MS-DRG · FY 2026 v43.0

MS-DRG 768 – Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C

A Surgical DRG in MDC 14 (Pregnancy, Childbirth & the Puerperium). Inpatient cases group to DRG 768 when one of the 9 ICD-10-PCS operating-room procedures listed below is reported with a qualifying principal diagnosis. Its FY 2026 relative weight is 1.0716 with a geometric mean length of stay of 2.7 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
1.0716
Relative Weight
2.7
Geometric Mean LOS (days)
3.4
Arithmetic Mean LOS (days)
19
Diagnosis Codes
9
Procedure Codes
How a case is assigned to DRG 768

The grouper first assigns the case to MDC 14 from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG).

ICD-10-PCS

Procedure Codes 9 codes · 3 categories

10D0 Obstetrics, Pregnancy, Extraction6 codes
  • 10D07Z3 Extraction of Products of Conception, Low Forceps, Via Natural or Artificial Opening
  • 10D07Z4 Extraction of Products of Conception, Mid Forceps, Via Natural or Artificial Opening
  • 10D07Z5 Extraction of Products of Conception, High Forceps, Via Natural or Artificial Opening
  • 10D07Z6 Extraction of Products of Conception, Vacuum, Via Natural or Artificial Opening
  • 10D07Z7 Extraction of Products of Conception, Internal Version, Via Natural or Artificial Opening
  • 10D07Z8 Extraction of Products of Conception, Other, Via Natural or Artificial Opening
10D1 Obstetrics, Pregnancy, Extraction2 codes
  • 10D17Z9 Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening
  • 10D18Z9 Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening Endoscopic
10E0 Obstetrics, Pregnancy, Delivery1 code
  • 10E0XZZ Delivery of Products of Conception, External Approach
ICD-10-CM

Qualifying Diagnosis Codes 19 codes · 1 category

19 of 19 shown
Z37 Outcome of delivery19 codes
  • Z37.0 Single live birth
  • Z37.1 Single stillbirth
  • Z37.2 Twins, both liveborn
  • Z37.3 Twins, one liveborn and one stillborn
  • Z37.4 Twins, both stillborn
  • Z37.50 Multiple births, unspecified, all liveborn
  • Z37.51 Triplets, all liveborn
  • Z37.52 Quadruplets, all liveborn
  • Z37.53 Quintuplets, all liveborn
  • Z37.54 Sextuplets, all liveborn
  • Z37.59 Other multiple births, all liveborn
  • Z37.60 Multiple births, unspecified, some liveborn
  • Z37.61 Triplets, some liveborn
  • Z37.62 Quadruplets, some liveborn
  • Z37.63 Quintuplets, some liveborn
  • Z37.64 Sextuplets, some liveborn
  • Z37.69 Other multiple births, some liveborn
  • Z37.7 Other multiple births, all stillborn
  • Z37.9 Outcome of delivery, unspecified

Frequently Asked Questions

What is MS-DRG 768?

MS-DRG 768 (Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C) is a surgical DRG in MDC 14 (Pregnancy, Childbirth & the Puerperium). Its FY 2026 relative weight is 1.0716 with a geometric mean length of stay of 2.7 days.

How many procedure codes group to DRG 768?

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

What is the relative weight of DRG 768?

The FY 2026 relative weight of this DRG is 1.0716, meaning reimbursement of roughly 1.07 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

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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.