MS-DRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MCC
MS-DRG 536 is fractures of hip and pelvis without mcc, in MDC 08 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.8070, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.90 days. 400 ICD-10-CM principal diagnoses group into MS-DRGs 535–536 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 0.8070
- Geometric mean LOS
- 2.90
- Arithmetic mean LOS
- 3.40
- 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.
Principal diagnoses that group to MS-DRGs 535–536
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 400 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 535–536 the case lands in. The 24 most-searched:
- S72.001AFracture of unspecified part of neck of right femur, initial encounter for closed fracture
- S72.002AFracture of unspecified part of neck of left femur, initial encounter for closed fracture
- S72.141ADisplaced intertrochanteric fracture of right femur, initial encounter for closed fracture
- S72.142ADisplaced intertrochanteric fracture of left femur, initial encounter for closed fracture
- S72.009AFracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture
- S32.9XXAFracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for closed fracture
- S72.111ADisplaced fracture of greater trochanter of right femur, initial encounter for closed fracture
- S32.301AUnspecified fracture of right ilium, initial encounter for closed fracture
- S32.301BUnspecified fracture of right ilium, initial encounter for open fracture
- S32.302AUnspecified fracture of left ilium, initial encounter for closed fracture
- S32.302BUnspecified fracture of left ilium, initial encounter for open fracture
- S32.309AUnspecified fracture of unspecified ilium, initial encounter for closed fracture
- S32.309BUnspecified fracture of unspecified ilium, initial encounter for open fracture
- S32.311ADisplaced avulsion fracture of right ilium, initial encounter for closed fracture
- S32.311BDisplaced avulsion fracture of right ilium, initial encounter for open fracture
- S32.312ADisplaced avulsion fracture of left ilium, initial encounter for closed fracture
- S32.312BDisplaced avulsion fracture of left ilium, initial encounter for open fracture
- S32.313ADisplaced avulsion fracture of unspecified ilium, initial encounter for closed fracture
- S32.313BDisplaced avulsion fracture of unspecified ilium, initial encounter for open fracture
- S32.314ANondisplaced avulsion fracture of right ilium, initial encounter for closed fracture
- S32.314BNondisplaced avulsion fracture of right ilium, initial encounter for open fracture
- S32.315ANondisplaced avulsion fracture of left ilium, initial encounter for closed fracture
- S32.315BNondisplaced avulsion fracture of left ilium, initial encounter for open fracture
- S32.316ANondisplaced avulsion fracture of unspecified ilium, initial encounter for closed fracture
376 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.
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 536.
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | 1.2728 | +0.4658 |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | 0.8070 |
All FY2027 MS-DRGs · MDC 08