MS-DRG · FY 2026 v43.0

MS-DRG 353 – Hernia Procedures Except Inguinal and Femoral with MCC

A Surgical DRG in MDC 06 (Diseases & Disorders of the Digestive System). Inpatient cases group to DRG 353 when one of the 16 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.9020 with a geometric mean length of stay of 5.7 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.9020
Relative Weight
5.7
Geometric Mean LOS (days)
7.7
Arithmetic Mean LOS (days)
16
Procedure Codes

Severity family

DRG 353with MCCWeight 2.9020 · GMLOS 5.7 daysDRG 354with CCWeight 1.6824 · GMLOS 3.1 daysDRG 355without CC/MCCWeight 1.3450 · GMLOS 1.8 days
How a case is assigned to DRG 353

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 → 353; with CC → 354; without CC/MCC → 355.

ICD-10-PCS

Procedure Codes 16 codes · 5 categories

16 of 16 shown
0DQU Gastrointestinal System, Repair3 codes
  • 0DQU0ZZ Repair Omentum, Open Approach
  • 0DQU3ZZ Repair Omentum, Percutaneous Approach
  • 0DQU4ZZ Repair Omentum, Percutaneous Endoscopic Approach
0DXU Gastrointestinal System, Transfer2 codes
  • 0DXU0ZW Transfer Omentum to Abdominal Region, Open Approach
  • 0DXU4ZW Transfer Omentum to Abdominal Region, Percutaneous Endoscopic Approach
0WMF Anatomical Regions, General, Reattachment1 code
  • 0WMF0ZZ Reattachment of Abdominal Wall, Open Approach
0WQF Anatomical Regions, General, Repair4 codes
  • 0WQF0ZZ Repair Abdominal Wall, Open Approach
  • 0WQF3ZZ Repair Abdominal Wall, Percutaneous Approach
  • 0WQF4ZZ Repair Abdominal Wall, Percutaneous Endoscopic Approach
  • 0WQFXZZ Repair Abdominal Wall, External Approach
0WUF Anatomical Regions, General, Supplement6 codes
  • 0WUF07Z Supplement Abdominal Wall with Autologous Tissue Substitute, Open Approach
  • 0WUF0JZ Supplement Abdominal Wall with Synthetic Substitute, Open Approach
  • 0WUF0KZ Supplement Abdominal Wall with Nonautologous Tissue Substitute, Open Approach
  • 0WUF47Z Supplement Abdominal Wall with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0WUF4JZ Supplement Abdominal Wall with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0WUF4KZ Supplement Abdominal Wall 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 353?

MS-DRG 353 (Hernia Procedures Except Inguinal and Femoral with MCC) is a surgical DRG in MDC 06 (Diseases & Disorders of the Digestive System). Its FY 2026 relative weight is 2.9020 with a geometric mean length of stay of 5.7 days.

What is the difference between DRG 353, 354, 355?

All 3 share the same base category; the severity of secondary diagnoses separates them: 353 (with MCC), 354 (with CC), 355 (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 353?

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

What is the relative weight of DRG 353?

The FY 2026 relative weight of this DRG is 2.9020, meaning reimbursement of roughly 2.90 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 352 – Inguinal and Femoral Hernia 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.