668 MS-DRG: TRANSURETHRAL PROCEDURES WITH MCC
MS-DRG 668 groups Medicare inpatient hospital stays for: TRANSURETHRAL PROCEDURES WITH MCC. This is a surgical MS-DRG. It falls under MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract).
Payment & Classification Data
Official CMS values from the FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract |
| DRG Type | Surgical |
| Severity Level | MCC |
| Relative Weight | 2.8731 |
| Relative Weight (10% Cap Applied) | 2.8731 |
| Geometric Mean Length of Stay | 7 days |
| Arithmetic Mean Length of Stay | 9.3 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
34 procedure codes appear in its surgical logic (Transurethral Procedures: 34): 0T5B7ZZ, 0T5B8ZZ, 0T5C7ZZ, 0T5C8ZZ, 0T9B3ZX, 0T9B4ZX, 0T9B7ZX, 0T9B8ZX, 0T9C3ZX, 0T9C4ZX, 0T9C7ZX, 0T9C8ZX and 22 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 11, this DRG ranks 7 of 10 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. Kidney Transplant with Hemodialysis (DRGs 650-651)
- 2. Major Bladder Procedures (DRGs 653-655)
- 3. Kidney Transplant (DRGs 652)
- 4. Prostatectomy (DRGs 665-667)
- 5. Kidney and Ureter Procedures for Neoplasm (DRGs 656-658)
- 6. Minor Bladder Procedures (DRGs 662-664)
- 7. Transurethral Procedures (DRGs 668-670) — this DRG
- 8. Urethral Procedures (DRGs 671-672)
- 9. Kidney and Ureter Procedures for Non-Neoplasm (DRGs 659-661)
- 10. Other Kidney and Urinary Tract Procedures (DRGs 673-675)
From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 668 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 11 — Diseases and Disorders of the Kidney and Urinary Tract[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining procedures (34)
- 0T5B7ZZ — Destruction of Bladder, Via Natural or Artificial Opening[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0T5B8ZZ — Destruction of Bladder, Via Natural or Artificial Opening Endoscopic[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0T5C7ZZ — Destruction of Bladder Neck, Via Natural or Artificial Opening[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0T5C8ZZ — Destruction of Bladder Neck, Via Natural or Artificial Opening Endoscopic[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0T9B3ZX — Drainage of Bladder, Percutaneous Approach, Diagnostic[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0T9B4ZX — Drainage of Bladder, Percutaneous Endoscopic Approach, Diagnostic[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0T9B7ZX — Drainage of Bladder, Via Natural or Artificial Opening, Diagnostic[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0T9B8ZX — Drainage of Bladder, Via Natural or Artificial Opening Endoscopic, Diagnostic[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 26 more
DRG family
- DRG 669 — TRANSURETHRAL PROCEDURES WITH CC[DRG family]: “TRANSURETHRAL PROCEDURES WITH CC — same CMS DRG family (668-670), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 668-670) · FY2027
- DRG 670 — TRANSURETHRAL PROCEDURES WITHOUT CC/MCC[DRG family]: “TRANSURETHRAL PROCEDURES WITHOUT CC/MCC — same CMS DRG family (668-670), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 668-670) · 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