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    v1.0.30
    OpenPayerBilling CodesPregnancy, Childbirth and the PuerperiumDRG 768-vaginal-delivery-with-o-r-procedures-except-sterilization-and-or-d-c
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    Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C: Inpatient Reimbursement Overview

    DRG 768 describes vaginal deliveries that include operating room procedures other than sterilization and dilation and curettage, encompassing operative vaginal techniques and related surgical interventions. This group matters for inpatient reimbursement because it captures higher resource intensity from operating room use and surgical care, which affects Medicare payment under the prospective payment system.

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    DRG 768 Overview

    DRG 768 covers inpatient admissions for vaginal delivery that include operating room procedures other than sterilization or dilation and curettage, typically involving operative vaginal techniques, perineal repair, or other surgical interventions performed in an operating room setting. This Diagnosis-Related Group groups cases by the presence of these procedures because they increase resource use compared with uncomplicated vaginal births. For Medicare payment, assignment to DRG 768 affects prospective payment by recognizing the higher inpatient costs associated with operating room utilization and related surgical care. Accurate coding of the procedures and diagnoses determines correct classification and reimbursement.

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    Clinical Trials

    • Perioperative and intrapartum safety studies evaluating surgical techniques and anesthesia approaches for vaginal deliveries requiring operating room procedures (excluding sterilization/D&C). These trials focus on patients undergoing assisted vaginal deliveries (e.g., forceps or vacuum) or repair of complex perineal lacerations, comparing different anesthetic regimens, hemostatic strategies, or procedural workflows to reduce intraoperative blood loss and transfusion. Results inform acute care protocols that directly affect length of stay, complication rates, and resource utilization relevant to hospital reimbursement and quality metrics.
    • Comparative effectiveness research comparing modes of assisted vaginal delivery and repair approaches in high-risk maternal populations, such as women with obesity, prolonged second stage, or previous obstetric injury. These studies enroll diverse obstetric patients to evaluate maternal outcomes (perineal trauma, infection, pelvic floor dysfunction) and neonatal outcomes (Apgar scores, admissions), assessing which techniques balance effectiveness with lower complication rates. Findings guide clinical decision-making and pathways that can alter case mix, DRG assignment nuances, and downstream costs important to payers and inpatient managers.
    • Post-discharge outcomes and health services research assessing recovery, maternal morbidity, and utilization after vaginal delivery with O.R. procedures, including readmission, outpatient pelvic floor therapy use, and long-term functional outcomes. These cohort or prospective observational studies follow patients from discharge through months postpartum to quantify complications such as wound infections, persistent pain, or pelvic floor disorders and to identify predictors of higher post-acute care use. Data support discharge planning, resource allocation, and bundled payment or quality-improvement initiatives by highlighting drivers of postdischarge costs and opportunities to reduce avoidable readmissions.

    Related Codes

    769-POSTPARTUM-AND-POST-ABORTION-DIAGNOSES-WITH-O-R-PROCEDURES

    Postpartum and Post Abortion Diagnoses with O.R. Procedures: Inpatient Reimbursement Overview

    770-ABORTION-WITH-D-C-ASPIRATION-CURETTAGE-OR-HYSTEROTOMY

    Abortion with D&C, Aspiration Curettage or Hysterotomy: Inpatient Reimbursement Overview

    776-POSTPARTUM-AND-POST-ABORTION-DIAGNOSES-WITHOUT-O-R-PROCEDURES

    Postpartum and Post Abortion Diagnoses without O.R. Procedures: Inpatient Reimbursement Overview

    779-ABORTION-WITHOUT-D-C

    Abortion without D&C: Inpatient Reimbursement Overview

    783-CESAREAN-SECTION-WITH-STERILIZATION-WITH-MCC

    Cesarean Section with Sterilization with MCC: Inpatient Reimbursement Overview

    784-CESAREAN-SECTION-WITH-STERILIZATION-WITH-CC

    Cesarean Section with Sterilization with CC: Inpatient Reimbursement Overview

    785-CESAREAN-SECTION-WITH-STERILIZATION-WITHOUT-CC-MCC

    Cesarean Section with Sterilization without CC/MCC: Inpatient Reimbursement Overview

    786-CESAREAN-SECTION-WITHOUT-STERILIZATION-WITH-MCC

    Cesarean Section without Sterilization with MCC: Inpatient Reimbursement Overview

    787-CESAREAN-SECTION-WITHOUT-STERILIZATION-WITH-CC

    Cesarean Section without Sterilization with CC: Inpatient Reimbursement Overview

    788-CESAREAN-SECTION-WITHOUT-STERILIZATION-WITHOUT-CC-MCC

    Cesarean Section without Sterilization without CC/MCC: Inpatient Reimbursement Overview

    Showing 1–10 of 22

    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.
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