MS-DRG 239Surgical
Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC
Major Diagnostic Category 05·Grouped by procedure·FY 2027
MS-DRG 239 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 5.0019 with a geometric mean length of stay of 11 days and an arithmetic mean of 13.7 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 5.0019 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 11 days (used for transfer payments)
- Average stay:
- 13.7 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
Same condition, other severity levels
CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 239 | Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC (this page) | 5.0019 | 11 days |
| 240 | Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC | 2.9446 | 7.3 days |
| 241 | Amputation for Circulatory System Disorders Except Upper Limb and Toe without CC/MCC | 1.4829 | 4.3 days |
Procedure codes (41)
ICD-10-PCS procedures that can group a stay to DRG 239.
- 0Y620ZZDetachment at Right Hindquarter, Open Approach
- 0Y630ZZDetachment at Left Hindquarter, Open Approach
- 0Y640ZZDetachment at Bilateral Hindquarter, Open Approach
- 0Y670ZZDetachment at Right Femoral Region, Open Approach
- 0Y680ZZDetachment at Left Femoral Region, Open Approach
- 0Y6C0Z1Detachment at Right Upper Leg, High, Open Approach
- 0Y6C0Z2Detachment at Right Upper Leg, Mid, Open Approach
- 0Y6C0Z3Detachment at Right Upper Leg, Low, Open Approach
- 0Y6D0Z1Detachment at Left Upper Leg, High, Open Approach
- 0Y6D0Z2Detachment at Left Upper Leg, Mid, Open Approach
- 0Y6D0Z3Detachment at Left Upper Leg, Low, Open Approach
- 0Y6F0ZZDetachment at Right Knee Region, Open Approach
- 0Y6G0ZZDetachment at Left Knee Region, Open Approach
- 0Y6H0Z1Detachment at Right Lower Leg, High, Open Approach
- 0Y6H0Z2Detachment at Right Lower Leg, Mid, Open Approach
- 0Y6H0Z3Detachment at Right Lower Leg, Low, Open Approach
- 0Y6J0Z1Detachment at Left Lower Leg, High, Open Approach
- 0Y6J0Z2Detachment at Left Lower Leg, Mid, Open Approach
- 0Y6J0Z3Detachment at Left Lower Leg, Low, Open Approach
- 0Y6M0Z0Detachment at Right Foot, Complete, Open Approach
- 0Y6M0Z4Detachment at Right Foot, Complete 1st Ray, Open Approach
- 0Y6M0Z5Detachment at Right Foot, Complete 2nd Ray, Open Approach
- 0Y6M0Z6Detachment at Right Foot, Complete 3rd Ray, Open Approach
- 0Y6M0Z7Detachment at Right Foot, Complete 4th Ray, Open Approach
- 0Y6M0Z8Detachment at Right Foot, Complete 5th Ray, Open Approach
- 0Y6M0Z9Detachment at Right Foot, Partial 1st Ray, Open Approach
- 0Y6M0ZBDetachment at Right Foot, Partial 2nd Ray, Open Approach
- 0Y6M0ZCDetachment at Right Foot, Partial 3rd Ray, Open Approach
- 0Y6M0ZDDetachment at Right Foot, Partial 4th Ray, Open Approach
- 0Y6M0ZFDetachment at Right Foot, Partial 5th Ray, Open Approach
- 0Y6N0Z0Detachment at Left Foot, Complete, Open Approach
- 0Y6N0Z4Detachment at Left Foot, Complete 1st Ray, Open Approach
- 0Y6N0Z5Detachment at Left Foot, Complete 2nd Ray, Open Approach
- 0Y6N0Z6Detachment at Left Foot, Complete 3rd Ray, Open Approach
- 0Y6N0Z7Detachment at Left Foot, Complete 4th Ray, Open Approach
- 0Y6N0Z8Detachment at Left Foot, Complete 5th Ray, Open Approach
- 0Y6N0Z9Detachment at Left Foot, Partial 1st Ray, Open Approach
- 0Y6N0ZBDetachment at Left Foot, Partial 2nd Ray, Open Approach
- 0Y6N0ZCDetachment at Left Foot, Partial 3rd Ray, Open Approach
- 0Y6N0ZDDetachment at Left Foot, Partial 4th Ray, Open Approach
- 0Y6N0ZFDetachment at Left Foot, Partial 5th Ray, Open Approach