MS-DRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER

DRGSurgicalMDC 08

MS-DRG 492 is lower extremity and humerus procedures except hip, foot and femur 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 3.6914, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 6.40 days.

FY2027 payment factors

Relative weight: 3.6914
Geometric mean LOS: 6.40
Arithmetic mean LOS: 8.10
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 492.

492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER	3.6914
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	2.5528	-1.1386
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	2.0257	-1.6657

All FY2027 MS-DRGs · MDC 08