MS-DRG · FY 2026 v43.0

MS-DRG 351 – Inguinal and Femoral Hernia Procedures with CC

A Surgical DRG in MDC 06 (Diseases & Disorders of the Digestive System). Inpatient cases group to DRG 351 when one of the 58 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 1.5245 with a geometric mean length of stay of 2.9 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
1.5245
Relative Weight
2.9
Geometric Mean LOS (days)
3.6
Arithmetic Mean LOS (days)
58
Procedure Codes

Severity family

DRG 350with MCCWeight 2.4919 · GMLOS 4.8 daysDRG 351with CCWeight 1.5245 · GMLOS 2.9 daysDRG 352without CC/MCCWeight 1.1678 · GMLOS 1.9 days
How a case is assigned to DRG 351

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 → 350; with CC → 351; without CC/MCC → 352.

ICD-10-PCS

Procedure Codes 58 codes · 13 categories

58 of 58 shown
0DXU Gastrointestinal System, Transfer4 codes
  • 0DXU0ZX Transfer Omentum to Pelvic Region, Open Approach
  • 0DXU0ZY Transfer Omentum to Inguinal Region, Open Approach
  • 0DXU4ZX Transfer Omentum to Pelvic Region, Percutaneous Endoscopic Approach
  • 0DXU4ZY Transfer Omentum to Inguinal Region, Percutaneous Endoscopic Approach
0YQ5 Anatomical Regions, Lower Extremities, Repair3 codes
  • 0YQ50ZZ Repair Right Inguinal Region, Open Approach
  • 0YQ53ZZ Repair Right Inguinal Region, Percutaneous Approach
  • 0YQ54ZZ Repair Right Inguinal Region, Percutaneous Endoscopic Approach
0YQ6 Anatomical Regions, Lower Extremities, Repair3 codes
  • 0YQ60ZZ Repair Left Inguinal Region, Open Approach
  • 0YQ63ZZ Repair Left Inguinal Region, Percutaneous Approach
  • 0YQ64ZZ Repair Left Inguinal Region, Percutaneous Endoscopic Approach
0YQ7 Anatomical Regions, Lower Extremities, Repair3 codes
  • 0YQ70ZZ Repair Right Femoral Region, Open Approach
  • 0YQ73ZZ Repair Right Femoral Region, Percutaneous Approach
  • 0YQ74ZZ Repair Right Femoral Region, Percutaneous Endoscopic Approach
0YQ8 Anatomical Regions, Lower Extremities, Repair3 codes
  • 0YQ80ZZ Repair Left Femoral Region, Open Approach
  • 0YQ83ZZ Repair Left Femoral Region, Percutaneous Approach
  • 0YQ84ZZ Repair Left Femoral Region, Percutaneous Endoscopic Approach
0YQA Anatomical Regions, Lower Extremities, Repair3 codes
  • 0YQA0ZZ Repair Bilateral Inguinal Region, Open Approach
  • 0YQA3ZZ Repair Bilateral Inguinal Region, Percutaneous Approach
  • 0YQA4ZZ Repair Bilateral Inguinal Region, Percutaneous Endoscopic Approach
0YQE Anatomical Regions, Lower Extremities, Repair3 codes
  • 0YQE0ZZ Repair Bilateral Femoral Region, Open Approach
  • 0YQE3ZZ Repair Bilateral Femoral Region, Percutaneous Approach
  • 0YQE4ZZ Repair Bilateral Femoral Region, Percutaneous Endoscopic Approach
0YU5 Anatomical Regions, Lower Extremities, Supplement6 codes
  • 0YU507Z Supplement Right Inguinal Region with Autologous Tissue Substitute, Open Approach
  • 0YU50JZ Supplement Right Inguinal Region with Synthetic Substitute, Open Approach
  • 0YU50KZ Supplement Right Inguinal Region with Nonautologous Tissue Substitute, Open Approach
  • 0YU547Z Supplement Right Inguinal Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0YU54JZ Supplement Right Inguinal Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0YU54KZ Supplement Right Inguinal Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YU6 Anatomical Regions, Lower Extremities, Supplement6 codes
  • 0YU607Z Supplement Left Inguinal Region with Autologous Tissue Substitute, Open Approach
  • 0YU60JZ Supplement Left Inguinal Region with Synthetic Substitute, Open Approach
  • 0YU60KZ Supplement Left Inguinal Region with Nonautologous Tissue Substitute, Open Approach
  • 0YU647Z Supplement Left Inguinal Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0YU64JZ Supplement Left Inguinal Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0YU64KZ Supplement Left Inguinal Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YU7 Anatomical Regions, Lower Extremities, Supplement6 codes
  • 0YU707Z Supplement Right Femoral Region with Autologous Tissue Substitute, Open Approach
  • 0YU70JZ Supplement Right Femoral Region with Synthetic Substitute, Open Approach
  • 0YU70KZ Supplement Right Femoral Region with Nonautologous Tissue Substitute, Open Approach
  • 0YU747Z Supplement Right Femoral Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0YU74JZ Supplement Right Femoral Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0YU74KZ Supplement Right Femoral Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YU8 Anatomical Regions, Lower Extremities, Supplement6 codes
  • 0YU807Z Supplement Left Femoral Region with Autologous Tissue Substitute, Open Approach
  • 0YU80JZ Supplement Left Femoral Region with Synthetic Substitute, Open Approach
  • 0YU80KZ Supplement Left Femoral Region with Nonautologous Tissue Substitute, Open Approach
  • 0YU847Z Supplement Left Femoral Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0YU84JZ Supplement Left Femoral Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0YU84KZ Supplement Left Femoral Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUA Anatomical Regions, Lower Extremities, Supplement6 codes
  • 0YUA07Z Supplement Bilateral Inguinal Region with Autologous Tissue Substitute, Open Approach
  • 0YUA0JZ Supplement Bilateral Inguinal Region with Synthetic Substitute, Open Approach
  • 0YUA0KZ Supplement Bilateral Inguinal Region with Nonautologous Tissue Substitute, Open Approach
  • 0YUA47Z Supplement Bilateral Inguinal Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0YUA4JZ Supplement Bilateral Inguinal Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0YUA4KZ Supplement Bilateral Inguinal Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0YUE Anatomical Regions, Lower Extremities, Supplement6 codes
  • 0YUE07Z Supplement Bilateral Femoral Region with Autologous Tissue Substitute, Open Approach
  • 0YUE0JZ Supplement Bilateral Femoral Region with Synthetic Substitute, Open Approach
  • 0YUE0KZ Supplement Bilateral Femoral Region with Nonautologous Tissue Substitute, Open Approach
  • 0YUE47Z Supplement Bilateral Femoral Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0YUE4JZ Supplement Bilateral Femoral Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0YUE4KZ Supplement Bilateral Femoral Region with Nonautologous Tissue Substitute, 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 351?

MS-DRG 351 (Inguinal and Femoral Hernia Procedures with CC) is a surgical DRG in MDC 06 (Diseases & Disorders of the Digestive System). Its FY 2026 relative weight is 1.5245 with a geometric mean length of stay of 2.9 days.

What is the difference between DRG 350, 351, 352?

All 3 share the same base category; the severity of secondary diagnoses separates them: 350 (with MCC), 351 (with CC), 352 (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 351?

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

What is the relative weight of DRG 351?

The FY 2026 relative weight of this DRG is 1.5245, meaning reimbursement of roughly 1.52 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 350 – Inguinal and Femoral Hernia 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.