MS-DRG · FY 2026 v43.0

MS-DRG 415 – Cholecystectomy Except by Laparoscope without C.D.E. with CC

A Surgical DRG in MDC 07 (Diseases & Disorders of the Hepatobiliary System & Pancreas). Inpatient cases group to DRG 415 when one of the 7 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.0667 with a geometric mean length of stay of 4.6 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.0667
Relative Weight
4.6
Geometric Mean LOS (days)
5.6
Arithmetic Mean LOS (days)
7
Procedure Codes

Severity family

DRG 414with MCCWeight 3.5626 · GMLOS 7.3 daysDRG 415with CCWeight 2.0667 · GMLOS 4.6 daysDRG 416without CC/MCCWeight 1.3633 · GMLOS 2.8 days
How a case is assigned to DRG 415

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 → 414; with CC → 415; without CC/MCC → 416.

ICD-10-PCS

Procedure Codes 7 codes · 3 categories

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
0FB4 Hepatobiliary System and Pancreas, Excision2 codes
  • 0FB40ZZ Excision of Gallbladder, Open Approach
  • 0FB43ZZ Excision of Gallbladder, Percutaneous 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 415?

MS-DRG 415 (Cholecystectomy Except by Laparoscope without C.D.E. with CC) is a surgical DRG in MDC 07 (Diseases & Disorders of the Hepatobiliary System & Pancreas). Its FY 2026 relative weight is 2.0667 with a geometric mean length of stay of 4.6 days.

What is the difference between DRG 414, 415, 416?

All 3 share the same base category; the severity of secondary diagnoses separates them: 414 (with MCC), 415 (with CC), 416 (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 415?

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

What is the relative weight of DRG 415?

The FY 2026 relative weight of this DRG is 2.0667, meaning reimbursement of roughly 2.07 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 414 – Cholecystectomy Except by Laparoscope without C.D.E. with
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.