515
MS-DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
DRGSurgicalMDC 08
MS-DRG 515 is other musculoskeletal system and connective tissue o.r. procedures with mcc, in MDC 08 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.1873, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 6.70 days.
FY2027 payment factors
- Relative weight
- 3.1873
- Geometric mean LOS
- 6.70
- Arithmetic mean LOS
- 8.40
- 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 515.
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | 3.1873 | |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 2.1181 | -1.0692 |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 1.5727 | -1.6146 |
All FY2027 MS-DRGs · MDC 08