516
MS-DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
DRGSurgicalMDC 08
MS-DRG 516 is other musculoskeletal system and connective tissue o.r. 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 4.00 days.
FY2027 payment factors
- Relative weight
- 2.1181
- Geometric mean LOS
- 4.00
- Arithmetic mean LOS
- 5.00
- 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 516.
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | 3.1873 | +1.0692 |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 2.1181 | |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 1.5727 | -0.5454 |
All FY2027 MS-DRGs · MDC 08