MS-DRG · FY 2026 v43.0

MS-DRG 614 – Adrenal and Pituitary Procedures with CC/MCC

A Surgical DRG in MDC 10 (Endocrine, Nutritional & Metabolic Diseases & Disorders). Inpatient cases group to DRG 614 when one of the 182 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.1918 with a geometric mean length of stay of 2.4 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.1918
Relative Weight
2.4
Geometric Mean LOS (days)
3.6
Arithmetic Mean LOS (days)
182
Procedure Codes

Severity family

DRG 614with CC/MCCWeight 2.1918 · GMLOS 2.4 daysDRG 615without CC/MCCWeight 1.3993 · GMLOS 1.4 days
How a case is assigned to DRG 614

The grouper first assigns the case to MDC 10 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 CC/MCC → 614; without CC/MCC → 615.

ICD-10-PCS

Procedure Codes 182 codes · 52 categories

182 of 182 shown
018M Peripheral Nervous System, Division3 codes
  • 018M0ZZ Division of Abdominal Sympathetic Nerve, Open Approach
  • 018M3ZZ Division of Abdominal Sympathetic Nerve, Percutaneous Approach
  • 018M4ZZ Division of Abdominal Sympathetic Nerve, Percutaneous Endoscopic Approach
06L9 Lower Veins, Occlusion3 codes
  • 06L90ZZ Occlusion of Right Renal Vein, Open Approach
  • 06L93ZZ Occlusion of Right Renal Vein, Percutaneous Approach
  • 06L94ZZ Occlusion of Right Renal Vein, Percutaneous Endoscopic Approach
06LB Lower Veins, Occlusion3 codes
  • 06LB0ZZ Occlusion of Left Renal Vein, Open Approach
  • 06LB3ZZ Occlusion of Left Renal Vein, Percutaneous Approach
  • 06LB4ZZ Occlusion of Left Renal Vein, Percutaneous Endoscopic Approach
0G50 Endocrine System, Destruction6 codes
  • 0G500Z3 Destruction of Pituitary Gland using Laser Interstitial Thermal Therapy, Open Approach
  • 0G500ZZ Destruction of Pituitary Gland, Open Approach
  • 0G503Z3 Destruction of Pituitary Gland using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0G503ZZ Destruction of Pituitary Gland, Percutaneous Approach
  • 0G504Z3 Destruction of Pituitary Gland using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0G504ZZ Destruction of Pituitary Gland, Percutaneous Endoscopic Approach
0G51 Endocrine System, Destruction6 codes
  • 0G510Z3 Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Open Approach
  • 0G510ZZ Destruction of Pineal Body, Open Approach
  • 0G513Z3 Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0G513ZZ Destruction of Pineal Body, Percutaneous Approach
  • 0G514Z3 Destruction of Pineal Body using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0G514ZZ Destruction of Pineal Body, Percutaneous Endoscopic Approach
0G52 Endocrine System, Destruction6 codes
  • 0G520Z3 Destruction of Left Adrenal Gland using Laser Interstitial Thermal Therapy, Open Approach
  • 0G520ZZ Destruction of Left Adrenal Gland, Open Approach
  • 0G523Z3 Destruction of Left Adrenal Gland using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0G523ZZ Destruction of Left Adrenal Gland, Percutaneous Approach
  • 0G524Z3 Destruction of Left Adrenal Gland using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0G524ZZ Destruction of Left Adrenal Gland, Percutaneous Endoscopic Approach
0G53 Endocrine System, Destruction6 codes
  • 0G530Z3 Destruction of Right Adrenal Gland using Laser Interstitial Thermal Therapy, Open Approach
  • 0G530ZZ Destruction of Right Adrenal Gland, Open Approach
  • 0G533Z3 Destruction of Right Adrenal Gland using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0G533ZZ Destruction of Right Adrenal Gland, Percutaneous Approach
  • 0G534Z3 Destruction of Right Adrenal Gland using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0G534ZZ Destruction of Right Adrenal Gland, Percutaneous Endoscopic Approach
0G54 Endocrine System, Destruction6 codes
  • 0G540Z3 Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Open Approach
  • 0G540ZZ Destruction of Bilateral Adrenal Glands, Open Approach
  • 0G543Z3 Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 0G543ZZ Destruction of Bilateral Adrenal Glands, Percutaneous Approach
  • 0G544Z3 Destruction of Bilateral Adrenal Glands using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 0G544ZZ Destruction of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach
0G80 Endocrine System, Division3 codes
  • 0G800ZZ Division of Pituitary Gland, Open Approach
  • 0G803ZZ Division of Pituitary Gland, Percutaneous Approach
  • 0G804ZZ Division of Pituitary Gland, Percutaneous Endoscopic Approach
0G90 Endocrine System, Drainage7 codes
  • 0G9000Z Drainage of Pituitary Gland with Drainage Device, Open Approach
  • 0G900ZX Drainage of Pituitary Gland, Open Approach, Diagnostic
  • 0G900ZZ Drainage of Pituitary Gland, Open Approach
  • 0G903ZX Drainage of Pituitary Gland, Percutaneous Approach, Diagnostic
  • 0G9040Z Drainage of Pituitary Gland with Drainage Device, Percutaneous Endoscopic Approach
  • 0G904ZX Drainage of Pituitary Gland, Percutaneous Endoscopic Approach, Diagnostic
  • 0G904ZZ Drainage of Pituitary Gland, Percutaneous Endoscopic Approach
0G91 Endocrine System, Drainage7 codes
  • 0G9100Z Drainage of Pineal Body with Drainage Device, Open Approach
  • 0G910ZX Drainage of Pineal Body, Open Approach, Diagnostic
  • 0G910ZZ Drainage of Pineal Body, Open Approach
  • 0G913ZX Drainage of Pineal Body, Percutaneous Approach, Diagnostic
  • 0G9140Z Drainage of Pineal Body with Drainage Device, Percutaneous Endoscopic Approach
  • 0G914ZX Drainage of Pineal Body, Percutaneous Endoscopic Approach, Diagnostic
  • 0G914ZZ Drainage of Pineal Body, Percutaneous Endoscopic Approach
0G92 Endocrine System, Drainage5 codes
  • 0G9200Z Drainage of Left Adrenal Gland with Drainage Device, Open Approach
  • 0G920ZX Drainage of Left Adrenal Gland, Open Approach, Diagnostic
  • 0G920ZZ Drainage of Left Adrenal Gland, Open Approach
  • 0G9240Z Drainage of Left Adrenal Gland with Drainage Device, Percutaneous Endoscopic Approach
  • 0G924ZZ Drainage of Left Adrenal Gland, Percutaneous Endoscopic Approach
0G93 Endocrine System, Drainage5 codes
  • 0G9300Z Drainage of Right Adrenal Gland with Drainage Device, Open Approach
  • 0G930ZX Drainage of Right Adrenal Gland, Open Approach, Diagnostic
  • 0G930ZZ Drainage of Right Adrenal Gland, Open Approach
  • 0G9340Z Drainage of Right Adrenal Gland with Drainage Device, Percutaneous Endoscopic Approach
  • 0G934ZZ Drainage of Right Adrenal Gland, Percutaneous Endoscopic Approach
0G94 Endocrine System, Drainage5 codes
  • 0G9400Z Drainage of Bilateral Adrenal Glands with Drainage Device, Open Approach
  • 0G940ZX Drainage of Bilateral Adrenal Glands, Open Approach, Diagnostic
  • 0G940ZZ Drainage of Bilateral Adrenal Glands, Open Approach
  • 0G9440Z Drainage of Bilateral Adrenal Glands with Drainage Device, Percutaneous Endoscopic Approach
  • 0G944ZZ Drainage of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach
0GB0 Endocrine System, Excision6 codes
  • 0GB00ZX Excision of Pituitary Gland, Open Approach, Diagnostic
  • 0GB00ZZ Excision of Pituitary Gland, Open Approach
  • 0GB03ZX Excision of Pituitary Gland, Percutaneous Approach, Diagnostic
  • 0GB03ZZ Excision of Pituitary Gland, Percutaneous Approach
  • 0GB04ZX Excision of Pituitary Gland, Percutaneous Endoscopic Approach, Diagnostic
  • 0GB04ZZ Excision of Pituitary Gland, Percutaneous Endoscopic Approach
0GB1 Endocrine System, Excision6 codes
  • 0GB10ZX Excision of Pineal Body, Open Approach, Diagnostic
  • 0GB10ZZ Excision of Pineal Body, Open Approach
  • 0GB13ZX Excision of Pineal Body, Percutaneous Approach, Diagnostic
  • 0GB13ZZ Excision of Pineal Body, Percutaneous Approach
  • 0GB14ZX Excision of Pineal Body, Percutaneous Endoscopic Approach, Diagnostic
  • 0GB14ZZ Excision of Pineal Body, Percutaneous Endoscopic Approach
0GB2 Endocrine System, Excision4 codes
  • 0GB20ZX Excision of Left Adrenal Gland, Open Approach, Diagnostic
  • 0GB20ZZ Excision of Left Adrenal Gland, Open Approach
  • 0GB23ZZ Excision of Left Adrenal Gland, Percutaneous Approach
  • 0GB24ZZ Excision of Left Adrenal Gland, Percutaneous Endoscopic Approach
0GB3 Endocrine System, Excision4 codes
  • 0GB30ZX Excision of Right Adrenal Gland, Open Approach, Diagnostic
  • 0GB30ZZ Excision of Right Adrenal Gland, Open Approach
  • 0GB33ZZ Excision of Right Adrenal Gland, Percutaneous Approach
  • 0GB34ZZ Excision of Right Adrenal Gland, Percutaneous Endoscopic Approach
0GB4 Endocrine System, Excision4 codes
  • 0GB40ZX Excision of Bilateral Adrenal Glands, Open Approach, Diagnostic
  • 0GB40ZZ Excision of Bilateral Adrenal Glands, Open Approach
  • 0GB43ZZ Excision of Bilateral Adrenal Glands, Percutaneous Approach
  • 0GB44ZZ Excision of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach
0GC0 Endocrine System, Extirpation3 codes
  • 0GC00ZZ Extirpation of Matter from Pituitary Gland, Open Approach
  • 0GC03ZZ Extirpation of Matter from Pituitary Gland, Percutaneous Approach
  • 0GC04ZZ Extirpation of Matter from Pituitary Gland, Percutaneous Endoscopic Approach
0GC1 Endocrine System, Extirpation3 codes
  • 0GC10ZZ Extirpation of Matter from Pineal Body, Open Approach
  • 0GC13ZZ Extirpation of Matter from Pineal Body, Percutaneous Approach
  • 0GC14ZZ Extirpation of Matter from Pineal Body, Percutaneous Endoscopic Approach
0GC2 Endocrine System, Extirpation3 codes
  • 0GC20ZZ Extirpation of Matter from Left Adrenal Gland, Open Approach
  • 0GC23ZZ Extirpation of Matter from Left Adrenal Gland, Percutaneous Approach
  • 0GC24ZZ Extirpation of Matter from Left Adrenal Gland, Percutaneous Endoscopic Approach
0GC3 Endocrine System, Extirpation3 codes
  • 0GC30ZZ Extirpation of Matter from Right Adrenal Gland, Open Approach
  • 0GC33ZZ Extirpation of Matter from Right Adrenal Gland, Percutaneous Approach
  • 0GC34ZZ Extirpation of Matter from Right Adrenal Gland, Percutaneous Endoscopic Approach
0GC4 Endocrine System, Extirpation3 codes
  • 0GC40ZZ Extirpation of Matter from Bilateral Adrenal Glands, Open Approach
  • 0GC43ZZ Extirpation of Matter from Bilateral Adrenal Glands, Percutaneous Approach
  • 0GC44ZZ Extirpation of Matter from Bilateral Adrenal Glands, Percutaneous Endoscopic Approach
0GJ0 Endocrine System, Inspection2 codes
  • 0GJ00ZZ Inspection of Pituitary Gland, Open Approach
  • 0GJ04ZZ Inspection of Pituitary Gland, Percutaneous Endoscopic Approach
0GJ1 Endocrine System, Inspection2 codes
  • 0GJ10ZZ Inspection of Pineal Body, Open Approach
  • 0GJ14ZZ Inspection of Pineal Body, Percutaneous Endoscopic Approach
0GJ5 Endocrine System, Inspection2 codes
  • 0GJ50ZZ Inspection of Adrenal Gland, Open Approach
  • 0GJ54ZZ Inspection of Adrenal Gland, Percutaneous Endoscopic Approach
0GM2 Endocrine System, Reattachment2 codes
  • 0GM20ZZ Reattachment of Left Adrenal Gland, Open Approach
  • 0GM24ZZ Reattachment of Left Adrenal Gland, Percutaneous Endoscopic Approach
0GM3 Endocrine System, Reattachment2 codes
  • 0GM30ZZ Reattachment of Right Adrenal Gland, Open Approach
  • 0GM34ZZ Reattachment of Right Adrenal Gland, Percutaneous Endoscopic Approach
0GN0 Endocrine System, Release3 codes
  • 0GN00ZZ Release Pituitary Gland, Open Approach
  • 0GN03ZZ Release Pituitary Gland, Percutaneous Approach
  • 0GN04ZZ Release Pituitary Gland, Percutaneous Endoscopic Approach
0GN1 Endocrine System, Release3 codes
  • 0GN10ZZ Release Pineal Body, Open Approach
  • 0GN13ZZ Release Pineal Body, Percutaneous Approach
  • 0GN14ZZ Release Pineal Body, Percutaneous Endoscopic Approach
0GN2 Endocrine System, Release3 codes
  • 0GN20ZZ Release Left Adrenal Gland, Open Approach
  • 0GN23ZZ Release Left Adrenal Gland, Percutaneous Approach
  • 0GN24ZZ Release Left Adrenal Gland, Percutaneous Endoscopic Approach
0GN3 Endocrine System, Release3 codes
  • 0GN30ZZ Release Right Adrenal Gland, Open Approach
  • 0GN33ZZ Release Right Adrenal Gland, Percutaneous Approach
  • 0GN34ZZ Release Right Adrenal Gland, Percutaneous Endoscopic Approach
0GN4 Endocrine System, Release3 codes
  • 0GN40ZZ Release Bilateral Adrenal Glands, Open Approach
  • 0GN43ZZ Release Bilateral Adrenal Glands, Percutaneous Approach
  • 0GN44ZZ Release Bilateral Adrenal Glands, Percutaneous Endoscopic Approach
0GP0 Endocrine System, Removal3 codes
  • 0GP000Z Removal of Drainage Device from Pituitary Gland, Open Approach
  • 0GP030Z Removal of Drainage Device from Pituitary Gland, Percutaneous Approach
  • 0GP040Z Removal of Drainage Device from Pituitary Gland, Percutaneous Endoscopic Approach
0GP1 Endocrine System, Removal3 codes
  • 0GP100Z Removal of Drainage Device from Pineal Body, Open Approach
  • 0GP130Z Removal of Drainage Device from Pineal Body, Percutaneous Approach
  • 0GP140Z Removal of Drainage Device from Pineal Body, Percutaneous Endoscopic Approach
0GP5 Endocrine System, Removal3 codes
  • 0GP500Z Removal of Drainage Device from Adrenal Gland, Open Approach
  • 0GP530Z Removal of Drainage Device from Adrenal Gland, Percutaneous Approach
  • 0GP540Z Removal of Drainage Device from Adrenal Gland, Percutaneous Endoscopic Approach
0GQ0 Endocrine System, Repair3 codes
  • 0GQ00ZZ Repair Pituitary Gland, Open Approach
  • 0GQ03ZZ Repair Pituitary Gland, Percutaneous Approach
  • 0GQ04ZZ Repair Pituitary Gland, Percutaneous Endoscopic Approach
0GQ1 Endocrine System, Repair3 codes
  • 0GQ10ZZ Repair Pineal Body, Open Approach
  • 0GQ13ZZ Repair Pineal Body, Percutaneous Approach
  • 0GQ14ZZ Repair Pineal Body, Percutaneous Endoscopic Approach
0GQ2 Endocrine System, Repair3 codes
  • 0GQ20ZZ Repair Left Adrenal Gland, Open Approach
  • 0GQ23ZZ Repair Left Adrenal Gland, Percutaneous Approach
  • 0GQ24ZZ Repair Left Adrenal Gland, Percutaneous Endoscopic Approach
0GQ3 Endocrine System, Repair3 codes
  • 0GQ30ZZ Repair Right Adrenal Gland, Open Approach
  • 0GQ33ZZ Repair Right Adrenal Gland, Percutaneous Approach
  • 0GQ34ZZ Repair Right Adrenal Gland, Percutaneous Endoscopic Approach
0GQ4 Endocrine System, Repair3 codes
  • 0GQ40ZZ Repair Bilateral Adrenal Glands, Open Approach
  • 0GQ43ZZ Repair Bilateral Adrenal Glands, Percutaneous Approach
  • 0GQ44ZZ Repair Bilateral Adrenal Glands, Percutaneous Endoscopic Approach
0GS2 Endocrine System, Reposition2 codes
  • 0GS20ZZ Reposition Left Adrenal Gland, Open Approach
  • 0GS24ZZ Reposition Left Adrenal Gland, Percutaneous Endoscopic Approach
0GS3 Endocrine System, Reposition2 codes
  • 0GS30ZZ Reposition Right Adrenal Gland, Open Approach
  • 0GS34ZZ Reposition Right Adrenal Gland, Percutaneous Endoscopic Approach
0GT0 Endocrine System, Resection2 codes
  • 0GT00ZZ Resection of Pituitary Gland, Open Approach
  • 0GT04ZZ Resection of Pituitary Gland, Percutaneous Endoscopic Approach
0GT1 Endocrine System, Resection2 codes
  • 0GT10ZZ Resection of Pineal Body, Open Approach
  • 0GT14ZZ Resection of Pineal Body, Percutaneous Endoscopic Approach
0GT2 Endocrine System, Resection2 codes
  • 0GT20ZZ Resection of Left Adrenal Gland, Open Approach
  • 0GT24ZZ Resection of Left Adrenal Gland, Percutaneous Endoscopic Approach
0GT3 Endocrine System, Resection2 codes
  • 0GT30ZZ Resection of Right Adrenal Gland, Open Approach
  • 0GT34ZZ Resection of Right Adrenal Gland, Percutaneous Endoscopic Approach
0GT4 Endocrine System, Resection2 codes
  • 0GT40ZZ Resection of Bilateral Adrenal Glands, Open Approach
  • 0GT44ZZ Resection of Bilateral Adrenal Glands, Percutaneous Endoscopic Approach
0GW0 Endocrine System, Revision3 codes
  • 0GW000Z Revision of Drainage Device in Pituitary Gland, Open Approach
  • 0GW030Z Revision of Drainage Device in Pituitary Gland, Percutaneous Approach
  • 0GW040Z Revision of Drainage Device in Pituitary Gland, Percutaneous Endoscopic Approach
0GW1 Endocrine System, Revision3 codes
  • 0GW100Z Revision of Drainage Device in Pineal Body, Open Approach
  • 0GW130Z Revision of Drainage Device in Pineal Body, Percutaneous Approach
  • 0GW140Z Revision of Drainage Device in Pineal Body, Percutaneous Endoscopic Approach
0GW5 Endocrine System, Revision3 codes
  • 0GW500Z Revision of Drainage Device in Adrenal Gland, Open Approach
  • 0GW530Z Revision of Drainage Device in Adrenal Gland, Percutaneous Approach
  • 0GW540Z Revision of Drainage Device in Adrenal Gland, 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 614?

MS-DRG 614 (Adrenal and Pituitary Procedures with CC/MCC) is a surgical DRG in MDC 10 (Endocrine, Nutritional & Metabolic Diseases & Disorders). Its FY 2026 relative weight is 2.1918 with a geometric mean length of stay of 2.4 days.

What is the difference between DRG 614, 615?

All 2 share the same base category; the severity of secondary diagnoses separates them: 614 (with CC/MCC), 615 (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 614?

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

What is the relative weight of DRG 614?

The FY 2026 relative weight of this DRG is 2.1918, meaning reimbursement of roughly 2.19 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 607 – Minor Skin Disorders without 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.