MS-DRG · FY 2026 v43.0

MS-DRG 413 – Cholecystectomy with C.D.E. without CC/MCC

A Surgical DRG in MDC 07 (Diseases & Disorders of the Hepatobiliary System & Pancreas). Inpatient cases group to DRG 413 when one of the 14 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 1.6605 with a geometric mean length of stay of 2.7 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
1.6605
Relative Weight
2.7
Geometric Mean LOS (days)
3.3
Arithmetic Mean LOS (days)
14
Procedure Codes

Severity family

DRG 411with MCCWeight 3.3033 · GMLOS 5.9 daysDRG 412with CCWeight 2.1025 · GMLOS 3.8 daysDRG 413without CC/MCCWeight 1.6605 · GMLOS 2.7 days
How a case is assigned to DRG 413

The grouper first assigns the case to MDC 07 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 → 411; with CC → 412; without CC/MCC → 413.

ICD-10-PCS

Procedure Codes 14 codes · 6 categories

14 of 14 shown
0F54 Hepatobiliary System and Pancreas, Destruction4 codes
  • 0F540Z3 Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Open Approach
  • 0F540ZZ Destruction of Gallbladder, Open Approach
  • 0F543Z3 Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0F543ZZ Destruction of Gallbladder, Percutaneous Approach
0F99 Hepatobiliary System and Pancreas, Drainage3 codes
  • 0F9900Z Drainage of Common Bile Duct with Drainage Device, Open Approach
  • 0F990ZZ Drainage of Common Bile Duct, Open Approach
  • 0F9940Z Drainage of Common Bile Duct with Drainage Device, Percutaneous Endoscopic Approach
0FB4 Hepatobiliary System and Pancreas, Excision2 codes
  • 0FB40ZZ Excision of Gallbladder, Open Approach
  • 0FB43ZZ Excision of Gallbladder, Percutaneous Approach
0FC9 Hepatobiliary System and Pancreas, Extirpation2 codes
  • 0FC90ZZ Extirpation of Matter from Common Bile Duct, Open Approach
  • 0FC94ZZ Extirpation of Matter from Common Bile Duct, Percutaneous Endoscopic Approach
0FJB Hepatobiliary System and Pancreas, Inspection2 codes
  • 0FJB0ZZ Inspection of Hepatobiliary Duct, Open Approach
  • 0FJB4ZZ Inspection of Hepatobiliary Duct, Percutaneous Endoscopic Approach
0FT4 Hepatobiliary System and Pancreas, Resection1 code
  • 0FT40ZZ Resection of Gallbladder, Open 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 413?

MS-DRG 413 (Cholecystectomy with C.D.E. without CC/MCC) is a surgical DRG in MDC 07 (Diseases & Disorders of the Hepatobiliary System & Pancreas). Its FY 2026 relative weight is 1.6605 with a geometric mean length of stay of 2.7 days.

What is the difference between DRG 411, 412, 413?

All 3 share the same base category; the severity of secondary diagnoses separates them: 411 (with MCC), 412 (with CC), 413 (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 413?

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

What is the relative weight of DRG 413?

The FY 2026 relative weight of this DRG is 1.6605, meaning reimbursement of roughly 1.66 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 412 – Cholecystectomy with C.D.E. with CC
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.