach
  • 0CB0XZZ Excision of Upper Lip, External Approach
0CB1 Mouth and Throat, Excision3 codes
  • 0CB10ZZ Excision of Lower Lip, Open Approach
  • 0CB13ZZ Excision of Lower Lip, Percutaneous Approach
  • 0CB1XZZ Excision of Lower Lip, External Approach
0CB2 Mouth and Throat, Excision6 codes
  • 0CB20ZX Excision of Hard Palate, Open Approach, Diagnostic
  • 0CB20ZZ Excision of Hard Palate, Open Approach
  • 0CB23ZX Excision of Hard Palate, Percutaneous Approach, Diagnostic
  • 0CB23ZZ Excision of Hard Palate, Percutaneous Approach
  • 0CB2XZX Excision of Hard Palate, External Approach, Diagnostic
  • 0CB2XZZ Excision of Hard Palate, External Approach
0CB3 Mouth and Throat, Excision6 codes
  • 0CB30ZX Excision of Soft Palate, Open Approach, Diagnostic
  • 0CB30ZZ Excision of Soft Palate, Open Approach
  • 0CB33ZX Excision of Soft Palate, Percutaneous Approach, Diagnostic
  • 0CB33ZZ Excision of Soft Palate, Percutaneous Approach
  • 0CB3XZX Excision of Soft Palate, External Approach, Diagnostic
  • 0CB3XZZ Excision of Soft Palate, External Approach
0CB4 Mouth and Throat, Excision3 codes
  • 0CB40ZZ Excision of Buccal Mucosa, Open Approach
  • 0CB43ZZ Excision of Buccal Mucosa, Percutaneous Approach
  • 0CB4XZZ Excision of Buccal Mucosa, External Approach
0CB7 Mouth and Throat, Excision4 codes
  • 0CB70ZX Excision of Tongue, Open Approach, Diagnostic
  • 0CB70ZZ Excision of Tongue, Open Approach
  • 0CB73ZZ Excision of Tongue, Percutaneous Approach
  • 0CB7XZZ Excision of Tongue, External Approach
0CBN Mouth and Throat, Excision6 codes
  • 0CBN0ZX Excision of Uvula, Open Approach, Diagnostic
  • 0CBN0ZZ Excision of Uvula, Open Approach
  • 0CBN3ZX Excision of Uvula, Percutaneous Approach, Diagnostic
  • 0CBN3ZZ Excision of Uvula, Percutaneous Approach
  • 0CBNXZX Excision of Uvula, External Approach, Diagnostic
  • 0CBNXZZ Excision of Uvula, External Approach
0CC0 Mouth and Throat, Extirpation2 codes
  • 0CC00ZZ Extirpation of Matter from Upper Lip, Open Approach
  • 0CC03ZZ Extirpation of Matter from Upper Lip, Percutaneous Approach
0CC1 Mouth and Throat, Extirpation2 codes
  • 0CC10ZZ Extirpation of Matter from Lower Lip, Open Approach
  • 0CC13ZZ Extirpation of Matter from Lower Lip, Percutaneous Approach
0CC2 Mouth and Throat, Extirpation2 codes
  • 0CC20ZZ Extirpation of Matter from Hard Palate, Open Approach
  • 0CC23ZZ Extirpation of Matter from Hard Palate, Percutaneous Approach
0CC3 Mouth and Throat, Extirpation2 codes
  • 0CC30ZZ Extirpation of Matter from Soft Palate, Open Approach
  • 0CC33ZZ Extirpation of Matter from Soft Palate, Percutaneous Approach
0CC4 Mouth and Throat, Extirpation2 codes
  • 0CC40ZZ Extirpation of Matter from Buccal Mucosa, Open Approach
  • 0CC43ZZ Extirpation of Matter from Buccal Mucosa, Percutaneous Approach
0CC7 Mouth and Throat, Extirpation2 codes
  • 0CC70ZZ Extirpation of Matter from Tongue, Open Approach
  • 0CC73ZZ Extirpation of Matter from Tongue, Percutaneous Approach
0CCN Mouth and Throat, Extirpation2 codes
  • 0CCN0ZZ Extirpation of Matter from Uvula, Open Approach
  • 0CCN3ZZ Extirpation of Matter from Uvula, Percutaneous Approach
0CM0 Mouth and Throat, Reattachment1 code
  • 0CM00ZZ Reattachment of Upper Lip, Open Approach
0CM1 Mouth and Throat, Reattachment1 code
  • 0CM10ZZ Reattachment of Lower Lip, Open Approach
0CM3 Mouth and Throat, Reattachment1 code
  • 0CM30ZZ Reattachment of Soft Palate, Open Approach
0CM7 Mouth and Throat, Reattachment1 code
  • 0CM70ZZ Reattachment of Tongue, Open Approach
0CMN Mouth and Throat, Reattachment1 code
  • 0CMN0ZZ Reattachment of Uvula, Open Approach
0CN2 Mouth and Throat, Release3 codes
  • 0CN20ZZ Release Hard Palate, Open Approach
  • 0CN23ZZ Release Hard Palate, Percutaneous Approach
  • 0CN2XZZ Release Hard Palate, External Approach
0CN3 Mouth and Throat, Release3 codes
  • 0CN30ZZ Release Soft Palate, Open Approach
  • 0CN33ZZ Release Soft Palate, Percutaneous Approach
  • 0CN3XZZ Release Soft Palate, External Approach
0CN4 Mouth and Throat, Release2 codes
  • 0CN40ZZ Release Buccal Mucosa, Open Approach
  • 0CN43ZZ Release Buccal Mucosa, Percutaneous Approach
0CNN Mouth and Throat, Release3 codes
  • 0CNN0ZZ Release Uvula, Open Approach
  • 0CNN3ZZ Release Uvula, Percutaneous Approach
  • 0CNNXZZ Release Uvula, External Approach
0CPY Mouth and Throat, Removal13 codes
  • 0CPY00Z Removal of Drainage Device from Mouth and Throat, Open Approach
  • 0CPY01Z Removal of Radioactive Element from Mouth and Throat, Open Approach
  • 0CPY07Z Removal of Autologous Tissue Substitute from Mouth and Throat, Open Approach
  • 0CPY0DZ Removal of Intraluminal Device from Mouth and Throat, Open Approach
  • 0CPY0JZ Removal of Synthetic Substitute from Mouth and Throat, Open Approach
  • 0CPY0KZ Removal of Nonautologous Tissue Substitute from Mouth and Throat, Open Approach
  • 0CPY0YZ Removal of Other Device from Mouth and Throat, Open Approach
  • 0CPY30Z Removal of Drainage Device from Mouth and Throat, Percutaneous Approach
  • 0CPY31Z Removal of Radioactive Element from Mouth and Throat, Percutaneous Approach
  • 0CPY37Z Removal of Autologous Tissue Substitute from Mouth and Throat, Percutaneous Approach
  • 0CPY3DZ Removal of Intraluminal Device from Mouth and Throat, Percutaneous Approach
  • 0CPY3JZ Removal of Synthetic Substitute from Mouth and Throat, Percutaneous Approach
  • 0CPY3KZ Removal of Nonautologous Tissue Substitute from Mouth and Throat, Percutaneous Approach
0CQ0 Mouth and Throat, Repair2 codes
  • 0CQ00ZZ Repair Upper Lip, Open Approach
  • 0CQ03ZZ Repair Upper Lip, Percutaneous Approach
0CQ1 Mouth and Throat, Repair2 codes
  • 0CQ10ZZ Repair Lower Lip, Open Approach
  • 0CQ13ZZ Repair Lower Lip, Percutaneous Approach
0CQ4 Mouth and Throat, Repair2 codes
  • 0CQ40ZZ Repair Buccal Mucosa, Open Approach
  • 0CQ43ZZ Repair Buccal Mucosa, Percutaneous Approach
0CQ7 Mouth and Throat, Repair2 codes
  • 0CQ70ZZ Repair Tongue, Open Approach
  • 0CQ73ZZ Repair Tongue, Percutaneous Approach
0CQN Mouth and Throat, Repair3 codes
  • 0CQN0ZZ Repair Uvula, Open Approach
  • 0CQN3ZZ Repair Uvula, Percutaneous Approach
  • 0CQNXZZ Repair Uvula, External Approach
0CR0 Mouth and Throat, Replacement9 codes
  • 0CR007Z Replacement of Upper Lip with Autologous Tissue Substitute, Open Approach
  • 0CR00JZ Replacement of Upper Lip with Synthetic Substitute, Open Approach
  • 0CR00KZ Replacement of Upper Lip with Nonautologous Tissue Substitute, Open Approach
  • 0CR037Z Replacement of Upper Lip with Autologous Tissue Substitute, Percutaneous Approach
  • 0CR03JZ Replacement of Upper Lip with Synthetic Substitute, Percutaneous Approach
  • 0CR03KZ Replacement of Upper Lip with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CR0X7Z Replacement of Upper Lip with Autologous Tissue Substitute, External Approach
  • 0CR0XJZ Replacement of Upper Lip with Synthetic Substitute, External Approach
  • 0CR0XKZ Replacement of Upper Lip with Nonautologous Tissue Substitute, External Approach
0CR1 Mouth and Throat, Replacement9 codes
  • 0CR107Z Replacement of Lower Lip with Autologous Tissue Substitute, Open Approach
  • 0CR10JZ Replacement of Lower Lip with Synthetic Substitute, Open Approach
  • 0CR10KZ Replacement of Lower Lip with Nonautologous Tissue Substitute, Open Approach
  • 0CR137Z Replacement of Lower Lip with Autologous Tissue Substitute, Percutaneous Approach
  • 0CR13JZ Replacement of Lower Lip with Synthetic Substitute, Percutaneous Approach
  • 0CR13KZ Replacement of Lower Lip with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CR1X7Z Replacement of Lower Lip with Autologous Tissue Substitute, External Approach
  • 0CR1XJZ Replacement of Lower Lip with Synthetic Substitute, External Approach
  • 0CR1XKZ Replacement of Lower Lip with Nonautologous Tissue Substitute, External Approach
0CR4 Mouth and Throat, Replacement9 codes
  • 0CR407Z Replacement of Buccal Mucosa with Autologous Tissue Substitute, Open Approach
  • 0CR40JZ Replacement of Buccal Mucosa with Synthetic Substitute, Open Approach
  • 0CR40KZ Replacement of Buccal Mucosa with Nonautologous Tissue Substitute, Open Approach
  • 0CR437Z Replacement of Buccal Mucosa with Autologous Tissue Substitute, Percutaneous Approach
  • 0CR43JZ Replacement of Buccal Mucosa with Synthetic Substitute, Percutaneous Approach
  • 0CR43KZ Replacement of Buccal Mucosa with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CR4X7Z Replacement of Buccal Mucosa with Autologous Tissue Substitute, External Approach
  • 0CR4XJZ Replacement of Buccal Mucosa with Synthetic Substitute, External Approach
  • 0CR4XKZ Replacement of Buccal Mucosa with Nonautologous Tissue Substitute, External Approach
0CR5 Mouth and Throat, Replacement9 codes
  • 0CR507Z Replacement of Upper Gingiva with Autologous Tissue Substitute, Open Approach
  • 0CR50JZ Replacement of Upper Gingiva with Synthetic Substitute, Open Approach
  • 0CR50KZ Replacement of Upper Gingiva with Nonautologous Tissue Substitute, Open Approach
  • 0CR537Z Replacement of Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach
  • 0CR53JZ Replacement of Upper Gingiva with Synthetic Substitute, Percutaneous Approach
  • 0CR53KZ Replacement of Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CR5X7Z Replacement of Upper Gingiva with Autologous Tissue Substitute, External Approach
  • 0CR5XJZ Replacement of Upper Gingiva with Synthetic Substitute, External Approach
  • 0CR5XKZ Replacement of Upper Gingiva with Nonautologous Tissue Substitute, External Approach
0CR6 Mouth and Throat, Replacement9 codes
  • 0CR607Z Replacement of Lower Gingiva with Autologous Tissue Substitute, Open Approach
  • 0CR60JZ Replacement of Lower Gingiva with Synthetic Substitute, Open Approach
  • 0CR60KZ Replacement of Lower Gingiva with Nonautologous Tissue Substitute, Open Approach
  • 0CR637Z Replacement of Lower Gingiva with Autologous Tissue Substitute, Percutaneous Approach
  • 0CR63JZ Replacement of Lower Gingiva with Synthetic Substitute, Percutaneous Approach
  • 0CR63KZ Replacement of Lower Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CR6X7Z Replacement of Lower Gingiva with Autologous Tissue Substitute, External Approach
  • 0CR6XJZ Replacement of Lower Gingiva with Synthetic Substitute, External Approach
  • 0CR6XKZ Replacement of Lower Gingiva with Nonautologous Tissue Substitute, External Approach
0CR7 Mouth and Throat, Replacement9 codes
  • 0CR707Z Replacement of Tongue with Autologous Tissue Substitute, Open Approach
  • 0CR70JZ Replacement of Tongue with Synthetic Substitute, Open Approach
  • 0CR70KZ Replacement of Tongue with Nonautologous Tissue Substitute, Open Approach
  • 0CR737Z Replacement of Tongue with Autologous Tissue Substitute, Percutaneous Approach
  • 0CR73JZ Replacement of Tongue with Synthetic Substitute, Percutaneous Approach
  • 0CR73KZ Replacement of Tongue with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CR7X7Z Replacement of Tongue with Autologous Tissue Substitute, External Approach
  • 0CR7XJZ Replacement of Tongue with Synthetic Substitute, External Approach
  • 0CR7XKZ Replacement of Tongue with Nonautologous Tissue Substitute, External Approach
0CRN Mouth and Throat, Replacement9 codes
  • 0CRN07Z Replacement of Uvula with Autologous Tissue Substitute, Open Approach
  • 0CRN0JZ Replacement of Uvula with Synthetic Substitute, Open Approach
  • 0CRN0KZ Replacement of Uvula with Nonautologous Tissue Substitute, Open Approach
  • 0CRN37Z Replacement of Uvula with Autologous Tissue Substitute, Percutaneous Approach
  • 0CRN3JZ Replacement of Uvula with Synthetic Substitute, Percutaneous Approach
  • 0CRN3KZ Replacement of Uvula with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CRNX7Z Replacement of Uvula with Autologous Tissue Substitute, External Approach
  • 0CRNXJZ Replacement of Uvula with Synthetic Substitute, External Approach
  • 0CRNXKZ Replacement of Uvula with Nonautologous Tissue Substitute, External Approach
0CS0 Mouth and Throat, Reposition2 codes
  • 0CS00ZZ Reposition Upper Lip, Open Approach
  • 0CS0XZZ Reposition Upper Lip, External Approach
0CS1 Mouth and Throat, Reposition2 codes
  • 0CS10ZZ Reposition Lower Lip, Open Approach
  • 0CS1XZZ Reposition Lower Lip, External Approach
0CS7 Mouth and Throat, Reposition2 codes
  • 0CS70ZZ Reposition Tongue, Open Approach
  • 0CS7XZZ Reposition Tongue, External Approach
0CSN Mouth and Throat, Reposition2 codes
  • 0CSN0ZZ Reposition Uvula, Open Approach
  • 0CSNXZZ Reposition Uvula, External Approach
0CT0 Mouth and Throat, Resection2 codes
  • 0CT00ZZ Resection of Upper Lip, Open Approach
  • 0CT0XZZ Resection of Upper Lip, External Approach
0CT1 Mouth and Throat, Resection2 codes
  • 0CT10ZZ Resection of Lower Lip, Open Approach
  • 0CT1XZZ Resection of Lower Lip, External Approach
0CT3 Mouth and Throat, Resection2 codes
  • 0CT30ZZ Resection of Soft Palate, Open Approach
  • 0CT3XZZ Resection of Soft Palate, External Approach
0CTN Mouth and Throat, Resection2 codes
  • 0CTN0ZZ Resection of Uvula, Open Approach
  • 0CTNXZZ Resection of Uvula, External Approach
0CU0 Mouth and Throat, Supplement9 codes
  • 0CU007Z Supplement Upper Lip with Autologous Tissue Substitute, Open Approach
  • 0CU00JZ Supplement Upper Lip with Synthetic Substitute, Open Approach
  • 0CU00KZ Supplement Upper Lip with Nonautologous Tissue Substitute, Open Approach
  • 0CU037Z Supplement Upper Lip with Autologous Tissue Substitute, Percutaneous Approach
  • 0CU03JZ Supplement Upper Lip with Synthetic Substitute, Percutaneous Approach
  • 0CU03KZ Supplement Upper Lip with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CU0X7Z Supplement Upper Lip with Autologous Tissue Substitute, External Approach
  • 0CU0XJZ Supplement Upper Lip with Synthetic Substitute, External Approach
  • 0CU0XKZ Supplement Upper Lip with Nonautologous Tissue Substitute, External Approach
0CU1 Mouth and Throat, Supplement9 codes
  • 0CU107Z Supplement Lower Lip with Autologous Tissue Substitute, Open Approach
  • 0CU10JZ Supplement Lower Lip with Synthetic Substitute, Open Approach
  • 0CU10KZ Supplement Lower Lip with Nonautologous Tissue Substitute, Open Approach
  • 0CU137Z Supplement Lower Lip with Autologous Tissue Substitute, Percutaneous Approach
  • 0CU13JZ Supplement Lower Lip with Synthetic Substitute, Percutaneous Approach
  • 0CU13KZ Supplement Lower Lip with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CU1X7Z Supplement Lower Lip with Autologous Tissue Substitute, External Approach
  • 0CU1XJZ Supplement Lower Lip with Synthetic Substitute, External Approach
  • 0CU1XKZ Supplement Lower Lip with Nonautologous Tissue Substitute, External Approach
0CU4 Mouth and Throat, Supplement9 codes
  • 0CU407Z Supplement Buccal Mucosa with Autologous Tissue Substitute, Open Approach
  • 0CU40JZ Supplement Buccal Mucosa with Synthetic Substitute, Open Approach
  • 0CU40KZ Supplement Buccal Mucosa with Nonautologous Tissue Substitute, Open Approach
  • 0CU437Z Supplement Buccal Mucosa with Autologous Tissue Substitute, Percutaneous Approach
  • 0CU43JZ Supplement Buccal Mucosa with Synthetic Substitute, Percutaneous Approach
  • 0CU43KZ Supplement Buccal Mucosa with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CU4X7Z Supplement Buccal Mucosa with Autologous Tissue Substitute, External Approach
  • 0CU4XJZ Supplement Buccal Mucosa with Synthetic Substitute, External Approach
  • 0CU4XKZ Supplement Buccal Mucosa with Nonautologous Tissue Substitute, External Approach
0CU5 Mouth and Throat, Supplement9 codes
  • 0CU507Z Supplement Upper Gingiva with Autologous Tissue Substitute, Open Approach
  • 0CU50JZ Supplement Upper Gingiva with Synthetic Substitute, Open Approach
  • 0CU50KZ Supplement Upper Gingiva with Nonautologous Tissue Substitute, Open Approach
  • 0CU537Z Supplement Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach
  • 0CU53JZ Supplement Upper Gingiva with Synthetic Substitute, Percutaneous Approach
  • 0CU53KZ Supplement Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CU5X7Z Supplement Upper Gingiva with Autologous Tissue Substitute, External Approach
  • 0CU5XJZ Supplement Upper Gingiva with Synthetic Substitute, External Approach
  • 0CU5XKZ Supplement Upper Gingiva with Nonautologous Tissue Substitute, External Approach
0CU6 Mouth and Throat, Supplement9 codes
  • 0CU607Z Supplement Lower Gingiva with Autologous Tissue Substitute, Open Approach
  • 0CU60JZ Supplement Lower Gingiva with Synthetic Substitute, Open Approach
  • 0CU60KZ Supplement Lower Gingiva with Nonautologous Tissue Substitute, Open Approach
  • 0CU637Z Supplement Lower Gingiva with Autologous Tissue Substitute, Percutaneous Approach
  • 0CU63JZ Supplement Lower Gingiva with Synthetic Substitute, Percutaneous Approach
  • 0CU63KZ Supplement Lower Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CU6X7Z Supplement Lower Gingiva with Autologous Tissue Substitute, External Approach
  • 0CU6XJZ Supplement Lower Gingiva with Synthetic Substitute, External Approach
  • 0CU6XKZ Supplement Lower Gingiva with Nonautologous Tissue Substitute, External Approach
0CU7 Mouth and Throat, Supplement9 codes
  • 0CU707Z Supplement Tongue with Autologous Tissue Substitute, Open Approach
  • 0CU70JZ Supplement Tongue with Synthetic Substitute, Open Approach
  • 0CU70KZ Supplement Tongue with Nonautologous Tissue Substitute, Open Approach
  • 0CU737Z Supplement Tongue with Autologous Tissue Substitute, Percutaneous Approach
  • 0CU73JZ Supplement Tongue with Synthetic Substitute, Percutaneous Approach
  • 0CU73KZ Supplement Tongue with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CU7X7Z Supplement Tongue with Autologous Tissue Substitute, External Approach
  • 0CU7XJZ Supplement Tongue with Synthetic Substitute, External Approach
  • 0CU7XKZ Supplement Tongue with Nonautologous Tissue Substitute, External Approach
0CUN Mouth and Throat, Supplement9 codes
  • 0CUN07Z Supplement Uvula with Autologous Tissue Substitute, Open Approach
  • 0CUN0JZ Supplement Uvula with Synthetic Substitute, Open Approach
  • 0CUN0KZ Supplement Uvula with Nonautologous Tissue Substitute, Open Approach
  • 0CUN37Z Supplement Uvula with Autologous Tissue Substitute, Percutaneous Approach
  • 0CUN3JZ Supplement Uvula with Synthetic Substitute, Percutaneous Approach
  • 0CUN3KZ Supplement Uvula with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0CUNX7Z Supplement Uvula with Autologous Tissue Substitute, External Approach
  • 0CUNXJZ Supplement Uvula with Synthetic Substitute, External Approach
  • 0CUNXKZ Supplement Uvula with Nonautologous Tissue Substitute, External Approach
0CWY Mouth and Throat, Revision12 codes
  • 0CWY00Z Revision of Drainage Device in Mouth and Throat, Open Approach
  • 0CWY01Z Revision of Radioactive Element in Mouth and Throat, Open Approach
  • 0CWY0DZ Revision of Intraluminal Device in Mouth and Throat, Open Approach
  • 0CWY0JZ Revision of Synthetic Substitute in Mouth and Throat, Open Approach
  • 0CWY0KZ Revision of Nonautologous Tissue Substitute in Mouth and Throat, Open Approach
  • 0CWY0YZ Revision of Other Device in Mouth and Throat, Open Approach
  • 0CWY30Z Revision of Drainage Device in Mouth and Throat, Percutaneous Approach
  • 0CWY31Z Revision of Radioactive Element in Mouth and Throat, Percutaneous Approach
  • 0CWY37Z Revision of Autologous Tissue Substitute in Mouth and Throat, Percutaneous Approach
  • 0CWY3DZ Revision of Intraluminal Device in Mouth and Throat, Percutaneous Approach
  • 0CWY3JZ Revision of Synthetic Substitute in Mouth and Throat, Percutaneous Approach
  • 0CWY3KZ Revision of Nonautologous Tissue Substitute in Mouth and Throat, Percutaneous Approach
0CX0 Mouth and Throat, Transfer2 codes
  • 0CX00ZZ Transfer Upper Lip, Open Approach
  • 0CX0XZZ Transfer Upper Lip, External Approach
0CX1 Mouth and Throat, Transfer2 codes
  • 0CX10ZZ Transfer Lower Lip, Open Approach
  • 0CX1XZZ Transfer Lower Lip, External Approach
0CX3 Mouth and Throat, Transfer2 codes
  • 0CX30ZZ Transfer Soft Palate, Open Approach
  • 0CX3XZZ Transfer Soft Palate, External Approach
0CX4 Mouth and Throat, Transfer2 codes
  • 0CX40ZZ Transfer Buccal Mucosa, Open Approach
  • 0CX4XZZ Transfer Buccal Mucosa, External Approach
0CX5 Mouth and Throat, Transfer2 codes
  • 0CX50ZZ Transfer Upper Gingiva, Open Approach
  • 0CX5XZZ Transfer Upper Gingiva, External Approach
0CX6 Mouth and Throat, Transfer2 codes
  • 0CX60ZZ Transfer Lower Gingiva, Open Approach
  • 0CX6XZZ Transfer Lower Gingiva, External Approach
0CX7 Mouth and Throat, Transfer2 codes
  • 0CX70ZZ Transfer Tongue, Open Approach
  • 0CX7XZZ Transfer Tongue, External Approach
0NNX Head and Facial Bones, Release3 codes
  • 0NNX0ZZ Release Hyoid Bone, Open Approach
  • 0NNX3ZZ Release Hyoid Bone, Percutaneous Approach
  • 0NNX4ZZ Release Hyoid Bone, Percutaneous Endoscopic Approach
0W92 Anatomical Regions, General, Drainage4 codes
  • 0W9200Z Drainage of Face with Drainage Device, Open Approach
  • 0W920ZZ Drainage of Face, Open Approach
  • 0W9240Z Drainage of Face with Drainage Device, Percutaneous Endoscopic Approach
  • 0W924ZZ Drainage of Face, Percutaneous Endoscopic Approach
0W93 Anatomical Regions, General, Drainage4 codes
  • 0W9300Z Drainage of Oral Cavity and Throat with Drainage Device, Open Approach
  • 0W930ZZ Drainage of Oral Cavity and Throat, Open Approach
  • 0W9340Z Drainage of Oral Cavity and Throat with Drainage Device, Percutaneous Endoscopic Approach
  • 0W934ZZ Drainage of Oral Cavity and Throat, Percutaneous Endoscopic Approach
0W94 Anatomical Regions, General, Drainage4 codes
  • 0W9400Z Drainage of Upper Jaw with Drainage Device, Open Approach
  • 0W940ZZ Drainage of Upper Jaw, Open Approach
  • 0W9440Z Drainage of Upper Jaw with Drainage Device, Percutaneous Endoscopic Approach
  • 0W944ZZ Drainage of Upper Jaw, Percutaneous Endoscopic Approach
0W95 Anatomical Regions, General, Drainage3 codes
  • 0W9500Z Drainage of Lower Jaw with Drainage Device, Open Approach
  • 0W9540Z Drainage of Lower Jaw with Drainage Device, Percutaneous Endoscopic Approach
  • 0W954ZZ Drainage of Lower Jaw, Percutaneous Endoscopic Approach
0WB3 Anatomical Regions, General, Excision8 codes
  • 0WB30ZX Excision of Oral Cavity and Throat, Open Approach, Diagnostic
  • 0WB30ZZ Excision of Oral Cavity and Throat, Open Approach
  • 0WB33ZX Excision of Oral Cavity and Throat, Percutaneous Approach, Diagnostic
  • 0WB33ZZ Excision of Oral Cavity and Throat, Percutaneous Approach
  • 0WB34ZX Excision of Oral Cavity and Throat, Percutaneous Endoscopic Approach, Diagnostic
  • 0WB34ZZ Excision of Oral Cavity and Throat, Percutaneous Endoscopic Approach
  • 0WB3XZX Excision of Oral Cavity and Throat, External Approach, Diagnostic
  • 0WB3XZZ Excision of Oral Cavity and Throat, External Approach
0WC3 Anatomical Regions, General, Extirpation3 codes
  • 0WC30ZZ Extirpation of Matter from Oral Cavity and Throat, Open Approach
  • 0WC33ZZ Extirpation of Matter from Oral Cavity and Throat, Percutaneous Approach
  • 0WC34ZZ Extirpation of Matter from Oral Cavity and Throat, Percutaneous Endoscopic Approach
0WF3 Anatomical Regions, General, Fragmentation3 codes
  • 0WF30ZZ Fragmentation in Oral Cavity and Throat, Open Approach
  • 0WF33ZZ Fragmentation in Oral Cavity and Throat, Percutaneous Approach
  • 0WF34ZZ Fragmentation in Oral Cavity and Throat, Percutaneous Endoscopic Approach
0WH3 Anatomical Regions, General, Insertion6 codes
  • 0WH303Z Insertion of Infusion Device into Oral Cavity and Throat, Open Approach
  • 0WH30YZ Insertion of Other Device into Oral Cavity and Throat, Open Approach
  • 0WH333Z Insertion of Infusion Device into Oral Cavity and Throat, Percutaneous Approach
  • 0WH33YZ Insertion of Other Device into Oral Cavity and Throat, Percutaneous Approach
  • 0WH343Z Insertion of Infusion Device into Oral Cavity and Throat, Percutaneous Endoscopic Approach
  • 0WH34YZ Insertion of Other Device into Oral Cavity and Throat, Percutaneous Endoscopic Approach
ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 137?

MS-DRG 137 (Mouth Procedures with CC/MCC) is a surgical DRG in MDC 03 (Diseases & Disorders of the Ear, Nose, Mouth & Throat). Its FY 2026 relative weight is 1.4932 with a geometric mean length of stay of 3.4 days.

What is the difference between DRG 137, 138?

All 2 share the same base category; the severity of secondary diagnoses separates them: 137 (with CC/MCC), 138 (without CC/MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.

How many procedure codes group to DRG 137?

358 ICD-10-PCS operating-room procedure codes group to this DRG.

What is the relative weight of DRG 137?

The FY 2026 relative weight of this DRG is 1.4932, meaning reimbursement of roughly 1.49 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 136 – Sinus and Mastoid Procedures without CC/MCC
Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.