MS-DRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC

DRGSurgicalMDC 08

MS-DRG 494 is lower extremity and humerus procedures except hip, foot and femur without cc/mcc, in MDC 08 (a surgical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 2.0257, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.80 days.

FY2027 payment factors

Relative weight: 2.0257
Geometric mean LOS: 2.80
Arithmetic mean LOS: 3.30
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 494.

492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER	3.6914	+1.6657
493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	2.5528	+0.5271
494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	2.0257

All FY2027 MS-DRGs · MDC 08