MS-DRG · FY 2026 v43.0

MS-DRG 655 – Major Bladder Procedures without CC/MCC

A Surgical DRG in MDC 11 (Diseases & Disorders of the Kidney & Urinary Tract). Inpatient cases group to DRG 655 when one of the 133 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.1166 with a geometric mean length of stay of 3.2 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.1166
Relative Weight
3.2
Geometric Mean LOS (days)
3.9
Arithmetic Mean LOS (days)
133
Procedure Codes

Severity family

DRG 653with MCCWeight 5.1964 · GMLOS 9.5 daysDRG 654with CCWeight 2.7993 · GMLOS 5.1 daysDRG 655without CC/MCCWeight 2.1166 · GMLOS 3.2 days
How a case is assigned to DRG 655

The grouper first assigns the case to MDC 11 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 → 653; with CC → 654; without CC/MCC → 655.

ICD-10-PCS

Procedure Codes 133 codes · 19 categories

133 of 133 shown
0DX8 Gastrointestinal System, Transfer2 codes
  • 0DX80ZB Transfer Small Intestine to Bladder, Open Approach
  • 0DX84ZB Transfer Small Intestine to Bladder, Percutaneous Endoscopic Approach
0DXE Gastrointestinal System, Transfer2 codes
  • 0DXE0ZB Transfer Large Intestine to Bladder, Open Approach
  • 0DXE4ZB Transfer Large Intestine to Bladder, Percutaneous Endoscopic Approach
0JUC Subcutaneous Tissue and Fascia, Supplement6 codes
  • 0JUC07Z Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach
  • 0JUC0JZ Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Open Approach
  • 0JUC0KZ Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach
  • 0JUC37Z Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Percutaneous Approach
  • 0JUC3JZ Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Percutaneous Approach
  • 0JUC3KZ Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach
0T1B Urinary System, Bypass23 codes
  • 0T1B079 Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Open Approach
  • 0T1B07C Bypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Open Approach
  • 0T1B07D Bypass Bladder to Cutaneous with Autologous Tissue Substitute, Open Approach
  • 0T1B0J9 Bypass Bladder to Colocutaneous with Synthetic Substitute, Open Approach
  • 0T1B0JC Bypass Bladder to Ileocutaneous with Synthetic Substitute, Open Approach
  • 0T1B0JD Bypass Bladder to Cutaneous with Synthetic Substitute, Open Approach
  • 0T1B0K9 Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Open Approach
  • 0T1B0KC Bypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Open Approach
  • 0T1B0KD Bypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Open Approach
  • 0T1B0Z9 Bypass Bladder to Colocutaneous, Open Approach
  • 0T1B0ZC Bypass Bladder to Ileocutaneous, Open Approach
  • 0T1B3JD Bypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Approach
  • 0T1B479 Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0T1B47C Bypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0T1B47D Bypass Bladder to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0T1B4J9 Bypass Bladder to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0T1B4JC Bypass Bladder to Ileocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0T1B4JD Bypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0T1B4K9 Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0T1B4KC Bypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0T1B4KD Bypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0T1B4Z9 Bypass Bladder to Colocutaneous, Percutaneous Endoscopic Approach
  • 0T1B4ZC Bypass Bladder to Ileocutaneous, Percutaneous Endoscopic Approach
0T7B Urinary System, Dilation8 codes
  • 0T7B0DZ Dilation of Bladder with Intraluminal Device, Open Approach
  • 0T7B0ZZ Dilation of Bladder, Open Approach
  • 0T7B3DZ Dilation of Bladder with Intraluminal Device, Percutaneous Approach
  • 0T7B3ZZ Dilation of Bladder, Percutaneous Approach
  • 0T7B4DZ Dilation of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach
  • 0T7B4ZZ Dilation of Bladder, Percutaneous Endoscopic Approach
  • 0T7B8DZ Dilation of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
  • 0T7B8ZZ Dilation of Bladder, Via Natural or Artificial Opening Endoscopic
0TBB Urinary System, Excision3 codes
  • 0TBB0ZZ Excision of Bladder, Open Approach
  • 0TBB3ZZ Excision of Bladder, Percutaneous Approach
  • 0TBB4ZZ Excision of Bladder, Percutaneous Endoscopic Approach
0TBC Urinary System, Excision3 codes
  • 0TBC0ZZ Excision of Bladder Neck, Open Approach
  • 0TBC3ZZ Excision of Bladder Neck, Percutaneous Approach
  • 0TBC4ZZ Excision of Bladder Neck, Percutaneous Endoscopic Approach
0TMB Urinary System, Reattachment2 codes
  • 0TMB0ZZ Reattachment of Bladder, Open Approach
  • 0TMB4ZZ Reattachment of Bladder, Percutaneous Endoscopic Approach
0TMC Urinary System, Reattachment2 codes
  • 0TMC0ZZ Reattachment of Bladder Neck, Open Approach
  • 0TMC4ZZ Reattachment of Bladder Neck, Percutaneous Endoscopic Approach
0TQB Urinary System, Repair5 codes
  • 0TQB0ZZ Repair Bladder, Open Approach
  • 0TQB3ZZ Repair Bladder, Percutaneous Approach
  • 0TQB4ZZ Repair Bladder, Percutaneous Endoscopic Approach
  • 0TQB7ZZ Repair Bladder, Via Natural or Artificial Opening
  • 0TQB8ZZ Repair Bladder, Via Natural or Artificial Opening Endoscopic
0TQC Urinary System, Repair5 codes
  • 0TQC0ZZ Repair Bladder Neck, Open Approach
  • 0TQC3ZZ Repair Bladder Neck, Percutaneous Approach
  • 0TQC4ZZ Repair Bladder Neck, Percutaneous Endoscopic Approach
  • 0TQC7ZZ Repair Bladder Neck, Via Natural or Artificial Opening
  • 0TQC8ZZ Repair Bladder Neck, Via Natural or Artificial Opening Endoscopic
0TRB Urinary System, Replacement12 codes
  • 0TRB07Z Replacement of Bladder with Autologous Tissue Substitute, Open Approach
  • 0TRB0JZ Replacement of Bladder with Synthetic Substitute, Open Approach
  • 0TRB0KZ Replacement of Bladder with Nonautologous Tissue Substitute, Open Approach
  • 0TRB47Z Replacement of Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0TRB4JZ Replacement of Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0TRB4KZ Replacement of Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0TRB77Z Replacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 0TRB7JZ Replacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening
  • 0TRB7KZ Replacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 0TRB87Z Replacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 0TRB8JZ Replacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 0TRB8KZ Replacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TRC Urinary System, Replacement12 codes
  • 0TRC07Z Replacement of Bladder Neck with Autologous Tissue Substitute, Open Approach
  • 0TRC0JZ Replacement of Bladder Neck with Synthetic Substitute, Open Approach
  • 0TRC0KZ Replacement of Bladder Neck with Nonautologous Tissue Substitute, Open Approach
  • 0TRC47Z Replacement of Bladder Neck with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0TRC4JZ Replacement of Bladder Neck with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0TRC4KZ Replacement of Bladder Neck with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0TRC77Z Replacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 0TRC7JZ Replacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening
  • 0TRC7KZ Replacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 0TRC87Z Replacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 0TRC8JZ Replacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 0TRC8KZ Replacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TSB Urinary System, Reposition2 codes
  • 0TSB0ZZ Reposition Bladder, Open Approach
  • 0TSB4ZZ Reposition Bladder, Percutaneous Endoscopic Approach
0TTB Urinary System, Resection4 codes
  • 0TTB0ZZ Resection of Bladder, Open Approach
  • 0TTB4ZZ Resection of Bladder, Percutaneous Endoscopic Approach
  • 0TTB7ZZ Resection of Bladder, Via Natural or Artificial Opening
  • 0TTB8ZZ Resection of Bladder, Via Natural or Artificial Opening Endoscopic
0TTC Urinary System, Resection4 codes
  • 0TTC0ZZ Resection of Bladder Neck, Open Approach
  • 0TTC4ZZ Resection of Bladder Neck, Percutaneous Endoscopic Approach
  • 0TTC7ZZ Resection of Bladder Neck, Via Natural or Artificial Opening
  • 0TTC8ZZ Resection of Bladder Neck, Via Natural or Artificial Opening Endoscopic
0TUB Urinary System, Supplement12 codes
  • 0TUB07Z Supplement Bladder with Autologous Tissue Substitute, Open Approach
  • 0TUB0JZ Supplement Bladder with Synthetic Substitute, Open Approach
  • 0TUB0KZ Supplement Bladder with Nonautologous Tissue Substitute, Open Approach
  • 0TUB47Z Supplement Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0TUB4JZ Supplement Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0TUB4KZ Supplement Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0TUB77Z Supplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 0TUB7JZ Supplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening
  • 0TUB7KZ Supplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 0TUB87Z Supplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 0TUB8JZ Supplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 0TUB8KZ Supplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0TVB Urinary System, Restriction13 codes
  • 0TVB0CZ Restriction of Bladder with Extraluminal Device, Open Approach
  • 0TVB0DZ Restriction of Bladder with Intraluminal Device, Open Approach
  • 0TVB0ZZ Restriction of Bladder, Open Approach
  • 0TVB3CZ Restriction of Bladder with Extraluminal Device, Percutaneous Approach
  • 0TVB3DZ Restriction of Bladder with Intraluminal Device, Percutaneous Approach
  • 0TVB3ZZ Restriction of Bladder, Percutaneous Approach
  • 0TVB4CZ Restriction of Bladder with Extraluminal Device, Percutaneous Endoscopic Approach
  • 0TVB4DZ Restriction of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach
  • 0TVB4ZZ Restriction of Bladder, Percutaneous Endoscopic Approach
  • 0TVB7DZ Restriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening
  • 0TVB7ZZ Restriction of Bladder, Via Natural or Artificial Opening
  • 0TVB8DZ Restriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
  • 0TVB8ZZ Restriction of Bladder, Via Natural or Artificial Opening Endoscopic
0TVC Urinary System, Restriction13 codes
  • 0TVC0CZ Restriction of Bladder Neck with Extraluminal Device, Open Approach
  • 0TVC0DZ Restriction of Bladder Neck with Intraluminal Device, Open Approach
  • 0TVC0ZZ Restriction of Bladder Neck, Open Approach
  • 0TVC3CZ Restriction of Bladder Neck with Extraluminal Device, Percutaneous Approach
  • 0TVC3DZ Restriction of Bladder Neck with Intraluminal Device, Percutaneous Approach
  • 0TVC3ZZ Restriction of Bladder Neck, Percutaneous Approach
  • 0TVC4CZ Restriction of Bladder Neck with Extraluminal Device, Percutaneous Endoscopic Approach
  • 0TVC4DZ Restriction of Bladder Neck with Intraluminal Device, Percutaneous Endoscopic Approach
  • 0TVC4ZZ Restriction of Bladder Neck, Percutaneous Endoscopic Approach
  • 0TVC7DZ Restriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening
  • 0TVC7ZZ Restriction of Bladder Neck, Via Natural or Artificial Opening
  • 0TVC8DZ Restriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
  • 0TVC8ZZ Restriction of Bladder Neck, Via Natural or Artificial Opening Endoscopic
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 655?

MS-DRG 655 (Major Bladder Procedures without CC/MCC) is a surgical DRG in MDC 11 (Diseases & Disorders of the Kidney & Urinary Tract). Its FY 2026 relative weight is 2.1166 with a geometric mean length of stay of 3.2 days.

What is the difference between DRG 653, 654, 655?

All 3 share the same base category; the severity of secondary diagnoses separates them: 653 (with MCC), 654 (with CC), 655 (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 655?

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

What is the relative weight of DRG 655?

The FY 2026 relative weight of this DRG is 2.1166, meaning reimbursement of roughly 2.12 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 654 – Major Bladder Procedures 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.