797 MS-DRG: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC
MS-DRG 797 groups Medicare inpatient hospital stays for: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC. This is a surgical MS-DRG. It falls under MDC 14 (Pregnancy, Childbirth and the Puerperium).
Payment & Classification Data
Official CMS values from the FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 14 — Pregnancy, Childbirth and the Puerperium |
| DRG Type | Surgical |
| Severity Level | CC |
| Relative Weight | 0.9807 |
| Relative Weight (10% Cap Applied) | 0.9807 |
| Geometric Mean Length of Stay | 2.6 days |
| Arithmetic Mean Length of Stay | 3.2 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
19 diagnosis codes can drive assignment here: Z37.0, Z37.1, Z37.2, Z37.3, Z37.4, Z37.50, Z37.51, Z37.52, Z37.53, Z37.54, Z37.59, Z37.60 and 7 more.
86 procedure codes appear in its surgical logic (Vaginal Delivery with Sterilization and/or D&C: 86): 0U570ZZ, 0U573ZZ, 0U574ZZ, 0U577ZZ, 0U578ZZ, 0UB50ZZ, 0UB53ZZ, 0UB54ZZ, 0UB57ZZ, 0UB58ZZ, 0UB60ZZ, 0UB63ZZ and 74 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 14, this DRG ranks 4 of 7 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. Cesarean Section with Sterilization (DRGs 783-785)
- 2. Cesarean Section without Sterilization (DRGs 786-788)
- 3. Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C (DRGs 768)
- 4. Vaginal Delivery with Sterilization and/or D&C (DRGs 796-798) — this DRG
- 5. Abortion with D&C, Aspiration Curettage or Hysterotomy (DRGs 770)
- 6. Other Antepartum Diagnoses with O.R. Procedures (DRGs 817-819)
- 7. Postpartum and Post Abortion Diagnoses with O.R. Procedures (DRGs 769)
From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 797 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 14 — Pregnancy, Childbirth and the Puerperium[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining diagnoses (19)
- Z37.0 — Single live birth[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- Z37.1 — Single stillbirth[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- Z37.2 — Twins, both liveborn[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- Z37.3 — Twins, one liveborn and one stillborn[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- Z37.4 — Twins, both stillborn[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- Z37.50 — Multiple births, unspecified, all liveborn[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- Z37.51 — Triplets, all liveborn[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- Z37.52 — Quadruplets, all liveborn[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 11 more
Defining procedures (86)
- 0U570ZZ — Destruction of Bilateral Fallopian Tubes, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0U573ZZ — Destruction of Bilateral Fallopian Tubes, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0U574ZZ — Destruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0U577ZZ — Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0U578ZZ — Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0UB50ZZ — Excision of Right Fallopian Tube, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0UB53ZZ — Excision of Right Fallopian Tube, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 0UB54ZZ — Excision of Right Fallopian Tube, Percutaneous Endoscopic Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 78 more
DRG family
- DRG 796 — VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC[DRG family]: “VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC — same CMS DRG family (796-798), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 796-798) · FY2027
- DRG 798 — VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC[DRG family]: “VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC — same CMS DRG family (796-798), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 796-798) · 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 20, 2026 · All releases and sources