MS-DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC

DRGSurgicalMDC 08

MS-DRG 493 is lower extremity and humerus procedures except hip, foot and femur with cc, in MDC 08 (a surgical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 2.5528, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.20 days.

FY2027 payment factors

Relative weight: 2.5528
Geometric mean LOS: 4.20
Arithmetic mean LOS: 5.10
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 493.

492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER	3.6914	+1.1386
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	2.5528
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	2.0257	-0.5271

All FY2027 MS-DRGs · MDC 08