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538

MS-DRG 538: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC

DRGMedicalMDC 08

MS-DRG 538 is sprains, strains, and dislocations of hip, pelvis and thigh without cc/mcc, in MDC 08 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.7109, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.40 days. 61 ICD-10-CM principal diagnoses group into MS-DRGs 537–538 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
0.7109
Geometric mean LOS
2.40
Arithmetic mean LOS
2.80
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 537–538

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 61 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 537–538 the case lands in. The 24 most-searched:

  • S76.011AStrain of muscle, fascia and tendon of right hip, initial encounter
  • S76.312AStrain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter
  • S33.4XXATraumatic rupture of symphysis pubis, initial encounter
  • S73.001AUnspecified subluxation of right hip, initial encounter
  • S73.002AUnspecified subluxation of left hip, initial encounter
  • S73.003AUnspecified subluxation of unspecified hip, initial encounter
  • S73.004AUnspecified dislocation of right hip, initial encounter
  • S73.005AUnspecified dislocation of left hip, initial encounter
  • S73.006AUnspecified dislocation of unspecified hip, initial encounter
  • S73.011APosterior subluxation of right hip, initial encounter
  • S73.012APosterior subluxation of left hip, initial encounter
  • S73.013APosterior subluxation of unspecified hip, initial encounter
  • S73.014APosterior dislocation of right hip, initial encounter
  • S73.015APosterior dislocation of left hip, initial encounter
  • S73.016APosterior dislocation of unspecified hip, initial encounter
  • S73.021AObturator subluxation of right hip, initial encounter
  • S73.022AObturator subluxation of left hip, initial encounter
  • S73.023AObturator subluxation of unspecified hip, initial encounter
  • S73.024AObturator dislocation of right hip, initial encounter
  • S73.025AObturator dislocation of left hip, initial encounter
  • S73.026AObturator dislocation of unspecified hip, initial encounter
  • S73.031AOther anterior subluxation of right hip, initial encounter
  • S73.032AOther anterior subluxation of left hip, initial encounter
  • S73.033AOther anterior subluxation of unspecified hip, initial encounter

37 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 538.

537SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC0.9152+0.2043
538SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC0.7109

All FY2027 MS-DRGs · MDC 08

MS-DRG (IPPS Table 5)FY2027