MS-DRG 418 — LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC

DRGSurgicalMDC 07

FY2026 payment factors

Relative weight: 1.6916
Geometric mean LOS: 3.20
Arithmetic mean LOS: 3.90
Post-acute transfer: No

Other DRGs in MDC 07

The with-MCC, with-CC and without-CC/MCC splits usually sit next to each other here. Those are what a documentation query is actually deciding between, and the weight gap between them is why the query is worth raising.

405PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC5.4705
406PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC2.9002
407PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC2.2196
408BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC3.5656
409BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC2.1773
410BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC1.5877
411CHOLECYSTECTOMY WITH C.D.E. WITH MCC3.3033
412CHOLECYSTECTOMY WITH C.D.E. WITH CC2.1025
413CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC1.6605
414CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC3.5626
415CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC2.0667
416CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC1.3633
417LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC2.3864
419LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC1.3658
420HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC3.4071
421HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC1.7375
422HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC1.3995
423OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC4.1530
424OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC2.1879
425OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC1.5003
432CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC1.9682
433CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC1.0562
434CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC0.7125
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC1.8367
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC1.1311
437MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC0.8533
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC1.6302
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC0.8412
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC0.6214
441DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC1.7947
442DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC0.9653
443DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC0.6997
444DISORDERS OF THE BILIARY TRACT WITH MCC1.6709
445DISORDERS OF THE BILIARY TRACT WITH CC1.0944
446DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC0.8273

Working the claim behind this DRG

A DRG is assigned from the diagnoses and procedures already on the claim, so the questions that decide MS-DRG 418 are coding questions. Look the principal diagnosis up in the full ICD-10-CM tabular list with its Excludes1 and “code first” notes attached, or start from the condition instead of the code in the codes-by-condition index. For the secondary diagnoses that move a case between the with-MCC, with-CC and without-CC/MCC splits, paste the whole set into the free claim scrubber and see which pairs collide before the claim goes out — no account, no card.

The supplies, drugs and devices billed alongside an inpatient stay are HCPCS Level II, listed in full at HCPCS by section. If the claim comes back rejected, the denial code index explains what each CARC actually means and what to do about it, and the decision guides walk the sequencing calls that most often cause one — sepsis and diabetes above all.

Every one of those is free and needs no account. This page is the payment table: it says what MS-DRG 418 is worth. Which medical DRG a set of diagnoses lands in is the workspace’s DRG impact check, from the CMS CC/MCC lists; it does not group surgical cases.