MCMedicalCodingSoftware
464

MS-DRG 464: WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC

DRGSurgicalMDC 08

MS-DRG 464 is wound debridement or skin graft except hand for musculoskeletal and connective tissue disorders with cc, in MDC 08 (a surgical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 3.1764, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.00 days.

FY2027 payment factors

Relative weight
3.1764
Geometric mean LOS
3.00
Arithmetic mean LOS
4.30
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 464.

463WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER5.1296+1.9532
464WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC3.1764
465WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC2.4822-0.6942

All FY2027 MS-DRGs · MDC 08

MS-DRG (IPPS Table 5)FY2027