461
MS-DRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
DRGSurgicalMDC 08
MS-DRG 461 is bilateral or multiple major joint procedures of lower extremity with mcc, in MDC 08 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 4.9707, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 6.20 days.
FY2027 payment factors
- Relative weight
- 4.9707
- Geometric mean LOS
- 6.20
- Arithmetic mean LOS
- 8.30
- Post-acute transfer
- No
CMS caps year-over-year weight decreases at 10%. Before the cap this DRG weighs 4.6936; the capped weight above is the one used for payment. 41 DRGs differ this way in FY2027.
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 461.
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | 4.9707 | |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 2.8540 | -2.1167 |
All FY2027 MS-DRGs · MDC 08