MS-DRG 618: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
MS-DRG 618 is amputation of lower limb for endocrine, nutritional and metabolic disorders without cc/mcc, in MDC 10 (a surgical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 1.2765, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.40 days.
FY2027 payment factors
- Relative weight
- 1.2765
- Geometric mean LOS
- 3.40
- Arithmetic mean LOS
- 3.90
- Post-acute transfer
- Yes
CMS caps year-over-year weight decreases at 10%. Before the cap this DRG weighs 1.1126; the capped weight above is the one used for payment. 41 DRGs differ this way in FY2027.
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 618.
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER | 3.1453 | +1.8688 |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 1.7227 | +0.4462 |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | 1.2765 |
All FY2027 MS-DRGs · MDC 10