MS-DRG · FY 2026 v43.0

MS-DRG 786 – Cesarean Section without Sterilization with MCC

A Surgical DRG in MDC 14 (Pregnancy, Childbirth & the Puerperium). Inpatient cases group to DRG 786 when one of the 3 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 1.6495 with a geometric mean length of stay of 4.4 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
1.6495
Relative Weight
4.4
Geometric Mean LOS (days)
6.2
Arithmetic Mean LOS (days)
3
Procedure Codes

Severity family

DRG 786with MCCWeight 1.6495 · GMLOS 4.4 daysDRG 787with CCWeight 1.1168 · GMLOS 3.4 daysDRG 788without CC/MCCWeight 0.9588 · GMLOS 2.9 days
How a case is assigned to DRG 786

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), then applies the severity split from secondary diagnoses: with MCC → 786; with CC → 787; without CC/MCC → 788.

ICD-10-PCS

Procedure Codes 3 codes · 1 category

10D0 Obstetrics, Pregnancy, Extraction3 codes
  • 10D00Z0 Extraction of Products of Conception, High, Open Approach
  • 10D00Z1 Extraction of Products of Conception, Low, Open Approach
  • 10D00Z2 Extraction of Products of Conception, Extraperitoneal, Open 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 786?

MS-DRG 786 (Cesarean Section without Sterilization with MCC) is a surgical DRG in MDC 14 (Pregnancy, Childbirth & the Puerperium). Its FY 2026 relative weight is 1.6495 with a geometric mean length of stay of 4.4 days.

What is the difference between DRG 786, 787, 788?

All 3 share the same base category; the severity of secondary diagnoses separates them: 786 (with MCC), 787 (with CC), 788 (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 786?

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

What is the relative weight of DRG 786?

The FY 2026 relative weight of this DRG is 1.6495, meaning reimbursement of roughly 1.65 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.