MS-DRG · FY 2026 v43.0

MS-DRG 141 – Major Head and Neck Procedures with CC

A Surgical DRG in MDC 03 (Diseases & Disorders of the Ear, Nose, Mouth & Throat). Inpatient cases group to DRG 141 when one of the 183 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.1811 with a geometric mean length of stay of 3.0 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.1811
Relative Weight
3.0
Geometric Mean LOS (days)
4.1
Arithmetic Mean LOS (days)
183
Procedure Codes

Severity family

DRG 140with MCCWeight 4.2653 · GMLOS 6.9 daysDRG 141with CCWeight 2.1811 · GMLOS 3.0 daysDRG 142without CC/MCCWeight 1.5964 · GMLOS 1.9 days
How a case is assigned to DRG 141

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 MCC → 140; with CC → 141; without CC/MCC → 142.

ICD-10-PCS

Procedure Codes 183 codes · 60 categories

183 of 183 shown
03LH Upper Arteries, Occlusion6 codes
  • 03LH0CZ Occlusion of Right Common Carotid Artery with Extraluminal Device, Open Approach
  • 03LH0ZZ Occlusion of Right Common Carotid Artery, Open Approach
  • 03LH3CZ Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Approach
  • 03LH3ZZ Occlusion of Right Common Carotid Artery, Percutaneous Approach
  • 03LH4CZ Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
  • 03LH4ZZ Occlusion of Right Common Carotid Artery, Percutaneous Endoscopic Approach
03LJ Upper Arteries, Occlusion6 codes
  • 03LJ0CZ Occlusion of Left Common Carotid Artery with Extraluminal Device, Open Approach
  • 03LJ0ZZ Occlusion of Left Common Carotid Artery, Open Approach
  • 03LJ3CZ Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach
  • 03LJ3ZZ Occlusion of Left Common Carotid Artery, Percutaneous Approach
  • 03LJ4CZ Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
  • 03LJ4ZZ Occlusion of Left Common Carotid Artery, Percutaneous Endoscopic Approach
03LM Upper Arteries, Occlusion6 codes
  • 03LM0CZ Occlusion of Right External Carotid Artery with Extraluminal Device, Open Approach
  • 03LM0ZZ Occlusion of Right External Carotid Artery, Open Approach
  • 03LM3CZ Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Approach
  • 03LM3ZZ Occlusion of Right External Carotid Artery, Percutaneous Approach
  • 03LM4CZ Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
  • 03LM4ZZ Occlusion of Right External Carotid Artery, Percutaneous Endoscopic Approach
03LN Upper Arteries, Occlusion6 codes
  • 03LN0CZ Occlusion of Left External Carotid Artery with Extraluminal Device, Open Approach
  • 03LN0ZZ Occlusion of Left External Carotid Artery, Open Approach
  • 03LN3CZ Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Approach
  • 03LN3ZZ Occlusion of Left External Carotid Artery, Percutaneous Approach
  • 03LN4CZ Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
  • 03LN4ZZ Occlusion of Left External Carotid Artery, Percutaneous Endoscopic Approach
03LR Upper Arteries, Occlusion6 codes
  • 03LR0CZ Occlusion of Face Artery with Extraluminal Device, Open Approach
  • 03LR0ZZ Occlusion of Face Artery, Open Approach
  • 03LR3CZ Occlusion of Face Artery with Extraluminal Device, Percutaneous Approach
  • 03LR3ZZ Occlusion of Face Artery, Percutaneous Approach
  • 03LR4CZ Occlusion of Face Artery with Extraluminal Device, Percutaneous Endoscopic Approach
  • 03LR4ZZ Occlusion of Face Artery, Percutaneous Endoscopic Approach
03LS Upper Arteries, Occlusion6 codes
  • 03LS0CZ Occlusion of Right Temporal Artery with Extraluminal Device, Open Approach
  • 03LS0ZZ Occlusion of Right Temporal Artery, Open Approach
  • 03LS3CZ Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Approach
  • 03LS3ZZ Occlusion of Right Temporal Artery, Percutaneous Approach
  • 03LS4CZ Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
  • 03LS4ZZ Occlusion of Right Temporal Artery, Percutaneous Endoscopic Approach
03LT Upper Arteries, Occlusion6 codes
  • 03LT0CZ Occlusion of Left Temporal Artery with Extraluminal Device, Open Approach
  • 03LT0ZZ Occlusion of Left Temporal Artery, Open Approach
  • 03LT3CZ Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Approach
  • 03LT3ZZ Occlusion of Left Temporal Artery, Percutaneous Approach
  • 03LT4CZ Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
  • 03LT4ZZ Occlusion of Left Temporal Artery, Percutaneous Endoscopic Approach
07T0 Lymphatic and Hemic Systems, Resection2 codes
  • 07T00ZZ Resection of Head Lymphatic, Open Approach
  • 07T04ZZ Resection of Head Lymphatic, Percutaneous Endoscopic Approach
07T1 Lymphatic and Hemic Systems, Resection2 codes
  • 07T10ZZ Resection of Right Neck Lymphatic, Open Approach
  • 07T14ZZ Resection of Right Neck Lymphatic, Percutaneous Endoscopic Approach
07T2 Lymphatic and Hemic Systems, Resection2 codes
  • 07T20ZZ Resection of Left Neck Lymphatic, Open Approach
  • 07T24ZZ Resection of Left Neck Lymphatic, Percutaneous Endoscopic Approach
08Q0 Eye, Repair1 code
  • 08Q0XZZ Repair Right Eye, External Approach
08Q1 Eye, Repair1 code
  • 08Q1XZZ Repair Left Eye, External Approach
08T0 Eye, Resection1 code
  • 08T0XZZ Resection of Right Eye, External Approach
08T1 Eye, Resection1 code
  • 08T1XZZ Resection of Left Eye, External Approach
09HD Ear, Nose, Sinus, Insertion10 codes
  • 09HD01Z Insertion of Radioactive Element into Right Inner Ear, Open Approach
  • 09HD05Z Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Open Approach
  • 09HD06Z Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Open Approach
  • 09HD0SZ Insertion of Hearing Device into Right Inner Ear, Open Approach
  • 09HD35Z Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach
  • 09HD36Z Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach
  • 09HD41Z Insertion of Radioactive Element into Right Inner Ear, Percutaneous Endoscopic Approach
  • 09HD45Z Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach
  • 09HD46Z Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach
  • 09HD4SZ Insertion of Hearing Device into Right Inner Ear, Percutaneous Endoscopic Approach
09HE Ear, Nose, Sinus, Insertion10 codes
  • 09HE01Z Insertion of Radioactive Element into Left Inner Ear, Open Approach
  • 09HE05Z Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Open Approach
  • 09HE06Z Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Open Approach
  • 09HE0SZ Insertion of Hearing Device into Left Inner Ear, Open Approach
  • 09HE35Z Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach
  • 09HE36Z Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach
  • 09HE41Z Insertion of Radioactive Element into Left Inner Ear, Percutaneous Endoscopic Approach
  • 09HE45Z Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach
  • 09HE46Z Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach
  • 09HE4SZ Insertion of Hearing Device into Left Inner Ear, Percutaneous Endoscopic Approach
0B51 Respiratory System, Destruction5 codes
  • 0B510ZZ Destruction of Trachea, Open Approach
  • 0B513ZZ Destruction of Trachea, Percutaneous Approach
  • 0B514ZZ Destruction of Trachea, Percutaneous Endoscopic Approach
  • 0B517ZZ Destruction of Trachea, Via Natural or Artificial Opening
  • 0B518ZZ Destruction of Trachea, Via Natural or Artificial Opening Endoscopic
0BW1 Respiratory System, Revision2 codes
  • 0BW10FZ Revision of Tracheostomy Device in Trachea, Open Approach
  • 0BW14FZ Revision of Tracheostomy Device in Trachea, Percutaneous Endoscopic Approach
0CBS Mouth and Throat, Excision2 codes
  • 0CBS0ZZ Excision of Larynx, Open Approach
  • 0CBS4ZZ Excision of Larynx, Percutaneous Endoscopic Approach
0CT2 Mouth and Throat, Resection2 codes
  • 0CT20ZZ Resection of Hard Palate, Open Approach
  • 0CT2XZZ Resection of Hard Palate, External Approach
0CT7 Mouth and Throat, Resection2 codes
  • 0CT70ZZ Resection of Tongue, Open Approach
  • 0CT7XZZ Resection of Tongue, External Approach
0HR1 Skin and Breast, Replacement2 codes
  • 0HR1X73 Replacement of Face Skin with Autologous Tissue Substitute, Full Thickness, External Approach
  • 0HR1X74 Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR4 Skin and Breast, Replacement2 codes
  • 0HR4X73 Replacement of Neck Skin with Autologous Tissue Substitute, Full Thickness, External Approach
  • 0HR4XJZ Replacement of Neck Skin with Synthetic Substitute, External Approach
0JR1 Subcutaneous Tissue and Fascia, Replacement2 codes
  • 0JR107Z Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach
  • 0JR10KZ Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach
0JX4 Subcutaneous Tissue and Fascia, Transfer2 codes
  • 0JX40ZB Transfer Right Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
  • 0JX40ZC Transfer Right Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX5 Subcutaneous Tissue and Fascia, Transfer2 codes
  • 0JX50ZB Transfer Left Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
  • 0JX50ZC Transfer Left Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0NBT Head and Facial Bones, Excision2 codes
  • 0NBT0ZZ Excision of Right Mandible, Open Approach
  • 0NBT4ZZ Excision of Right Mandible, Percutaneous Endoscopic Approach
0NBV Head and Facial Bones, Excision2 codes
  • 0NBV0ZZ Excision of Left Mandible, Open Approach
  • 0NBV4ZZ Excision of Left Mandible, Percutaneous Endoscopic Approach
0NNP Head and Facial Bones, Release3 codes
  • 0NNP0ZZ Release Right Orbit, Open Approach
  • 0NNP3ZZ Release Right Orbit, Percutaneous Approach
  • 0NNP4ZZ Release Right Orbit, Percutaneous Endoscopic Approach
0NNQ Head and Facial Bones, Release3 codes
  • 0NNQ0ZZ Release Left Orbit, Open Approach
  • 0NNQ3ZZ Release Left Orbit, Percutaneous Approach
  • 0NNQ4ZZ Release Left Orbit, Percutaneous Endoscopic Approach
0NRT Head and Facial Bones, Replacement9 codes
  • 0NRT07Z Replacement of Right Mandible with Autologous Tissue Substitute, Open Approach
  • 0NRT0JZ Replacement of Right Mandible with Synthetic Substitute, Open Approach
  • 0NRT0KZ Replacement of Right Mandible with Nonautologous Tissue Substitute, Open Approach
  • 0NRT37Z Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Approach
  • 0NRT3JZ Replacement of Right Mandible with Synthetic Substitute, Percutaneous Approach
  • 0NRT3KZ Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0NRT47Z Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0NRT4JZ Replacement of Right Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0NRT4KZ Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0NRV Head and Facial Bones, Replacement9 codes
  • 0NRV07Z Replacement of Left Mandible with Autologous Tissue Substitute, Open Approach
  • 0NRV0JZ Replacement of Left Mandible with Synthetic Substitute, Open Approach
  • 0NRV0KZ Replacement of Left Mandible with Nonautologous Tissue Substitute, Open Approach
  • 0NRV37Z Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Approach
  • 0NRV3JZ Replacement of Left Mandible with Synthetic Substitute, Percutaneous Approach
  • 0NRV3KZ Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0NRV47Z Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0NRV4JZ Replacement of Left Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0NRV4KZ Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0NS1 Head and Facial Bones, Reposition6 codes
  • 0NS104Z Reposition Frontal Bone with Internal Fixation Device, Open Approach
  • 0NS10ZZ Reposition Frontal Bone, Open Approach
  • 0NS134Z Reposition Frontal Bone with Internal Fixation Device, Percutaneous Approach
  • 0NS13ZZ Reposition Frontal Bone, Percutaneous Approach
  • 0NS144Z Reposition Frontal Bone with Internal Fixation Device, Percutaneous Endoscopic Approach
  • 0NS14ZZ Reposition Frontal Bone, Percutaneous Endoscopic Approach
0NS7 Head and Facial Bones, Reposition6 codes
  • 0NS704Z Reposition Occipital Bone with Internal Fixation Device, Open Approach
  • 0NS70ZZ Reposition Occipital Bone, Open Approach
  • 0NS734Z Reposition Occipital Bone with Internal Fixation Device, Percutaneous Approach
  • 0NS73ZZ Reposition Occipital Bone, Percutaneous Approach
  • 0NS744Z Reposition Occipital Bone with Internal Fixation Device, Percutaneous Endoscopic Approach
  • 0NS74ZZ Reposition Occipital Bone, Percutaneous Endoscopic Approach
0NSB Head and Facial Bones, Reposition2 codes
  • 0NSB04Z Reposition Nasal Bone with Internal Fixation Device, Open Approach
  • 0NSB0ZZ Reposition Nasal Bone, Open Approach
0NSC Head and Facial Bones, Reposition2 codes
  • 0NSC04Z Reposition Sphenoid Bone with Internal Fixation Device, Open Approach
  • 0NSC0ZZ Reposition Sphenoid Bone, Open Approach
0NSF Head and Facial Bones, Reposition2 codes
  • 0NSF04Z Reposition Right Ethmoid Bone with Internal Fixation Device, Open Approach
  • 0NSF0ZZ Reposition Right Ethmoid Bone, Open Approach
0NSG Head and Facial Bones, Reposition2 codes
  • 0NSG04Z Reposition Left Ethmoid Bone with Internal Fixation Device, Open Approach
  • 0NSG0ZZ Reposition Left Ethmoid Bone, Open Approach
0NSH Head and Facial Bones, Reposition2 codes
  • 0NSH04Z Reposition Right Lacrimal Bone with Internal Fixation Device, Open Approach
  • 0NSH0ZZ Reposition Right Lacrimal Bone, Open Approach
0NSJ Head and Facial Bones, Reposition2 codes
  • 0NSJ04Z Reposition Left Lacrimal Bone with Internal Fixation Device, Open Approach
  • 0NSJ0ZZ Reposition Left Lacrimal Bone, Open Approach
0NSK Head and Facial Bones, Reposition2 codes
  • 0NSK04Z Reposition Right Palatine Bone with Internal Fixation Device, Open Approach
  • 0NSK0ZZ Reposition Right Palatine Bone, Open Approach
0NSL Head and Facial Bones, Reposition2 codes
  • 0NSL04Z Reposition Left Palatine Bone with Internal Fixation Device, Open Approach
  • 0NSL0ZZ Reposition Left Palatine Bone, Open Approach
0NSM Head and Facial Bones, Reposition1 code
  • 0NSM04Z Reposition Right Zygomatic Bone with Internal Fixation Device, Open Approach
0NSN Head and Facial Bones, Reposition1 code
  • 0NSN04Z Reposition Left Zygomatic Bone with Internal Fixation Device, Open Approach
0NSP Head and Facial Bones, Reposition2 codes
  • 0NSP04Z Reposition Right Orbit with Internal Fixation Device, Open Approach
  • 0NSP0ZZ Reposition Right Orbit, Open Approach
0NSQ Head and Facial Bones, Reposition2 codes
  • 0NSQ04Z Reposition Left Orbit with Internal Fixation Device, Open Approach
  • 0NSQ0ZZ Reposition Left Orbit, Open Approach
0NSR Head and Facial Bones, Reposition2 codes
  • 0NSR04Z Reposition Maxilla with Internal Fixation Device, Open Approach
  • 0NSR0ZZ Reposition Maxilla, Open Approach
0NST Head and Facial Bones, Reposition1 code
  • 0NST04Z Reposition Right Mandible with Internal Fixation Device, Open Approach
0NSV Head and Facial Bones, Reposition1 code
  • 0NSV04Z Reposition Left Mandible with Internal Fixation Device, Open Approach
0NTT Head and Facial Bones, Resection1 code
  • 0NTT0ZZ Resection of Right Mandible, Open Approach
0NTV Head and Facial Bones, Resection1 code
  • 0NTV0ZZ Resection of Left Mandible, Open Approach
0RBD Upper Joints, Excision3 codes
  • 0RBD0ZZ Excision of Left Temporomandibular Joint, Open Approach
  • 0RBD3ZZ Excision of Left Temporomandibular Joint, Percutaneous Approach
  • 0RBD4ZZ Excision of Left Temporomandibular Joint, Percutaneous Endoscopic Approach
0RRC Upper Joints, Replacement3 codes
  • 0RRC07Z Replacement of Right Temporomandibular Joint with Autologous Tissue Substitute, Open Approach
  • 0RRC0JZ Replacement of Right Temporomandibular Joint with Synthetic Substitute, Open Approach
  • 0RRC0KZ Replacement of Right Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach
0RRD Upper Joints, Replacement3 codes
  • 0RRD07Z Replacement of Left Temporomandibular Joint with Autologous Tissue Substitute, Open Approach
  • 0RRD0JZ Replacement of Left Temporomandibular Joint with Synthetic Substitute, Open Approach
  • 0RRD0KZ Replacement of Left Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach
0RSC Upper Joints, Reposition2 codes
  • 0RSC04Z Reposition Right Temporomandibular Joint with Internal Fixation Device, Open Approach
  • 0RSC0ZZ Reposition Right Temporomandibular Joint, Open Approach
0RSD Upper Joints, Reposition2 codes
  • 0RSD04Z Reposition Left Temporomandibular Joint with Internal Fixation Device, Open Approach
  • 0RSD0ZZ Reposition Left Temporomandibular Joint, Open Approach
0RTC Upper Joints, Resection1 code
  • 0RTC0ZZ Resection of Right Temporomandibular Joint, Open Approach
0RTD Upper Joints, Resection1 code
  • 0RTD0ZZ Resection of Left Temporomandibular Joint, Open Approach
0W91 Anatomical Regions, General, Drainage2 codes
  • 0W9100Z Drainage of Cranial Cavity with Drainage Device, Open Approach
  • 0W910ZZ Drainage of Cranial Cavity, Open Approach
0WC1 Anatomical Regions, General, Extirpation3 codes
  • 0WC10ZZ Extirpation of Matter from Cranial Cavity, Open Approach
  • 0WC13ZZ Extirpation of Matter from Cranial Cavity, Percutaneous Approach
  • 0WC14ZZ Extirpation of Matter from Cranial Cavity, 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 141?

MS-DRG 141 (Major Head and Neck Procedures with CC) is a surgical DRG in MDC 03 (Diseases & Disorders of the Ear, Nose, Mouth & Throat). Its FY 2026 relative weight is 2.1811 with a geometric mean length of stay of 3.0 days.

What is the difference between DRG 140, 141, 142?

All 3 share the same base category; the severity of secondary diagnoses separates them: 140 (with MCC), 141 (with CC), 142 (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 141?

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

What is the relative weight of DRG 141?

The FY 2026 relative weight of this DRG is 2.1811, meaning reimbursement of roughly 2.18 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 140 – Major Head and Neck Procedures with 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.