511
MS-DRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC
DRGSurgicalMDC 08
MS-DRG 511 is shoulder, elbow or forearm procedures, except major joint procedures with cc, in MDC 08 (a surgical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 2.1181, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.50 days.
FY2027 payment factors
- Relative weight
- 2.1181
- Geometric mean LOS
- 3.50
- Arithmetic mean LOS
- 4.30
- 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 511.
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | 3.1294 | +1.0113 |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | 2.1181 | |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | 1.7025 | -0.4156 |
All FY2027 MS-DRGs · MDC 08