MS-DRG 665 – Prostatectomy with MCC
A Surgical DRG in MDC 11 (Diseases & Disorders of the Kidney & Urinary Tract). Inpatient cases group to DRG 665 when one of the 18 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2027 relative weight is 3.2515 with a geometric mean length of stay of 7.7 days.
Severity family
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 → 665; with CC → 666; without CC/MCC → 667.
Procedure Codes 18 codes · 3 categories
0V50 Male Reproductive System, Destruction8 codes
- 0V500Z3 Destruction of Prostate using Laser Interstitial Thermal Therapy, Open Approach
- 0V500ZZ Destruction of Prostate, Open Approach
- 0V503Z3 Destruction of Prostate using Laser Interstitial Thermal Therapy, Percutaneous Approach
- 0V503ZZ Destruction of Prostate, Percutaneous Approach
- 0V504Z3 Destruction of Prostate using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
- 0V504ZZ Destruction of Prostate, Percutaneous Endoscopic Approach
- 0V507ZZ Destruction of Prostate, Via Natural or Artificial Opening
- 0V508ZZ Destruction of Prostate, Via Natural or Artificial Opening Endoscopic
0VB0 Male Reproductive System, Excision2 codes
0VT0 Male Reproductive System, Resection8 codes
- 0VT00ZE Resection of Prostate, Open Approach, Capsule Intact
- 0VT00ZZ Resection of Prostate, Open Approach
- 0VT04ZE Resection of Prostate, Percutaneous Endoscopic Approach, Capsule Intact
- 0VT04ZZ Resection of Prostate, Percutaneous Endoscopic Approach
- 0VT07ZE Resection of Prostate, Via Natural or Artificial Opening, Capsule Intact
- 0VT07ZZ Resection of Prostate, Via Natural or Artificial Opening
- 0VT08ZE Resection of Prostate, Via Natural or Artificial Opening Endoscopic, Capsule Intact
- 0VT08ZZ Resection of Prostate, Via Natural or Artificial Opening Endoscopic
Qualifying Diagnosis Codes
Frequently Asked Questions
What is MS-DRG 665?
MS-DRG 665 (Prostatectomy with MCC) is a surgical DRG in MDC 11 (Diseases & Disorders of the Kidney & Urinary Tract). Its FY 2027 relative weight is 3.2515 with a geometric mean length of stay of 7.7 days.
What is the difference between DRG 665, 666, 667?
All 3 share the same base category; the severity of secondary diagnoses separates them: 665 (with MCC), 666 (with CC), 667 (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 665?
18 ICD-10-PCS operating-room procedure codes group to this DRG.
What is the relative weight of DRG 665?
The FY 2027 relative weight of this DRG is 3.2515, meaning reimbursement of roughly 3.25 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
