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MS-DRGSurgical

799 MS-DRG: SPLENIC PROCEDURES WITH MCC

MS-DRG 799 groups Medicare inpatient hospital stays for: SPLENIC PROCEDURES WITH MCC. This is a surgical MS-DRG. It falls under MDC 16 (Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders).

Payment & Classification Data

Official CMS values from the FY2027 IPPS Final Rule Table 5.

Major Diagnostic CategoryMDC 16 — Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders
DRG TypeSurgical
Severity LevelMCC
Relative Weight4.8407
Relative Weight (10% Cap Applied)4.8407
Geometric Mean Length of Stay6.9 days
Arithmetic Mean Length of Stay9.4 days
Post-Acute Transfer DRGNo
Special Pay Transfer DRGNo

Defining Codes (FY2027)

50 procedure codes appear in its surgical logic (Splenic Procedures: 50): 04L40CZ, 04L40DZ, 04L40ZZ, 04L43CZ, 04L43DZ, 04L43ZZ, 04L44CZ, 04L44DZ, 04L44ZZ, 075P0ZZ, 075P3ZZ, 075P4ZZ and 38 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 16, this DRG ranks 1 of 2 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. Splenic Procedures (DRGs 799-801) — this DRG
  • 2. Other O.R. Procedures of the Blood and Blood Forming Organs (DRGs 802-804)

From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 799 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

Defining procedures (50)

DRG family

  • DRG 800 — SPLENIC PROCEDURES WITH CC[DRG family]: “SPLENIC PROCEDURES WITH CC — same CMS DRG family (799-801), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 799-801) · FY2027
  • DRG 801 — SPLENIC PROCEDURES WITHOUT CC/MCC[DRG family]: “SPLENIC PROCEDURES WITHOUT CC/MCC — same CMS DRG family (799-801), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 799-801) · 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