MS-DRG 463: WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER

DRGSurgicalMDC 08

MS-DRG 463 is wound debridement or skin graft except hand for musculoskeletal and connective tissue disorders with mcc or insertion of antibiotic-eluting bone void filler, in MDC 08 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 5.1296, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 7.80 days.

FY2027 payment factors

Relative weight: 5.1296
Geometric mean LOS: 7.80
Arithmetic mean LOS: 10.90
Post-acute transfer: Yes

CMS caps year-over-year weight decreases at 10%. Before the cap this DRG weighs 5.0198; the capped weight above is the one used for payment. 41 DRGs differ this way in FY2027.

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 463.

463	WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER	5.1296
464	WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC	3.1764	-1.9532
465	WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC	2.4822	-2.6474

All FY2027 MS-DRGs · MDC 08