MS-DRG · FY 2026 v43.0

MS-DRG 747 – Vagina, Cervix and Vulva Procedures without CC/MCC

A Surgical DRG in MDC 13 (Diseases & Disorders of the Female Reproductive System). Inpatient cases group to DRG 747 when one of the 446 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 0.8395 with a geometric mean length of stay of 1.3 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset

0.8395

Relative Weight

1.3

Geometric Mean LOS (days)

1.6

Arithmetic Mean LOS (days)

446

Procedure Codes

Severity family

DRG 746with CC/MCCWeight 1.7371 · GMLOS 3.1 daysDRG 747without CC/MCCWeight 0.8395 · GMLOS 1.3 days

How a case is assigned to DRG 747

The grouper first assigns the case to MDC 13 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 → 746; without CC/MCC → 747.

ICD-10-PCS

Procedure Codes 446 codes · 79 categories

446 of 446 shown

0H99 Skin and Breast, Drainage2 codes

0H99X0Z Drainage of Perineum Skin with Drainage Device, External Approach
0H99XZZ Drainage of Perineum Skin, External Approach

0HQ9 Skin and Breast, Repair1 code

0HQ9XZZ Repair Perineum Skin, External Approach

0HR9 Skin and Breast, Replacement8 codes

0HR9X72 Replacement of Perineum Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach
0HR9X73 Replacement of Perineum Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR9X74 Replacement of Perineum Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR9XJ3 Replacement of Perineum Skin with Synthetic Substitute, Full Thickness, External Approach
0HR9XJ4 Replacement of Perineum Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR9XJZ Replacement of Perineum Skin with Synthetic Substitute, External Approach
0HR9XK3 Replacement of Perineum Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR9XK4 Replacement of Perineum Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach

0T1B Urinary System, Bypass2 codes

0T1B0ZD Bypass Bladder to Cutaneous, Open Approach
0T1B4ZD Bypass Bladder to Cutaneous, Percutaneous Endoscopic Approach

0T9B Urinary System, Drainage1 code

0T9B00Z Drainage of Bladder with Drainage Device, Open Approach

0U5C Female Reproductive System, Destruction5 codes

0U5C0ZZ Destruction of Cervix, Open Approach
0U5C3ZZ Destruction of Cervix, Percutaneous Approach
0U5C4ZZ Destruction of Cervix, Percutaneous Endoscopic Approach
0U5C7ZZ Destruction of Cervix, Via Natural or Artificial Opening
0U5C8ZZ Destruction of Cervix, Via Natural or Artificial Opening Endoscopic

0U5F Female Reproductive System, Destruction5 codes

0U5F0ZZ Destruction of Cul-de-sac, Open Approach
0U5F3ZZ Destruction of Cul-de-sac, Percutaneous Approach
0U5F4ZZ Destruction of Cul-de-sac, Percutaneous Endoscopic Approach
0U5F7ZZ Destruction of Cul-de-sac, Via Natural or Artificial Opening
0U5F8ZZ Destruction of Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0U5G Female Reproductive System, Destruction6 codes

0U5G0ZZ Destruction of Vagina, Open Approach
0U5G3ZZ Destruction of Vagina, Percutaneous Approach
0U5G4ZZ Destruction of Vagina, Percutaneous Endoscopic Approach
0U5G7ZZ Destruction of Vagina, Via Natural or Artificial Opening
0U5G8ZZ Destruction of Vagina, Via Natural or Artificial Opening Endoscopic
0U5GXZZ Destruction of Vagina, External Approach

0U5J Female Reproductive System, Destruction2 codes

0U5J0ZZ Destruction of Clitoris, Open Approach
0U5JXZZ Destruction of Clitoris, External Approach

0U5K Female Reproductive System, Destruction6 codes

0U5K0ZZ Destruction of Hymen, Open Approach
0U5K3ZZ Destruction of Hymen, Percutaneous Approach
0U5K4ZZ Destruction of Hymen, Percutaneous Endoscopic Approach
0U5K7ZZ Destruction of Hymen, Via Natural or Artificial Opening
0U5K8ZZ Destruction of Hymen, Via Natural or Artificial Opening Endoscopic
0U5KXZZ Destruction of Hymen, External Approach

0U5L Female Reproductive System, Destruction2 codes

0U5L0ZZ Destruction of Vestibular Gland, Open Approach
0U5LXZZ Destruction of Vestibular Gland, External Approach

0U5M Female Reproductive System, Destruction2 codes

0U5M0ZZ Destruction of Vulva, Open Approach
0U5MXZZ Destruction of Vulva, External Approach

0U7G Female Reproductive System, Dilation6 codes

0U7G0DZ Dilation of Vagina with Intraluminal Device, Open Approach
0U7G0ZZ Dilation of Vagina, Open Approach
0U7G3DZ Dilation of Vagina with Intraluminal Device, Percutaneous Approach
0U7G3ZZ Dilation of Vagina, Percutaneous Approach
0U7G4DZ Dilation of Vagina with Intraluminal Device, Percutaneous Endoscopic Approach
0U7G4ZZ Dilation of Vagina, Percutaneous Endoscopic Approach

0U9C Female Reproductive System, Drainage8 codes

0U9C00Z Drainage of Cervix with Drainage Device, Open Approach
0U9C0ZZ Drainage of Cervix, Open Approach
0U9C40Z Drainage of Cervix with Drainage Device, Percutaneous Endoscopic Approach
0U9C4ZZ Drainage of Cervix, Percutaneous Endoscopic Approach
0U9C70Z Drainage of Cervix with Drainage Device, Via Natural or Artificial Opening
0U9C7ZZ Drainage of Cervix, Via Natural or Artificial Opening
0U9C80Z Drainage of Cervix with Drainage Device, Via Natural or Artificial Opening Endoscopic
0U9C8ZZ Drainage of Cervix, Via Natural or Artificial Opening Endoscopic

0U9F Female Reproductive System, Drainage5 codes

0U9F0ZX Drainage of Cul-de-sac, Open Approach, Diagnostic
0U9F3ZX Drainage of Cul-de-sac, Percutaneous Approach, Diagnostic
0U9F4ZX Drainage of Cul-de-sac, Percutaneous Endoscopic Approach, Diagnostic
0U9F7ZX Drainage of Cul-de-sac, Via Natural or Artificial Opening, Diagnostic
0U9F8ZX Drainage of Cul-de-sac, Via Natural or Artificial Opening Endoscopic, Diagnostic

0U9G Female Reproductive System, Drainage16 codes

0U9G00Z Drainage of Vagina with Drainage Device, Open Approach
0U9G0ZX Drainage of Vagina, Open Approach, Diagnostic
0U9G0ZZ Drainage of Vagina, Open Approach
0U9G3ZX Drainage of Vagina, Percutaneous Approach, Diagnostic
0U9G40Z Drainage of Vagina with Drainage Device, Percutaneous Endoscopic Approach
0U9G4ZX Drainage of Vagina, Percutaneous Endoscopic Approach, Diagnostic
0U9G4ZZ Drainage of Vagina, Percutaneous Endoscopic Approach
0U9G70Z Drainage of Vagina with Drainage Device, Via Natural or Artificial Opening
0U9G7ZX Drainage of Vagina, Via Natural or Artificial Opening, Diagnostic
0U9G7ZZ Drainage of Vagina, Via Natural or Artificial Opening
0U9G80Z Drainage of Vagina with Drainage Device, Via Natural or Artificial Opening Endoscopic
0U9G8ZX Drainage of Vagina, Via Natural or Artificial Opening Endoscopic, Diagnostic
0U9G8ZZ Drainage of Vagina, Via Natural or Artificial Opening Endoscopic
0U9GX0Z Drainage of Vagina with Drainage Device, External Approach
0U9GXZX Drainage of Vagina, External Approach, Diagnostic
0U9GXZZ Drainage of Vagina, External Approach

0U9J Female Reproductive System, Drainage6 codes

0U9J00Z Drainage of Clitoris with Drainage Device, Open Approach
0U9J0ZX Drainage of Clitoris, Open Approach, Diagnostic
0U9J0ZZ Drainage of Clitoris, Open Approach
0U9JX0Z Drainage of Clitoris with Drainage Device, External Approach
0U9JXZX Drainage of Clitoris, External Approach, Diagnostic
0U9JXZZ Drainage of Clitoris, External Approach

0U9K Female Reproductive System, Drainage6 codes

0U9K0ZX Drainage of Hymen, Open Approach, Diagnostic
0U9K3ZX Drainage of Hymen, Percutaneous Approach, Diagnostic
0U9K4ZX Drainage of Hymen, Percutaneous Endoscopic Approach, Diagnostic
0U9K7ZX Drainage of Hymen, Via Natural or Artificial Opening, Diagnostic
0U9K8ZX Drainage of Hymen, Via Natural or Artificial Opening Endoscopic, Diagnostic
0U9KXZX Drainage of Hymen, External Approach, Diagnostic

0U9M Female Reproductive System, Drainage6 codes

0U9M00Z Drainage of Vulva with Drainage Device, Open Approach
0U9M0ZX Drainage of Vulva, Open Approach, Diagnostic
0U9M0ZZ Drainage of Vulva, Open Approach
0U9MX0Z Drainage of Vulva with Drainage Device, External Approach
0U9MXZX Drainage of Vulva, External Approach, Diagnostic
0U9MXZZ Drainage of Vulva, External Approach

0UBC Female Reproductive System, Excision5 codes

0UBC0ZZ Excision of Cervix, Open Approach
0UBC3ZZ Excision of Cervix, Percutaneous Approach
0UBC4ZZ Excision of Cervix, Percutaneous Endoscopic Approach
0UBC7ZZ Excision of Cervix, Via Natural or Artificial Opening
0UBC8ZZ Excision of Cervix, Via Natural or Artificial Opening Endoscopic

0UBF Female Reproductive System, Excision10 codes

0UBF0ZX Excision of Cul-de-sac, Open Approach, Diagnostic
0UBF0ZZ Excision of Cul-de-sac, Open Approach
0UBF3ZX Excision of Cul-de-sac, Percutaneous Approach, Diagnostic
0UBF3ZZ Excision of Cul-de-sac, Percutaneous Approach
0UBF4ZX Excision of Cul-de-sac, Percutaneous Endoscopic Approach, Diagnostic
0UBF4ZZ Excision of Cul-de-sac, Percutaneous Endoscopic Approach
0UBF7ZX Excision of Cul-de-sac, Via Natural or Artificial Opening, Diagnostic
0UBF7ZZ Excision of Cul-de-sac, Via Natural or Artificial Opening
0UBF8ZX Excision of Cul-de-sac, Via Natural or Artificial Opening Endoscopic, Diagnostic
0UBF8ZZ Excision of Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0UBG Female Reproductive System, Excision12 codes

0UBG0ZX Excision of Vagina, Open Approach, Diagnostic
0UBG0ZZ Excision of Vagina, Open Approach
0UBG3ZX Excision of Vagina, Percutaneous Approach, Diagnostic
0UBG3ZZ Excision of Vagina, Percutaneous Approach
0UBG4ZX Excision of Vagina, Percutaneous Endoscopic Approach, Diagnostic
0UBG4ZZ Excision of Vagina, Percutaneous Endoscopic Approach
0UBG7ZX Excision of Vagina, Via Natural or Artificial Opening, Diagnostic
0UBG7ZZ Excision of Vagina, Via Natural or Artificial Opening
0UBG8ZX Excision of Vagina, Via Natural or Artificial Opening Endoscopic, Diagnostic
0UBG8ZZ Excision of Vagina, Via Natural or Artificial Opening Endoscopic
0UBGXZX Excision of Vagina, External Approach, Diagnostic
0UBGXZZ Excision of Vagina, External Approach

0UBJ Female Reproductive System, Excision4 codes

0UBJ0ZX Excision of Clitoris, Open Approach, Diagnostic
0UBJ0ZZ Excision of Clitoris, Open Approach
0UBJXZX Excision of Clitoris, External Approach, Diagnostic
0UBJXZZ Excision of Clitoris, External Approach

0UBK Female Reproductive System, Excision12 codes

0UBK0ZX Excision of Hymen, Open Approach, Diagnostic
0UBK0ZZ Excision of Hymen, Open Approach
0UBK3ZX Excision of Hymen, Percutaneous Approach, Diagnostic
0UBK3ZZ Excision of Hymen, Percutaneous Approach
0UBK4ZX Excision of Hymen, Percutaneous Endoscopic Approach, Diagnostic
0UBK4ZZ Excision of Hymen, Percutaneous Endoscopic Approach
0UBK7ZX Excision of Hymen, Via Natural or Artificial Opening, Diagnostic
0UBK7ZZ Excision of Hymen, Via Natural or Artificial Opening
0UBK8ZX Excision of Hymen, Via Natural or Artificial Opening Endoscopic, Diagnostic
0UBK8ZZ Excision of Hymen, Via Natural or Artificial Opening Endoscopic
0UBKXZX Excision of Hymen, External Approach, Diagnostic
0UBKXZZ Excision of Hymen, External Approach

0UBL Female Reproductive System, Excision4 codes

0UBL0ZX Excision of Vestibular Gland, Open Approach, Diagnostic
0UBL0ZZ Excision of Vestibular Gland, Open Approach
0UBLXZX Excision of Vestibular Gland, External Approach, Diagnostic
0UBLXZZ Excision of Vestibular Gland, External Approach

0UBM Female Reproductive System, Excision4 codes

0UBM0ZX Excision of Vulva, Open Approach, Diagnostic
0UBM0ZZ Excision of Vulva, Open Approach
0UBMXZX Excision of Vulva, External Approach, Diagnostic
0UBMXZZ Excision of Vulva, External Approach

0UCC Female Reproductive System, Extirpation5 codes

0UCC0ZZ Extirpation of Matter from Cervix, Open Approach
0UCC3ZZ Extirpation of Matter from Cervix, Percutaneous Approach
0UCC4ZZ Extirpation of Matter from Cervix, Percutaneous Endoscopic Approach
0UCC7ZZ Extirpation of Matter from Cervix, Via Natural or Artificial Opening
0UCC8ZZ Extirpation of Matter from Cervix, Via Natural or Artificial Opening Endoscopic

0UCG Female Reproductive System, Extirpation3 codes

0UCG0ZZ Extirpation of Matter from Vagina, Open Approach
0UCG3ZZ Extirpation of Matter from Vagina, Percutaneous Approach
0UCG4ZZ Extirpation of Matter from Vagina, Percutaneous Endoscopic Approach

0UCJ Female Reproductive System, Extirpation2 codes

0UCJ0ZZ Extirpation of Matter from Clitoris, Open Approach
0UCJXZZ Extirpation of Matter from Clitoris, External Approach

0UCL Female Reproductive System, Extirpation2 codes

0UCL0ZZ Extirpation of Matter from Vestibular Gland, Open Approach
0UCLXZZ Extirpation of Matter from Vestibular Gland, External Approach

0UCM Female Reproductive System, Extirpation1 code

0UCM0ZZ Extirpation of Matter from Vulva, Open Approach

0UHH Female Reproductive System, Insertion4 codes

0UHH03Z Insertion of Infusion Device into Vagina and Cul-de-sac, Open Approach
0UHH0YZ Insertion of Other Device into Vagina and Cul-de-sac, Open Approach
0UHH33Z Insertion of Infusion Device into Vagina and Cul-de-sac, Percutaneous Approach
0UHH43Z Insertion of Infusion Device into Vagina and Cul-de-sac, Percutaneous Endoscopic Approach

0UJH Female Reproductive System, Inspection2 codes

0UJH0ZZ Inspection of Vagina and Cul-de-sac, Open Approach
0UJH4ZZ Inspection of Vagina and Cul-de-sac, Percutaneous Endoscopic Approach

0UJM Female Reproductive System, Inspection1 code

0UJM0ZZ Inspection of Vulva, Open Approach

0ULF Female Reproductive System, Occlusion4 codes

0ULF7DZ Occlusion of Cul-de-sac with Intraluminal Device, Via Natural or Artificial Opening
0ULF7ZZ Occlusion of Cul-de-sac, Via Natural or Artificial Opening
0ULF8DZ Occlusion of Cul-de-sac with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0ULF8ZZ Occlusion of Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0UMF Female Reproductive System, Reattachment2 codes

0UMF0ZZ Reattachment of Cul-de-sac, Open Approach
0UMF4ZZ Reattachment of Cul-de-sac, Percutaneous Endoscopic Approach

0UMG Female Reproductive System, Reattachment2 codes

0UMG0ZZ Reattachment of Vagina, Open Approach
0UMG4ZZ Reattachment of Vagina, Percutaneous Endoscopic Approach

0UMJ Female Reproductive System, Reattachment1 code

0UMJXZZ Reattachment of Clitoris, External Approach

0UMK Female Reproductive System, Reattachment3 codes

0UMK0ZZ Reattachment of Hymen, Open Approach
0UMK4ZZ Reattachment of Hymen, Percutaneous Endoscopic Approach
0UMKXZZ Reattachment of Hymen, External Approach

0UMM Female Reproductive System, Reattachment1 code

0UMMXZZ Reattachment of Vulva, External Approach

0UNF Female Reproductive System, Release5 codes

0UNF0ZZ Release Cul-de-sac, Open Approach
0UNF3ZZ Release Cul-de-sac, Percutaneous Approach
0UNF4ZZ Release Cul-de-sac, Percutaneous Endoscopic Approach
0UNF7ZZ Release Cul-de-sac, Via Natural or Artificial Opening
0UNF8ZZ Release Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0UNG Female Reproductive System, Release6 codes

0UNG0ZZ Release Vagina, Open Approach
0UNG3ZZ Release Vagina, Percutaneous Approach
0UNG4ZZ Release Vagina, Percutaneous Endoscopic Approach
0UNG7ZZ Release Vagina, Via Natural or Artificial Opening
0UNG8ZZ Release Vagina, Via Natural or Artificial Opening Endoscopic
0UNGXZZ Release Vagina, External Approach

0UNJ Female Reproductive System, Release2 codes

0UNJ0ZZ Release Clitoris, Open Approach
0UNJXZZ Release Clitoris, External Approach

0UNK Female Reproductive System, Release6 codes

0UNK0ZZ Release Hymen, Open Approach
0UNK3ZZ Release Hymen, Percutaneous Approach
0UNK4ZZ Release Hymen, Percutaneous Endoscopic Approach
0UNK7ZZ Release Hymen, Via Natural or Artificial Opening
0UNK8ZZ Release Hymen, Via Natural or Artificial Opening Endoscopic
0UNKXZZ Release Hymen, External Approach

0UNL Female Reproductive System, Release2 codes

0UNL0ZZ Release Vestibular Gland, Open Approach
0UNLXZZ Release Vestibular Gland, External Approach

0UNM Female Reproductive System, Release2 codes

0UNM0ZZ Release Vulva, Open Approach
0UNMXZZ Release Vulva, External Approach

0UPD Female Reproductive System, Removal1 code

0UPD0CZ Removal of Extraluminal Device from Uterus and Cervix, Open Approach

0UPH Female Reproductive System, Removal30 codes

0UPH00Z Removal of Drainage Device from Vagina and Cul-de-sac, Open Approach
0UPH01Z Removal of Radioactive Element from Vagina and Cul-de-sac, Open Approach
0UPH03Z Removal of Infusion Device from Vagina and Cul-de-sac, Open Approach
0UPH07Z Removal of Autologous Tissue Substitute from Vagina and Cul-de-sac, Open Approach
0UPH0DZ Removal of Intraluminal Device from Vagina and Cul-de-sac, Open Approach
0UPH0JZ Removal of Synthetic Substitute from Vagina and Cul-de-sac, Open Approach
0UPH0KZ Removal of Nonautologous Tissue Substitute from Vagina and Cul-de-sac, Open Approach
0UPH0YZ Removal of Other Device from Vagina and Cul-de-sac, Open Approach
0UPH30Z Removal of Drainage Device from Vagina and Cul-de-sac, Percutaneous Approach
0UPH31Z Removal of Radioactive Element from Vagina and Cul-de-sac, Percutaneous Approach
0UPH33Z Removal of Infusion Device from Vagina and Cul-de-sac, Percutaneous Approach
0UPH37Z Removal of Autologous Tissue Substitute from Vagina and Cul-de-sac, Percutaneous Approach
0UPH3DZ Removal of Intraluminal Device from Vagina and Cul-de-sac, Percutaneous Approach
0UPH3JZ Removal of Synthetic Substitute from Vagina and Cul-de-sac, Percutaneous Approach
0UPH3KZ Removal of Nonautologous Tissue Substitute from Vagina and Cul-de-sac, Percutaneous Approach
0UPH40Z Removal of Drainage Device from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UPH41Z Removal of Radioactive Element from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UPH43Z Removal of Infusion Device from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UPH47Z Removal of Autologous Tissue Substitute from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UPH4DZ Removal of Intraluminal Device from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UPH4JZ Removal of Synthetic Substitute from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UPH4KZ Removal of Nonautologous Tissue Substitute from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UPH71Z Removal of Radioactive Element from Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UPH77Z Removal of Autologous Tissue Substitute from Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UPH7JZ Removal of Synthetic Substitute from Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UPH7KZ Removal of Nonautologous Tissue Substitute from Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UPH81Z Removal of Radioactive Element from Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UPH87Z Removal of Autologous Tissue Substitute from Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UPH8JZ Removal of Synthetic Substitute from Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UPH8KZ Removal of Nonautologous Tissue Substitute from Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0UPM Female Reproductive System, Removal4 codes

0UPM00Z Removal of Drainage Device from Vulva, Open Approach
0UPM07Z Removal of Autologous Tissue Substitute from Vulva, Open Approach
0UPM0JZ Removal of Synthetic Substitute from Vulva, Open Approach
0UPM0KZ Removal of Nonautologous Tissue Substitute from Vulva, Open Approach

0UQC Female Reproductive System, Repair5 codes

0UQC0ZZ Repair Cervix, Open Approach
0UQC3ZZ Repair Cervix, Percutaneous Approach
0UQC4ZZ Repair Cervix, Percutaneous Endoscopic Approach
0UQC7ZZ Repair Cervix, Via Natural or Artificial Opening
0UQC8ZZ Repair Cervix, Via Natural or Artificial Opening Endoscopic

0UQF Female Reproductive System, Repair5 codes

0UQF0ZZ Repair Cul-de-sac, Open Approach
0UQF3ZZ Repair Cul-de-sac, Percutaneous Approach
0UQF4ZZ Repair Cul-de-sac, Percutaneous Endoscopic Approach
0UQF7ZZ Repair Cul-de-sac, Via Natural or Artificial Opening
0UQF8ZZ Repair Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0UQG Female Reproductive System, Repair3 codes

0UQG0ZZ Repair Vagina, Open Approach
0UQG3ZZ Repair Vagina, Percutaneous Approach
0UQG4ZZ Repair Vagina, Percutaneous Endoscopic Approach

0UQJ Female Reproductive System, Repair2 codes

0UQJ0ZZ Repair Clitoris, Open Approach
0UQJXZZ Repair Clitoris, External Approach

0UQK Female Reproductive System, Repair5 codes

0UQK0ZZ Repair Hymen, Open Approach
0UQK3ZZ Repair Hymen, Percutaneous Approach
0UQK4ZZ Repair Hymen, Percutaneous Endoscopic Approach
0UQK7ZZ Repair Hymen, Via Natural or Artificial Opening
0UQK8ZZ Repair Hymen, Via Natural or Artificial Opening Endoscopic

0UQL Female Reproductive System, Repair2 codes

0UQL0ZZ Repair Vestibular Gland, Open Approach
0UQLXZZ Repair Vestibular Gland, External Approach

0UQM Female Reproductive System, Repair1 code

0UQM0ZZ Repair Vulva, Open Approach

0USF Female Reproductive System, Reposition3 codes

0USF0ZZ Reposition Cul-de-sac, Open Approach
0USF4ZZ Reposition Cul-de-sac, Percutaneous Endoscopic Approach
0USF8ZZ Reposition Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0UTC Female Reproductive System, Resection4 codes

0UTC0ZZ Resection of Cervix, Open Approach
0UTC4ZZ Resection of Cervix, Percutaneous Endoscopic Approach
0UTC7ZZ Resection of Cervix, Via Natural or Artificial Opening
0UTC8ZZ Resection of Cervix, Via Natural or Artificial Opening Endoscopic

0UTF Female Reproductive System, Resection4 codes

0UTF0ZZ Resection of Cul-de-sac, Open Approach
0UTF4ZZ Resection of Cul-de-sac, Percutaneous Endoscopic Approach
0UTF7ZZ Resection of Cul-de-sac, Via Natural or Artificial Opening
0UTF8ZZ Resection of Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0UTJ Female Reproductive System, Resection2 codes

0UTJ0ZZ Resection of Clitoris, Open Approach
0UTJXZZ Resection of Clitoris, External Approach

0UTK Female Reproductive System, Resection5 codes

0UTK0ZZ Resection of Hymen, Open Approach
0UTK4ZZ Resection of Hymen, Percutaneous Endoscopic Approach
0UTK7ZZ Resection of Hymen, Via Natural or Artificial Opening
0UTK8ZZ Resection of Hymen, Via Natural or Artificial Opening Endoscopic
0UTKXZZ Resection of Hymen, External Approach

0UTL Female Reproductive System, Resection2 codes

0UTL0ZZ Resection of Vestibular Gland, Open Approach
0UTLXZZ Resection of Vestibular Gland, External Approach

0UTM Female Reproductive System, Resection2 codes

0UTM0ZZ Resection of Vulva, Open Approach
0UTMXZZ Resection of Vulva, External Approach

0UUF Female Reproductive System, Supplement12 codes

0UUF07Z Supplement Cul-de-sac with Autologous Tissue Substitute, Open Approach
0UUF0JZ Supplement Cul-de-sac with Synthetic Substitute, Open Approach
0UUF0KZ Supplement Cul-de-sac with Nonautologous Tissue Substitute, Open Approach
0UUF47Z Supplement Cul-de-sac with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0UUF4JZ Supplement Cul-de-sac with Synthetic Substitute, Percutaneous Endoscopic Approach
0UUF4KZ Supplement Cul-de-sac with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0UUF77Z Supplement Cul-de-sac with Autologous Tissue Substitute, Via Natural or Artificial Opening
0UUF7JZ Supplement Cul-de-sac with Synthetic Substitute, Via Natural or Artificial Opening
0UUF7KZ Supplement Cul-de-sac with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
0UUF87Z Supplement Cul-de-sac with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0UUF8JZ Supplement Cul-de-sac with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0UUF8KZ Supplement Cul-de-sac with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

0UUJ Female Reproductive System, Supplement6 codes

0UUJ07Z Supplement Clitoris with Autologous Tissue Substitute, Open Approach
0UUJ0JZ Supplement Clitoris with Synthetic Substitute, Open Approach
0UUJ0KZ Supplement Clitoris with Nonautologous Tissue Substitute, Open Approach
0UUJX7Z Supplement Clitoris with Autologous Tissue Substitute, External Approach
0UUJXJZ Supplement Clitoris with Synthetic Substitute, External Approach
0UUJXKZ Supplement Clitoris with Nonautologous Tissue Substitute, External Approach

0UUM Female Reproductive System, Supplement6 codes

0UUM07Z Supplement Vulva with Autologous Tissue Substitute, Open Approach
0UUM0JZ Supplement Vulva with Synthetic Substitute, Open Approach
0UUM0KZ Supplement Vulva with Nonautologous Tissue Substitute, Open Approach
0UUMX7Z Supplement Vulva with Autologous Tissue Substitute, External Approach
0UUMXJZ Supplement Vulva with Synthetic Substitute, External Approach
0UUMXKZ Supplement Vulva with Nonautologous Tissue Substitute, External Approach

0UVC Female Reproductive System, Restriction13 codes

0UVC0CZ Restriction of Cervix with Extraluminal Device, Open Approach
0UVC0DZ Restriction of Cervix with Intraluminal Device, Open Approach
0UVC0ZZ Restriction of Cervix, Open Approach
0UVC3CZ Restriction of Cervix with Extraluminal Device, Percutaneous Approach
0UVC3DZ Restriction of Cervix with Intraluminal Device, Percutaneous Approach
0UVC3ZZ Restriction of Cervix, Percutaneous Approach
0UVC4CZ Restriction of Cervix with Extraluminal Device, Percutaneous Endoscopic Approach
0UVC4DZ Restriction of Cervix with Intraluminal Device, Percutaneous Endoscopic Approach
0UVC4ZZ Restriction of Cervix, Percutaneous Endoscopic Approach
0UVC7DZ Restriction of Cervix with Intraluminal Device, Via Natural or Artificial Opening
0UVC7ZZ Restriction of Cervix, Via Natural or Artificial Opening
0UVC8DZ Restriction of Cervix with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0UVC8ZZ Restriction of Cervix, Via Natural or Artificial Opening Endoscopic

0UWD Female Reproductive System, Revision5 codes

0UWD0CZ Revision of Extraluminal Device in Uterus and Cervix, Open Approach
0UWD3CZ Revision of Extraluminal Device in Uterus and Cervix, Percutaneous Approach
0UWD4CZ Revision of Extraluminal Device in Uterus and Cervix, Percutaneous Endoscopic Approach
0UWD7CZ Revision of Extraluminal Device in Uterus and Cervix, Via Natural or Artificial Opening
0UWD8CZ Revision of Extraluminal Device in Uterus and Cervix, Via Natural or Artificial Opening Endoscopic

0UWH Female Reproductive System, Revision36 codes

0UWH00Z Revision of Drainage Device in Vagina and Cul-de-sac, Open Approach
0UWH01Z Revision of Radioactive Element in Vagina and Cul-de-sac, Open Approach
0UWH03Z Revision of Infusion Device in Vagina and Cul-de-sac, Open Approach
0UWH07Z Revision of Autologous Tissue Substitute in Vagina and Cul-de-sac, Open Approach
0UWH0DZ Revision of Intraluminal Device in Vagina and Cul-de-sac, Open Approach
0UWH0JZ Revision of Synthetic Substitute in Vagina and Cul-de-sac, Open Approach
0UWH0KZ Revision of Nonautologous Tissue Substitute in Vagina and Cul-de-sac, Open Approach
0UWH0YZ Revision of Other Device in Vagina and Cul-de-sac, Open Approach
0UWH30Z Revision of Drainage Device in Vagina and Cul-de-sac, Percutaneous Approach
0UWH31Z Revision of Radioactive Element in Vagina and Cul-de-sac, Percutaneous Approach
0UWH33Z Revision of Infusion Device in Vagina and Cul-de-sac, Percutaneous Approach
0UWH37Z Revision of Autologous Tissue Substitute in Vagina and Cul-de-sac, Percutaneous Approach
0UWH3DZ Revision of Intraluminal Device in Vagina and Cul-de-sac, Percutaneous Approach
0UWH3JZ Revision of Synthetic Substitute in Vagina and Cul-de-sac, Percutaneous Approach
0UWH3KZ Revision of Nonautologous Tissue Substitute in Vagina and Cul-de-sac, Percutaneous Approach
0UWH40Z Revision of Drainage Device in Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UWH41Z Revision of Radioactive Element in Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UWH43Z Revision of Infusion Device in Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UWH47Z Revision of Autologous Tissue Substitute in Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UWH4DZ Revision of Intraluminal Device in Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UWH4JZ Revision of Synthetic Substitute in Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UWH4KZ Revision of Nonautologous Tissue Substitute in Vagina and Cul-de-sac, Percutaneous Endoscopic Approach
0UWH70Z Revision of Drainage Device in Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UWH71Z Revision of Radioactive Element in Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UWH73Z Revision of Infusion Device in Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UWH77Z Revision of Autologous Tissue Substitute in Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UWH7DZ Revision of Intraluminal Device in Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UWH7JZ Revision of Synthetic Substitute in Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UWH7KZ Revision of Nonautologous Tissue Substitute in Vagina and Cul-de-sac, Via Natural or Artificial Opening
0UWH80Z Revision of Drainage Device in Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UWH81Z Revision of Radioactive Element in Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UWH83Z Revision of Infusion Device in Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UWH87Z Revision of Autologous Tissue Substitute in Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UWH8DZ Revision of Intraluminal Device in Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UWH8JZ Revision of Synthetic Substitute in Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic
0UWH8KZ Revision of Nonautologous Tissue Substitute in Vagina and Cul-de-sac, Via Natural or Artificial Opening Endoscopic

0UWM Female Reproductive System, Revision4 codes

0UWM00Z Revision of Drainage Device in Vulva, Open Approach
0UWM07Z Revision of Autologous Tissue Substitute in Vulva, Open Approach
0UWM0JZ Revision of Synthetic Substitute in Vulva, Open Approach
0UWM0KZ Revision of Nonautologous Tissue Substitute in Vulva, Open Approach

0W0N Anatomical Regions, General, Alteration12 codes

0W0N07Z Alteration of Female Perineum with Autologous Tissue Substitute, Open Approach
0W0N0JZ Alteration of Female Perineum with Synthetic Substitute, Open Approach
0W0N0KZ Alteration of Female Perineum with Nonautologous Tissue Substitute, Open Approach
0W0N0ZZ Alteration of Female Perineum, Open Approach
0W0N37Z Alteration of Female Perineum with Autologous Tissue Substitute, Percutaneous Approach
0W0N3JZ Alteration of Female Perineum with Synthetic Substitute, Percutaneous Approach
0W0N3KZ Alteration of Female Perineum with Nonautologous Tissue Substitute, Percutaneous Approach
0W0N3ZZ Alteration of Female Perineum, Percutaneous Approach
0W0N47Z Alteration of Female Perineum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0W0N4JZ Alteration of Female Perineum with Synthetic Substitute, Percutaneous Endoscopic Approach
0W0N4KZ Alteration of Female Perineum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0W0N4ZZ Alteration of Female Perineum, Percutaneous Endoscopic Approach

0W9N Anatomical Regions, General, Drainage4 codes

0W9N00Z Drainage of Female Perineum with Drainage Device, Open Approach
0W9N0ZZ Drainage of Female Perineum, Open Approach
0W9N40Z Drainage of Female Perineum with Drainage Device, Percutaneous Endoscopic Approach
0W9N4ZZ Drainage of Female Perineum, Percutaneous Endoscopic Approach

0WBN Anatomical Regions, General, Excision8 codes

0WBN0ZX Excision of Female Perineum, Open Approach, Diagnostic
0WBN0ZZ Excision of Female Perineum, Open Approach
0WBN3ZX Excision of Female Perineum, Percutaneous Approach, Diagnostic
0WBN3ZZ Excision of Female Perineum, Percutaneous Approach
0WBN4ZX Excision of Female Perineum, Percutaneous Endoscopic Approach, Diagnostic
0WBN4ZZ Excision of Female Perineum, Percutaneous Endoscopic Approach
0WBNXZX Excision of Female Perineum, External Approach, Diagnostic
0WBNXZZ Excision of Female Perineum, External Approach

0WHN Anatomical Regions, General, Insertion6 codes

0WHN03Z Insertion of Infusion Device into Female Perineum, Open Approach
0WHN0YZ Insertion of Other Device into Female Perineum, Open Approach
0WHN33Z Insertion of Infusion Device into Female Perineum, Percutaneous Approach
0WHN3YZ Insertion of Other Device into Female Perineum, Percutaneous Approach
0WHN43Z Insertion of Infusion Device into Female Perineum, Percutaneous Endoscopic Approach
0WHN4YZ Insertion of Other Device into Female Perineum, Percutaneous Endoscopic Approach

0WMN Anatomical Regions, General, Reattachment1 code

0WMN0ZZ Reattachment of Female Perineum, Open Approach

0WPN Anatomical Regions, General, Removal21 codes

0WPN00Z Removal of Drainage Device from Female Perineum, Open Approach
0WPN01Z Removal of Radioactive Element from Female Perineum, Open Approach
0WPN03Z Removal of Infusion Device from Female Perineum, Open Approach
0WPN07Z Removal of Autologous Tissue Substitute from Female Perineum, Open Approach
0WPN0JZ Removal of Synthetic Substitute from Female Perineum, Open Approach
0WPN0KZ Removal of Nonautologous Tissue Substitute from Female Perineum, Open Approach
0WPN0YZ Removal of Other Device from Female Perineum, Open Approach
0WPN30Z Removal of Drainage Device from Female Perineum, Percutaneous Approach
0WPN31Z Removal of Radioactive Element from Female Perineum, Percutaneous Approach
0WPN33Z Removal of Infusion Device from Female Perineum, Percutaneous Approach
0WPN37Z Removal of Autologous Tissue Substitute from Female Perineum, Percutaneous Approach
0WPN3JZ Removal of Synthetic Substitute from Female Perineum, Percutaneous Approach
0WPN3KZ Removal of Nonautologous Tissue Substitute from Female Perineum, Percutaneous Approach
0WPN3YZ Removal of Other Device from Female Perineum, Percutaneous Approach
0WPN40Z Removal of Drainage Device from Female Perineum, Percutaneous Endoscopic Approach
0WPN41Z Removal of Radioactive Element from Female Perineum, Percutaneous Endoscopic Approach
0WPN43Z Removal of Infusion Device from Female Perineum, Percutaneous Endoscopic Approach
0WPN47Z Removal of Autologous Tissue Substitute from Female Perineum, Percutaneous Endoscopic Approach
0WPN4JZ Removal of Synthetic Substitute from Female Perineum, Percutaneous Endoscopic Approach
0WPN4KZ Removal of Nonautologous Tissue Substitute from Female Perineum, Percutaneous Endoscopic Approach
0WPN4YZ Removal of Other Device from Female Perineum, Percutaneous Endoscopic Approach

0WQN Anatomical Regions, General, Repair3 codes

0WQN0ZZ Repair Female Perineum, Open Approach
0WQN3ZZ Repair Female Perineum, Percutaneous Approach
0WQN4ZZ Repair Female Perineum, Percutaneous Endoscopic Approach

0WUN Anatomical Regions, General, Supplement6 codes

0WUN07Z Supplement Female Perineum with Autologous Tissue Substitute, Open Approach
0WUN0JZ Supplement Female Perineum with Synthetic Substitute, Open Approach
0WUN0KZ Supplement Female Perineum with Nonautologous Tissue Substitute, Open Approach
0WUN47Z Supplement Female Perineum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0WUN4JZ Supplement Female Perineum with Synthetic Substitute, Percutaneous Endoscopic Approach
0WUN4KZ Supplement Female Perineum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0WWN Anatomical Regions, General, Revision21 codes

0WWN00Z Revision of Drainage Device in Female Perineum, Open Approach
0WWN01Z Revision of Radioactive Element in Female Perineum, Open Approach
0WWN03Z Revision of Infusion Device in Female Perineum, Open Approach
0WWN07Z Revision of Autologous Tissue Substitute in Female Perineum, Open Approach
0WWN0JZ Revision of Synthetic Substitute in Female Perineum, Open Approach
0WWN0KZ Revision of Nonautologous Tissue Substitute in Female Perineum, Open Approach
0WWN0YZ Revision of Other Device in Female Perineum, Open Approach
0WWN30Z Revision of Drainage Device in Female Perineum, Percutaneous Approach
0WWN31Z Revision of Radioactive Element in Female Perineum, Percutaneous Approach
0WWN33Z Revision of Infusion Device in Female Perineum, Percutaneous Approach
0WWN37Z Revision of Autologous Tissue Substitute in Female Perineum, Percutaneous Approach
0WWN3JZ Revision of Synthetic Substitute in Female Perineum, Percutaneous Approach
0WWN3KZ Revision of Nonautologous Tissue Substitute in Female Perineum, Percutaneous Approach
0WWN3YZ Revision of Other Device in Female Perineum, Percutaneous Approach
0WWN40Z Revision of Drainage Device in Female Perineum, Percutaneous Endoscopic Approach
0WWN41Z Revision of Radioactive Element in Female Perineum, Percutaneous Endoscopic Approach
0WWN43Z Revision of Infusion Device in Female Perineum, Percutaneous Endoscopic Approach
0WWN47Z Revision of Autologous Tissue Substitute in Female Perineum, Percutaneous Endoscopic Approach
0WWN4JZ Revision of Synthetic Substitute in Female Perineum, Percutaneous Endoscopic Approach
0WWN4KZ Revision of Nonautologous Tissue Substitute in Female Perineum, Percutaneous Endoscopic Approach
0WWN4YZ Revision of Other Device in Female Perineum, 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 747?

MS-DRG 747 (Vagina, Cervix and Vulva Procedures without CC/MCC) is a surgical DRG in MDC 13 (Diseases & Disorders of the Female Reproductive System). Its FY 2026 relative weight is 0.8395 with a geometric mean length of stay of 1.3 days.

What is the difference between DRG 746, 747?

All 2 share the same base category; the severity of secondary diagnoses separates them: 746 (with CC/MCC), 747 (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 747?

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

What is the relative weight of DRG 747?

The FY 2026 relative weight of this DRG is 0.8395, meaning reimbursement of roughly 0.84 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 746 – Vagina, Cervix and Vulva Procedures with CC/MCC Next →DRG 748 – Female Reproductive System Reconstructive Procedures

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.