MCMedicalCodingSoftware
255

MS-DRG 255: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC

DRGSurgicalMDC 05

MS-DRG 255 is upper limb and toe amputation for circulatory system disorders with mcc, in MDC 05 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 2.8292, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 6.90 days.

FY2027 payment factors

Relative weight
2.8292
Geometric mean LOS
6.90
Arithmetic mean LOS
9.50
Post-acute transfer
Yes

This DRG is subject to the post-acute care transfer policy: a discharge to a qualifying setting below the mean length of stay is paid per diem rather than in full.

The severity splits

Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 255.

255UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC2.8292
256UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC1.6715-1.1577
257UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC1.0457-1.7835

All FY2027 MS-DRGs · MDC 05

MS-DRG (IPPS Table 5)FY2027