MS-DRG 575: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
MS-DRG 575 is skin graft for skin ulcer or cellulitis without cc/mcc, in MDC 09 (a surgical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 1.8797, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.10 days. 562 ICD-10-CM principal diagnoses group into MS-DRGs 573–575 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 1.8797
- Geometric mean LOS
- 4.10
- Arithmetic mean LOS
- 5.20
- 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 573–575
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 562 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 573–575 the case lands in. The 24 most-searched:
- L03.115Cellulitis of right lower limb
- L03.116Cellulitis of left lower limb
- L02.91Cutaneous abscess, unspecified
- L03.90Cellulitis, unspecified
- L97.512Non-pressure chronic ulcer of other part of right foot with fat layer exposed
- L89.154Pressure ulcer of sacral region, stage 4
- L97.522Non-pressure chronic ulcer of other part of left foot with fat layer exposed
- L89.153Pressure ulcer of sacral region, stage 3
- L97.511Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin
- L97.519Non-pressure chronic ulcer of other part of right foot with unspecified severity
- L97.521Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin
- L97.529Non-pressure chronic ulcer of other part of left foot with unspecified severity
- L03.031Cellulitis of right toe
- L03.119Cellulitis of unspecified part of limb
- L89.152Pressure ulcer of sacral region, stage 2
- L97.812Non-pressure chronic ulcer of other part of right lower leg with fat layer exposed
- L97.822Non-pressure chronic ulcer of other part of left lower leg with fat layer exposed
- L98.499Non-pressure chronic ulcer of skin of other sites with unspecified severity
- L02.31Cutaneous abscess of buttock
- L03.032Cellulitis of left toe
- L89.150Pressure ulcer of sacral region, unstageable
- L89.159Pressure ulcer of sacral region, unspecified stage
- L89.893Pressure ulcer of other site, stage 3
- L89.90Pressure ulcer of unspecified site, unspecified stage
538 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 575.
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | 6.3575 | +4.4778 |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | 3.5674 | +1.6877 |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | 1.8797 |
All FY2027 MS-DRGs · MDC 09