MCMedicalCodingSoftware
470

MS-DRG 470: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

DRGSurgicalMDC 08

MS-DRG 470 is major hip and knee joint replacement or reattachment of lower extremity without mcc, in MDC 08 (a surgical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 1.9563, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.00 days.

FY2027 payment factors

Relative weight
1.9563
Geometric mean LOS
2.00
Arithmetic mean LOS
2.30
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 470.

469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT3.1085+1.1522
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC1.9563

All FY2027 MS-DRGs · MDC 08

MS-DRG (IPPS Table 5)FY2027