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  3. Diagnosis Codes in MS-DRG 797 - Vaginal Delivery With Sterilization And/or D&C With CC

Diagnosis Codes in MS-DRG 797 - Vaginal Delivery With Sterilization And/or D&C 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 diagnosis codes included in MS-DRG V42.0: Vaginal Delivery with Sterilization and/or D&C with CC from October 1, 2024, through September 30, 2025.

MS-DRG: 797

MS-DRG Title: Vaginal Delivery with Sterilization and/or D&C with CC

MCD: 14

Relative Weight: 0.9682 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: 0.97 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: 2.30 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.

  • Z37 - Outcome of delivery

    • 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

    • Z37.7 - Other multiple births, all stillborn

    • Z37.9 - Outcome of delivery, unspecified

  • Z37.5 - Other multiple births, all liveborn

    • 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

  • Z37.6 - Other multiple births, some 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