415 MS-DRG: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
MS-DRG 415 groups Medicare inpatient hospital stays for: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC. This is a surgical MS-DRG. It falls under MDC 07 (Diseases and Disorders of the Hepatobiliary System and Pancreas).
Payment & Classification Data
Official CMS values from the FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas |
| DRG Type | Surgical |
| Severity Level | CC |
| Relative Weight | 2.0075 |
| Relative Weight (10% Cap Applied) | 2.0075 |
| Geometric Mean Length of Stay | 4.6 days |
| Arithmetic Mean Length of Stay | 5.5 days |
| Post-Acute Transfer DRG | Yes |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
7 procedure codes appear in its surgical logic (Cholecystectomy except by laparoscope: 7): 0F540Z3, 0F540ZZ, 0F543Z3, 0F543ZZ, 0FB40ZZ, 0FB43ZZ, 0FT40ZZ.
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 07, this DRG ranks 3 of 5 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. Pancreas, Liver and Shunt Procedures (DRGs 405-407)
- 2. Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (DRGs 408-410)
- 3. Cholecystectomy (DRGs 411-419) — this DRG
- 4. Hepatobiliary Diagnostic Procedures (DRGs 420-422)
- 5. Other Hepatobiliary or Pancreas O.R. Procedures (DRGs 423-425)
From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 415 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 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining procedures
- 0F540Z3 — Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0F540ZZ — Destruction of Gallbladder, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0F543Z3 — Destruction of Gallbladder using Laser Interstitial Thermal Therapy, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0F543ZZ — Destruction of Gallbladder, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0FB40ZZ — Excision of Gallbladder, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0FB43ZZ — Excision of Gallbladder, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0FT40ZZ — Resection of Gallbladder, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
DRG family
- DRG 411 — CHOLECYSTECTOMY WITH C.D.E. WITH MCC[DRG family]: “CHOLECYSTECTOMY WITH C.D.E. WITH MCC — same CMS DRG family (411-416), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 411-416) · FY2027
- DRG 412 — CHOLECYSTECTOMY WITH C.D.E. WITH CC[DRG family]: “CHOLECYSTECTOMY WITH C.D.E. WITH CC — same CMS DRG family (411-416), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 411-416) · FY2027
- DRG 413 — CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC[DRG family]: “CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC — same CMS DRG family (411-416), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 411-416) · FY2027
- DRG 414 — CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC[DRG family]: “CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — same CMS DRG family (411-416), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 411-416) · FY2027
- DRG 416 — CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC[DRG family]: “CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC — same CMS DRG family (411-416), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 411-416) · 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