Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.30
    OpenPayerBilling CodesDiseases and Disorders of the Digestive SystemDRG 333-rectal-resection-with-cc
    Ask Trek AI about this page

    Rectal Resection with CC: Inpatient Reimbursement Overview

    DRG 333 covers rectal resection procedures with a Complication or Comorbidity and reflects higher resource use than uncomplicated resections. Understanding this Diagnosis-Related Group is important for inpatient reimbursement because clinical complexity influences Medicare payment levels.

    Customize your policy alerts

    Sign up for drg 333 policy alerts

    Get alerted when payer policies referencing 333 are released or updated.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    DRG 333 Overview

    DRG 333 covers inpatient stays for patients undergoing rectal resection procedures when a complication or comorbidity is present. This Diagnosis-Related Group groups cases by operative complexity and associated clinical conditions that increase resource use. It matters for Medicare payment because the presence of a Complication or Comorbidity alters relative reimbursement compared with uncomplicated resections. Accurate clinical documentation and coding determine assignment to this Diagnosis-Related Group and thus affect hospital inpatient payment.

    Table of contents

    Progress1 / 3

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • Facility ComparisonBeds, revenue & payer mix
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Clinical Trials

    • Perioperative optimization and Enhanced Recovery After Surgery (ERAS) intervention trials: randomized or pragmatic studies testing multimodal perioperative protocols (eg, fluid management, analgesic regimens minimizing opioids, early feeding, bowel prep variations) in adults undergoing elective or urgent rectal resection with documented comorbidities. These trials focus on the immediate perioperative period and include patients with complicated rectal disease (eg, cancer, inflammatory bowel disease) who meet the DRG criteria, aiming to reduce length of stay, surgical complications, and readmission. Results are directly relevant to surgeons, hospital quality teams, and payers because improved protocols can lower resource use, complication-related costs, and variability in reimbursements for this high-cost DRG.
    • Comparative effectiveness studies of surgical technique and anastomotic management: prospective cohort studies or randomized trials comparing approaches such as low anterior resection with hand-sewn versus stapled anastomosis, sphincter-sparing versus more radical resections, or selective diverting stoma use in patients with CC-level complications. These studies enroll patients with locally advanced disease, prior pelvic surgery, or high-risk features for anastomotic leak to evaluate clinical outcomes (leak rates, reoperation, permanent stoma) and intermediate resource utilization. Findings inform surgeons and payers about which operative choices balance oncologic or functional outcomes against complication-related costs that drive DRG-level payments.
    • Post-discharge outcomes and cost-effectiveness studies targeting complications and rehabilitation: observational and interventional studies assessing patterns of post-acute care (home health, skilled nursing, outpatient wound/stoma care), rates and drivers of readmission for infection or obstruction, and economic analyses of surveillance pathways in the months after rectal resection with CC. These studies include patients discharged after rectal resection who experienced in-hospital complications and aim to identify predictors of costly readmissions and durable functional outcomes. Results help case managers, discharge planners, and payers optimize post-acute services to reduce avoidable readmissions and overall episode-of-care costs associated with this DRG.

    Related Codes

    326-STOMACH-ESOPHAGEAL-AND-DUODENAL-PROCEDURES-WITH-MCC

    Stomach, Esophageal and Duodenal Procedures with MCC: Inpatient Reimbursement Overview

    327-STOMACH-ESOPHAGEAL-AND-DUODENAL-PROCEDURES-WITH-CC

    Stomach, Esophageal and Duodenal Procedures with CC: Inpatient Reimbursement Overview

    328-STOMACH-ESOPHAGEAL-AND-DUODENAL-PROCEDURES-WITHOUT-CC-MCC

    Stomach, Esophageal and Duodenal Procedures without CC/MCC: Inpatient Reimbursement Overview

    329-MAJOR-SMALL-AND-LARGE-BOWEL-PROCEDURES-WITH-MCC

    Major Small and Large Bowel Procedures with MCC: Inpatient Reimbursement Overview

    330-MAJOR-SMALL-AND-LARGE-BOWEL-PROCEDURES-WITH-CC

    Major Small and Large Bowel Procedures with CC: Inpatient Reimbursement Overview

    331-MAJOR-SMALL-AND-LARGE-BOWEL-PROCEDURES-WITHOUT-CC-MCC

    Major Small and Large Bowel Procedures without CC/MCC: Inpatient Reimbursement Overview

    332-RECTAL-RESECTION-WITH-MCC

    Rectal Resection with MCC: Inpatient Reimbursement Overview

    334-RECTAL-RESECTION-WITHOUT-CC-MCC

    Rectal Resection without CC/MCC: Inpatient Reimbursement Overview

    335-PERITONEAL-ADHESIOLYSIS-WITH-MCC

    Peritoneal Adhesiolysis with MCC: Inpatient Reimbursement Overview

    336-PERITONEAL-ADHESIOLYSIS-WITH-CC

    Peritoneal Adhesiolysis with CC: Inpatient Reimbursement Overview

    Showing 1–10 of 57

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.