MS-DRG · FY 2026 v43.0

MS-DRG 333 – Rectal Resection with CC

A Surgical DRG in MDC 06 (Diseases & Disorders of the Digestive System). Inpatient cases group to DRG 333 when one of the 19 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.3422 with a geometric mean length of stay of 3.5 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.3422
Relative Weight
3.5
Geometric Mean LOS (days)
4.5
Arithmetic Mean LOS (days)
19
Procedure Codes

Severity family

DRG 332with MCCWeight 3.6207 · GMLOS 6.4 daysDRG 333with CCWeight 2.3422 · GMLOS 3.5 daysDRG 334without CC/MCCWeight 1.6379 · GMLOS 2.2 days
How a case is assigned to DRG 333

The grouper first assigns the case to MDC 06 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 → 332; with CC → 333; without CC/MCC → 334.

ICD-10-PCS

Procedure Codes 19 codes · 5 categories

19 of 19 shown
0DBP Gastrointestinal System, Excision2 codes
  • 0DBP0ZZ Excision of Rectum, Open Approach
  • 0DBP4ZZ Excision of Rectum, Percutaneous Endoscopic Approach
0DHQ Gastrointestinal System, Insertion3 codes
  • 0DHQ0LZ Insertion of Artificial Sphincter into Anus, Open Approach
  • 0DHQ3LZ Insertion of Artificial Sphincter into Anus, Percutaneous Approach
  • 0DHQ4LZ Insertion of Artificial Sphincter into Anus, Percutaneous Endoscopic Approach
0DPQ Gastrointestinal System, Removal5 codes
  • 0DPQ0LZ Removal of Artificial Sphincter from Anus, Open Approach
  • 0DPQ3LZ Removal of Artificial Sphincter from Anus, Percutaneous Approach
  • 0DPQ4LZ Removal of Artificial Sphincter from Anus, Percutaneous Endoscopic Approach
  • 0DPQ7LZ Removal of Artificial Sphincter from Anus, Via Natural or Artificial Opening
  • 0DPQ8LZ Removal of Artificial Sphincter from Anus, Via Natural or Artificial Opening Endoscopic
0DTP Gastrointestinal System, Resection4 codes
  • 0DTP0ZZ Resection of Rectum, Open Approach
  • 0DTP4ZZ Resection of Rectum, Percutaneous Endoscopic Approach
  • 0DTP7ZZ Resection of Rectum, Via Natural or Artificial Opening
  • 0DTP8ZZ Resection of Rectum, Via Natural or Artificial Opening Endoscopic
0DWQ Gastrointestinal System, Revision5 codes
  • 0DWQ0LZ Revision of Artificial Sphincter in Anus, Open Approach
  • 0DWQ3LZ Revision of Artificial Sphincter in Anus, Percutaneous Approach
  • 0DWQ4LZ Revision of Artificial Sphincter in Anus, Percutaneous Endoscopic Approach
  • 0DWQ7LZ Revision of Artificial Sphincter in Anus, Via Natural or Artificial Opening
  • 0DWQ8LZ Revision of Artificial Sphincter in Anus, Via Natural or Artificial Opening Endoscopic
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 333?

MS-DRG 333 (Rectal Resection with CC) is a surgical DRG in MDC 06 (Diseases & Disorders of the Digestive System). Its FY 2026 relative weight is 2.3422 with a geometric mean length of stay of 3.5 days.

What is the difference between DRG 332, 333, 334?

All 3 share the same base category; the severity of secondary diagnoses separates them: 332 (with MCC), 333 (with CC), 334 (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 333?

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

What is the relative weight of DRG 333?

The FY 2026 relative weight of this DRG is 2.3422, meaning reimbursement of roughly 2.34 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 332 – Rectal Resection 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.