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  3. Procedure Codes in MS-DRG 412 - Cholecystectomy With C.D.E. With CC

Procedure Codes in MS-DRG 412 - Cholecystectomy With C.D.E. With CC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the procedure codes included in MS-DRG V42.0: Cholecystectomy with C.D.E. with CC from October 1, 2024, through September 30, 2025.

MS-DRG: 412

MS-DRG Title: Cholecystectomy with C.D.E. with CC

MCD: 07

Relative Weight: Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Geometric LOS: Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.

Arithmetic LOS: Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

  • 0F5 - Hepatobiliary System and Pancreas, Destruction

    • 0F540Z3 - Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Open Approach

    • 0F540ZZ - Destruction of Gallbladder, Open Approach

    • 0F543Z3 - Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Approach

    • 0F543ZZ - Destruction of Gallbladder, Percutaneous Approach

  • 0F9 - Hepatobiliary System and Pancreas, Drainage

    • 0F9900Z - Drainage of Common Bile Duct with Drainage Device, Open Approach

    • 0F990ZZ - Drainage of Common Bile Duct, Open Approach

    • 0F9940Z - Drainage of Common Bile Duct with Drainage Device, Percutaneous Endoscopic Approach

  • 0FB - Hepatobiliary System and Pancreas, Excision

    • 0FB40ZZ - Excision of Gallbladder, Open Approach

    • 0FB43ZZ - Excision of Gallbladder, Percutaneous Approach

  • 0FC - Hepatobiliary System and Pancreas, Extirpation

    • 0FC90ZZ - Extirpation of Matter from Common Bile Duct, Open Approach

    • 0FC94ZZ - Extirpation of Matter from Common Bile Duct, Percutaneous Endoscopic Approach

  • 0FJ - Hepatobiliary System and Pancreas, Inspection

    • 0FJB0ZZ - Inspection of Hepatobiliary Duct, Open Approach

    • 0FJB4ZZ - Inspection of Hepatobiliary Duct, Percutaneous Endoscopic Approach

  • 0FT - Hepatobiliary System and Pancreas, Resection

    • 0FT40ZZ - Resection of Gallbladder, Open Approach