356 MS-DRG: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
MS-DRG 356 groups Medicare inpatient hospital stays for: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC. This is a surgical MS-DRG. It falls under MDC 06 (Diseases and Disorders of the Digestive System).
Payment & Classification Data
Official CMS values from the FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 06 — Diseases and Disorders of the Digestive System |
| DRG Type | Surgical |
| Severity Level | MCC |
| Relative Weight | 4.3375 |
| Relative Weight (10% Cap Applied) | 4.3375 |
| Geometric Mean Length of Stay | 7.4 days |
| Arithmetic Mean Length of Stay | 10.1 days |
| Post-Acute Transfer DRG | Yes |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
2,037 procedure codes appear in its surgical logic (Other Digestive System O.R. Procedures: 2,037): 02BW0ZZ, 02BW4ZZ, 02BX0ZZ, 02BX4ZZ, 02CW0ZZ, 02CW3ZZ, 02CW4ZZ, 02CX0ZZ, 02CX3ZZ, 02CX4ZZ, 02HV02Z, 02HV0DZ and 2,025 more.
From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.
Surgical Precedence (FY2027)
Within MDC 06, this DRG ranks 9 of 9 in CMS's surgical-class precedence order. When a claim qualifies for more than one surgical DRG in this MDC, the highest-ranked class applies.
- 1. Stomach, Esophageal and Duodenal Procedures (DRGs 326-328)
- 2. Major Small and Large Bowel Procedures (DRGs 329-331)
- 3. Rectal Resection (DRGs 332-334)
- 4. Peritoneal Adhesiolysis (DRGs 335-337)
- 5. Appendix Procedures (DRGs 397-399)
- 6. Minor Small and Large Bowel Procedures (DRGs 344-346)
- 7. Anal and Stomal Procedures (DRGs 347-349)
- 8. Hernia Procedures (DRGs 350-355)
- 9. Other Digestive System O.R. Procedures (DRGs 356-358) — this DRG
From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 356 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Major Diagnostic Category
- MDC 06 — Diseases and Disorders of the Digestive System[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining procedures (2037)
- 02BW0ZZ — Excision of Thoracic Aorta, Descending, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 02BW4ZZ — Excision of Thoracic Aorta, Descending, Percutaneous Endoscopic Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 02BX0ZZ — Excision of Thoracic Aorta, Ascending/Arch, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 02BX4ZZ — Excision of Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 02CW0ZZ — Extirpation of Matter from Thoracic Aorta, Descending, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 02CW3ZZ — Extirpation of Matter from Thoracic Aorta, Descending, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 02CW4ZZ — Extirpation of Matter from Thoracic Aorta, Descending, Percutaneous Endoscopic Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 02CX0ZZ — Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 2029 more
DRG family
- DRG 357 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC[DRG family]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — same CMS DRG family (356-358), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 356-358) · FY2027
- DRG 358 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC[DRG family]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — same CMS DRG family (356-358), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 356-358) · FY2027
Read from: CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources