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  3. Procedure Codes in MS-DRG 653 - Major Bladder Procedures With MCC

Procedure Codes in MS-DRG 653 - Major Bladder Procedures With MCC

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: Major Bladder Procedures with MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 653

MS-DRG Title: Major Bladder Procedures with MCC

MCD: 11

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.

  • 0DX - Gastrointestinal System, Transfer

    • 0DX80ZB - Transfer Small Intestine to Bladder, Open Approach

    • 0DX84ZB - Transfer Small Intestine to Bladder, Percutaneous Endoscopic Approach

    • 0DXE0ZB - Transfer Large Intestine to Bladder, Open Approach

    • 0DXE4ZB - Transfer Large Intestine to Bladder, Percutaneous Endoscopic Approach

  • 0JU - Subcutaneous Tissue and Fascia, Supplement

    • 0JUC07Z - Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach

    • 0JUC0JZ - Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Open Approach

    • 0JUC0KZ - Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach

    • 0JUC37Z - Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Percutaneous Approach

    • 0JUC3JZ - Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Synthetic Substitute, Percutaneous Approach

    • 0JUC3KZ - Supplement of Pelvic Region Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Percutaneous Approach

  • 0T1 - Urinary System, Bypass

    • 0T1B079 - Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Open Approach

    • 0T1B07C - Bypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Open Approach

    • 0T1B07D - Bypass Bladder to Cutaneous with Autologous Tissue Substitute, Open Approach

    • 0T1B0J9 - Bypass Bladder to Colocutaneous with Synthetic Substitute, Open Approach

    • 0T1B0JC - Bypass Bladder to Ileocutaneous with Synthetic Substitute, Open Approach

    • 0T1B0JD - Bypass Bladder to Cutaneous with Synthetic Substitute, Open Approach

    • 0T1B0K9 - Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Open Approach

    • 0T1B0KC - Bypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Open Approach

    • 0T1B0KD - Bypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Open Approach

    • 0T1B0Z9 - Bypass Bladder to Colocutaneous, Open Approach

    • 0T1B0ZC - Bypass Bladder to Ileocutaneous, Open Approach

    • 0T1B3JD - Bypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Approach

    • 0T1B479 - Bypass Bladder to Colocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0T1B47C - Bypass Bladder to Ileocutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0T1B47D - Bypass Bladder to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0T1B4J9 - Bypass Bladder to Colocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 0T1B4JC - Bypass Bladder to Ileocutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 0T1B4JD - Bypass Bladder to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 0T1B4K9 - Bypass Bladder to Colocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0T1B4KC - Bypass Bladder to Ileocutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0T1B4KD - Bypass Bladder to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0T1B4Z9 - Bypass Bladder to Colocutaneous, Percutaneous Endoscopic Approach

    • 0T1B4ZC - Bypass Bladder to Ileocutaneous, Percutaneous Endoscopic Approach

  • 0T7 - Urinary System, Dilation

    • 0T7B0DZ - Dilation of Bladder with Intraluminal Device, Open Approach

    • 0T7B0ZZ - Dilation of Bladder, Open Approach

    • 0T7B3DZ - Dilation of Bladder with Intraluminal Device, Percutaneous Approach

    • 0T7B3ZZ - Dilation of Bladder, Percutaneous Approach

    • 0T7B4DZ - Dilation of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach

    • 0T7B4ZZ - Dilation of Bladder, Percutaneous Endoscopic Approach

    • 0T7B8DZ - Dilation of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

    • 0T7B8ZZ - Dilation of Bladder, Via Natural or Artificial Opening Endoscopic

  • 0TB - Urinary System, Excision

    • 0TBB0ZZ - Excision of Bladder, Open Approach

    • 0TBB3ZZ - Excision of Bladder, Percutaneous Approach

    • 0TBB4ZZ - Excision of Bladder, Percutaneous Endoscopic Approach

    • 0TBC0ZZ - Excision of Bladder Neck, Open Approach

    • 0TBC3ZZ - Excision of Bladder Neck, Percutaneous Approach

    • 0TBC4ZZ - Excision of Bladder Neck, Percutaneous Endoscopic Approach

  • 0TM - Urinary System, Reattachment

    • 0TMB0ZZ - Reattachment of Bladder, Open Approach

    • 0TMB4ZZ - Reattachment of Bladder, Percutaneous Endoscopic Approach

    • 0TMC0ZZ - Reattachment of Bladder Neck, Open Approach

    • 0TMC4ZZ - Reattachment of Bladder Neck, Percutaneous Endoscopic Approach

  • 0TQ - Urinary System, Repair

    • 0TQB7ZZ - Repair Bladder, Via Natural or Artificial Opening

    • 0TQB8ZZ - Repair Bladder, Via Natural or Artificial Opening Endoscopic

    • 0TQC0ZZ - Repair Bladder Neck, Open Approach

    • 0TQC3ZZ - Repair Bladder Neck, Percutaneous Approach

    • 0TQC4ZZ - Repair Bladder Neck, Percutaneous Endoscopic Approach

    • 0TQC7ZZ - Repair Bladder Neck, Via Natural or Artificial Opening

    • 0TQC8ZZ - Repair Bladder Neck, Via Natural or Artificial Opening Endoscopic

  • 0TR - Urinary System, Replacement

    • 0TRB07Z - Replacement of Bladder with Autologous Tissue Substitute, Open Approach

    • 0TRB0JZ - Replacement of Bladder with Synthetic Substitute, Open Approach

    • 0TRB0KZ - Replacement of Bladder with Nonautologous Tissue Substitute, Open Approach

    • 0TRB47Z - Replacement of Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0TRB4JZ - Replacement of Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 0TRB4KZ - Replacement of Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0TRB77Z - Replacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening

    • 0TRB7JZ - Replacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening

    • 0TRB7KZ - Replacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening

    • 0TRB87Z - Replacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    • 0TRB8JZ - Replacement of Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

    • 0TRB8KZ - Replacement of Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    • 0TRC07Z - Replacement of Bladder Neck with Autologous Tissue Substitute, Open Approach

    • 0TRC0JZ - Replacement of Bladder Neck with Synthetic Substitute, Open Approach

    • 0TRC0KZ - Replacement of Bladder Neck with Nonautologous Tissue Substitute, Open Approach

    • 0TRC47Z - Replacement of Bladder Neck with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0TRC4JZ - Replacement of Bladder Neck with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 0TRC4KZ - Replacement of Bladder Neck with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0TRC77Z - Replacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening

    • 0TRC7JZ - Replacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening

    • 0TRC7KZ - Replacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening

    • 0TRC87Z - Replacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    • 0TRC8JZ - Replacement of Bladder Neck with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

    • 0TRC8KZ - Replacement of Bladder Neck with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

  • 0TS - Urinary System, Reposition

    • 0TSB0ZZ - Reposition Bladder, Open Approach

    • 0TSB4ZZ - Reposition Bladder, Percutaneous Endoscopic Approach

  • 0TT - Urinary System, Resection

    • 0TTB4ZZ - Resection of Bladder, Percutaneous Endoscopic Approach

    • 0TTB7ZZ - Resection of Bladder, Via Natural or Artificial Opening

    • 0TTB8ZZ - Resection of Bladder, Via Natural or Artificial Opening Endoscopic

    • 0TTC0ZZ - Resection of Bladder Neck, Open Approach

    • 0TTC4ZZ - Resection of Bladder Neck, Percutaneous Endoscopic Approach

    • 0TTC7ZZ - Resection of Bladder Neck, Via Natural or Artificial Opening

    • 0TTC8ZZ - Resection of Bladder Neck, Via Natural or Artificial Opening Endoscopic

  • 0TU - Urinary System, Supplement

    • 0TUB07Z - Supplement Bladder with Autologous Tissue Substitute, Open Approach

    • 0TUB0JZ - Supplement Bladder with Synthetic Substitute, Open Approach

    • 0TUB0KZ - Supplement Bladder with Nonautologous Tissue Substitute, Open Approach

    • 0TUB47Z - Supplement Bladder with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0TUB4JZ - Supplement Bladder with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 0TUB4KZ - Supplement Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 0TUB77Z - Supplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening

    • 0TUB7JZ - Supplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening

    • 0TUB7KZ - Supplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening

    • 0TUB87Z - Supplement Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

    • 0TUB8JZ - Supplement Bladder with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

    • 0TUB8KZ - Supplement Bladder with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

  • 0TV - Urinary System, Restriction

    • 0TVB0CZ - Restriction of Bladder with Extraluminal Device, Open Approach

    • 0TVB0DZ - Restriction of Bladder with Intraluminal Device, Open Approach

    • 0TVB0ZZ - Restriction of Bladder, Open Approach

    • 0TVB3CZ - Restriction of Bladder with Extraluminal Device, Percutaneous Approach

    • 0TVB3DZ - Restriction of Bladder with Intraluminal Device, Percutaneous Approach

    • 0TVB3ZZ - Restriction of Bladder, Percutaneous Approach

    • 0TVB4CZ - Restriction of Bladder with Extraluminal Device, Percutaneous Endoscopic Approach

    • 0TVB4DZ - Restriction of Bladder with Intraluminal Device, Percutaneous Endoscopic Approach

    • 0TVB4ZZ - Restriction of Bladder, Percutaneous Endoscopic Approach

    • 0TVB7DZ - Restriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening

    • 0TVB7ZZ - Restriction of Bladder, Via Natural or Artificial Opening

    • 0TVB8DZ - Restriction of Bladder with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

    • 0TVB8ZZ - Restriction of Bladder, Via Natural or Artificial Opening Endoscopic

    • 0TVC0CZ - Restriction of Bladder Neck with Extraluminal Device, Open Approach

    • 0TVC0DZ - Restriction of Bladder Neck with Intraluminal Device, Open Approach

    • 0TVC0ZZ - Restriction of Bladder Neck, Open Approach

    • 0TVC3CZ - Restriction of Bladder Neck with Extraluminal Device, Percutaneous Approach

    • 0TVC3DZ - Restriction of Bladder Neck with Intraluminal Device, Percutaneous Approach

    • 0TVC3ZZ - Restriction of Bladder Neck, Percutaneous Approach

    • 0TVC4CZ - Restriction of Bladder Neck with Extraluminal Device, Percutaneous Endoscopic Approach

    • 0TVC4DZ - Restriction of Bladder Neck with Intraluminal Device, Percutaneous Endoscopic Approach

    • 0TVC4ZZ - Restriction of Bladder Neck, Percutaneous Endoscopic Approach

    • 0TVC7DZ - Restriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening

    • 0TVC7ZZ - Restriction of Bladder Neck, Via Natural or Artificial Opening

    • 0TVC8DZ - Restriction of Bladder Neck with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

    • 0TVC8ZZ - Restriction of Bladder Neck, Via Natural or Artificial Opening Endoscopic