495
MS-DRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
DRGSurgicalMDC 08
MS-DRG 495 is local excision and removal of internal fixation devices except hip and femur with mcc, in MDC 08 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.3375, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 7.00 days.
FY2027 payment factors
- Relative weight
- 3.3375
- Geometric mean LOS
- 7.00
- Arithmetic mean LOS
- 9.20
- 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 495.
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | 3.3375 | |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | 1.7779 | -1.5596 |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | 1.1708 | -2.1667 |
All FY2027 MS-DRGs · MDC 08