MS-DRG 668 – Transurethral Procedures with MCC
A Surgical DRG in MDC 11 (Diseases & Disorders of the Kidney & Urinary Tract). Inpatient cases group to DRG 668 when one of the 34 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.9200 with a geometric mean length of stay of 7.2 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 → 668; with CC → 669; without CC/MCC → 670.
Procedure Codes 34 codes · 14 categories
0T5B Urinary System, Destruction2 codes
0T5C Urinary System, Destruction2 codes
0T9B Urinary System, Drainage4 codes
0T9C Urinary System, Drainage4 codes
- 0T9C3ZX Drainage of Bladder Neck, Percutaneous Approach, Diagnostic
- 0T9C4ZX Drainage of Bladder Neck, Percutaneous Endoscopic Approach, Diagnostic
- 0T9C7ZX Drainage of Bladder Neck, Via Natural or Artificial Opening, Diagnostic
- 0T9C8ZX Drainage of Bladder Neck, Via Natural or Artificial Opening Endoscopic, Diagnostic
0TBB Urinary System, Excision6 codes
- 0TBB3ZX Excision of Bladder, Percutaneous Approach, Diagnostic
- 0TBB4ZX Excision of Bladder, Percutaneous Endoscopic Approach, Diagnostic
- 0TBB7ZX Excision of Bladder, Via Natural or Artificial Opening, Diagnostic
- 0TBB7ZZ Excision of Bladder, Via Natural or Artificial Opening
- 0TBB8ZX Excision of Bladder, Via Natural or Artificial Opening Endoscopic, Diagnostic
- 0TBB8ZZ Excision of Bladder, Via Natural or Artificial Opening Endoscopic
0TBC Urinary System, Excision6 codes
- 0TBC3ZX Excision of Bladder Neck, Percutaneous Approach, Diagnostic
- 0TBC4ZX Excision of Bladder Neck, Percutaneous Endoscopic Approach, Diagnostic
- 0TBC7ZX Excision of Bladder Neck, Via Natural or Artificial Opening, Diagnostic
- 0TBC7ZZ Excision of Bladder Neck, Via Natural or Artificial Opening
- 0TBC8ZX Excision of Bladder Neck, Via Natural or Artificial Opening Endoscopic, Diagnostic
- 0TBC8ZZ Excision of Bladder Neck, Via Natural or Artificial Opening Endoscopic
0TC3 Urinary System, Extirpation1 code
- 0TC37ZZ Extirpation of Matter from Right Kidney Pelvis, Via Natural or Artificial Opening
0TC4 Urinary System, Extirpation1 code
- 0TC47ZZ Extirpation of Matter from Left Kidney Pelvis, Via Natural or Artificial Opening
0TC6 Urinary System, Extirpation1 code
- 0TC67ZZ Extirpation of Matter from Right Ureter, Via Natural or Artificial Opening
0TC7 Urinary System, Extirpation1 code
- 0TC77ZZ Extirpation of Matter from Left Ureter, Via Natural or Artificial Opening
0TNB Urinary System, Release2 codes
0TNC Urinary System, Release2 codes
0V90 Male Reproductive System, Drainage1 code
- 0V900ZX Drainage of Prostate, Open Approach, Diagnostic
0VB0 Male Reproductive System, Excision1 code
- 0VB00ZX Excision of Prostate, Open Approach, Diagnostic
Qualifying Diagnosis Codes
Frequently Asked Questions
What is MS-DRG 668?
MS-DRG 668 (Transurethral Procedures with MCC) is a surgical DRG in MDC 11 (Diseases & Disorders of the Kidney & Urinary Tract). Its FY 2026 relative weight is 2.9200 with a geometric mean length of stay of 7.2 days.
What is the difference between DRG 668, 669, 670?
All 3 share the same base category; the severity of secondary diagnoses separates them: 668 (with MCC), 669 (with CC), 670 (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 668?
34 ICD-10-PCS operating-room procedure codes group to this DRG.
What is the relative weight of DRG 668?
The FY 2026 relative weight of this DRG is 2.9200, meaning reimbursement of roughly 2.92 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
