DRG 256

Surgical DRG

Upper Limb and Toe Amputation for Circulatory System Disorders with CC

TypeSurgicalMDC05

What is MS-DRG 256?

MS-DRG 256 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) with a Complication or Comorbidity (CC). For FY 2026 it carries a relative weight of 1.6979 with a geometric mean length of stay of 5 days and an arithmetic mean of 6.1 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
Linked Codes
0 diagnosis
116 procedure

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
1.6979
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
5 days
Used for transfer payment calculations
Arithmetic Mean LOS
6.1 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
255Upper Limb and Toe Amputation for Circulatory System Disorders with MCC2.69746.8 days
256Upper Limb and Toe Amputation for Circulatory System Disorders with CCThis page1.69795 days
257Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC1.09223.1 days

Linked ICD-10-PCS Procedure Mappings

  • 0X600ZZ

    Detachment at Right Forequarter, Open Approach

    BillableSection 0
  • 0X610ZZ

    Detachment at Left Forequarter, Open Approach

    BillableSection 0
  • 0X620ZZ

    Detachment at Right Shoulder Region, Open Approach

    BillableSection 0
  • 0X630ZZ

    Detachment at Left Shoulder Region, Open Approach

    BillableSection 0
  • 0X680Z1

    Detachment at Right Upper Arm, High, Open Approach

    BillableSection 0
  • 0X680Z2

    Detachment at Right Upper Arm, Mid, Open Approach

    BillableSection 0
  • 0X680Z3

    Detachment at Right Upper Arm, Low, Open Approach

    BillableSection 0
  • 0X690Z1

    Detachment at Left Upper Arm, High, Open Approach

    BillableSection 0
  • 0X690Z2

    Detachment at Left Upper Arm, Mid, Open Approach

    BillableSection 0
  • 0X690Z3

    Detachment at Left Upper Arm, Low, Open Approach

    BillableSection 0
  • 0X6B0ZZ

    Detachment at Right Elbow Region, Open Approach

    BillableSection 0
  • 0X6C0ZZ

    Detachment at Left Elbow Region, Open Approach

    BillableSection 0
  • 0X6D0Z1

    Detachment at Right Lower Arm, High, Open Approach

    BillableSection 0
  • 0X6D0Z2

    Detachment at Right Lower Arm, Mid, Open Approach

    BillableSection 0
  • 0X6D0Z3

    Detachment at Right Lower Arm, Low, Open Approach

    BillableSection 0
  • 0X6F0Z1

    Detachment at Left Lower Arm, High, Open Approach

    BillableSection 0
  • 0X6F0Z2

    Detachment at Left Lower Arm, Mid, Open Approach

    BillableSection 0
  • 0X6F0Z3

    Detachment at Left Lower Arm, Low, Open Approach

    BillableSection 0
  • 0X6J0Z0

    Detachment at Right Hand, Complete, Open Approach

    BillableSection 0
  • 0X6J0Z4

    Detachment at Right Hand, Complete 1st Ray, Open Approach

    BillableSection 0
  • 0X6J0Z5

    Detachment at Right Hand, Complete 2nd Ray, Open Approach

    BillableSection 0
  • 0X6J0Z6

    Detachment at Right Hand, Complete 3rd Ray, Open Approach

    BillableSection 0
  • 0X6J0Z7

    Detachment at Right Hand, Complete 4th Ray, Open Approach

    BillableSection 0
  • 0X6J0Z8

    Detachment at Right Hand, Complete 5th Ray, Open Approach

    BillableSection 0
  • 0X6J0Z9

    Detachment at Right Hand, Partial 1st Ray, Open Approach

    BillableSection 0
  • 0X6J0ZB

    Detachment at Right Hand, Partial 2nd Ray, Open Approach

    BillableSection 0
  • 0X6J0ZC

    Detachment at Right Hand, Partial 3rd Ray, Open Approach

    BillableSection 0
  • 0X6J0ZD

    Detachment at Right Hand, Partial 4th Ray, Open Approach

    BillableSection 0
  • 0X6J0ZF

    Detachment at Right Hand, Partial 5th Ray, Open Approach

    BillableSection 0
  • 0X6K0Z0

    Detachment at Left Hand, Complete, Open Approach

    BillableSection 0
  • 0X6K0Z4

    Detachment at Left Hand, Complete 1st Ray, Open Approach

    BillableSection 0
  • 0X6K0Z5

    Detachment at Left Hand, Complete 2nd Ray, Open Approach

    BillableSection 0
  • 0X6K0Z6

    Detachment at Left Hand, Complete 3rd Ray, Open Approach

    BillableSection 0
  • 0X6K0Z7

    Detachment at Left Hand, Complete 4th Ray, Open Approach

    BillableSection 0
  • 0X6K0Z8

    Detachment at Left Hand, Complete 5th Ray, Open Approach

    BillableSection 0
  • 0X6K0Z9

    Detachment at Left Hand, Partial 1st Ray, Open Approach

    BillableSection 0
  • 0X6K0ZB

    Detachment at Left Hand, Partial 2nd Ray, Open Approach

    BillableSection 0
  • 0X6K0ZC

    Detachment at Left Hand, Partial 3rd Ray, Open Approach

    BillableSection 0
  • 0X6K0ZD

    Detachment at Left Hand, Partial 4th Ray, Open Approach

    BillableSection 0
  • 0X6K0ZF

    Detachment at Left Hand, Partial 5th Ray, Open Approach

    BillableSection 0
  • 0X6L0Z0

    Detachment at Right Thumb, Complete, Open Approach

    BillableSection 0
  • 0X6L0Z1

    Detachment at Right Thumb, High, Open Approach

    BillableSection 0
  • 0X6L0Z3

    Detachment at Right Thumb, Low, Open Approach

    BillableSection 0
  • 0X6M0Z0

    Detachment at Left Thumb, Complete, Open Approach

    BillableSection 0
  • 0X6M0Z1

    Detachment at Left Thumb, High, Open Approach

    BillableSection 0
  • 0X6M0Z3

    Detachment at Left Thumb, Low, Open Approach

    BillableSection 0
  • 0X6N0Z0

    Detachment at Right Index Finger, Complete, Open Approach

    BillableSection 0
  • 0X6N0Z1

    Detachment at Right Index Finger, High, Open Approach

    BillableSection 0
  • 0X6N0Z2

    Detachment at Right Index Finger, Mid, Open Approach

    BillableSection 0
  • 0X6N0Z3

    Detachment at Right Index Finger, Low, Open Approach

    BillableSection 0
  • 0X6P0Z0

    Detachment at Left Index Finger, Complete, Open Approach

    BillableSection 0
  • 0X6P0Z1

    Detachment at Left Index Finger, High, Open Approach

    BillableSection 0
  • 0X6P0Z2

    Detachment at Left Index Finger, Mid, Open Approach

    BillableSection 0
  • 0X6P0Z3

    Detachment at Left Index Finger, Low, Open Approach

    BillableSection 0
  • 0X6Q0Z0

    Detachment at Right Middle Finger, Complete, Open Approach

    BillableSection 0
  • 0X6Q0Z1

    Detachment at Right Middle Finger, High, Open Approach

    BillableSection 0
  • 0X6Q0Z2

    Detachment at Right Middle Finger, Mid, Open Approach

    BillableSection 0
  • 0X6Q0Z3

    Detachment at Right Middle Finger, Low, Open Approach

    BillableSection 0
  • 0X6R0Z0

    Detachment at Left Middle Finger, Complete, Open Approach

    BillableSection 0
  • 0X6R0Z1

    Detachment at Left Middle Finger, High, Open Approach

    BillableSection 0
  • 0X6R0Z2

    Detachment at Left Middle Finger, Mid, Open Approach

    BillableSection 0
  • 0X6R0Z3

    Detachment at Left Middle Finger, Low, Open Approach

    BillableSection 0
  • 0X6S0Z0

    Detachment at Right Ring Finger, Complete, Open Approach

    BillableSection 0
  • 0X6S0Z1

    Detachment at Right Ring Finger, High, Open Approach

    BillableSection 0
  • 0X6S0Z2

    Detachment at Right Ring Finger, Mid, Open Approach

    BillableSection 0
  • 0X6S0Z3

    Detachment at Right Ring Finger, Low, Open Approach

    BillableSection 0
  • 0X6T0Z0

    Detachment at Left Ring Finger, Complete, Open Approach

    BillableSection 0
  • 0X6T0Z1

    Detachment at Left Ring Finger, High, Open Approach

    BillableSection 0
  • 0X6T0Z2

    Detachment at Left Ring Finger, Mid, Open Approach

    BillableSection 0
  • 0X6T0Z3

    Detachment at Left Ring Finger, Low, Open Approach

    BillableSection 0
  • 0X6V0Z0

    Detachment at Right Little Finger, Complete, Open Approach

    BillableSection 0
  • 0X6V0Z1

    Detachment at Right Little Finger, High, Open Approach

    BillableSection 0
  • 0X6V0Z2

    Detachment at Right Little Finger, Mid, Open Approach

    BillableSection 0
  • 0X6V0Z3

    Detachment at Right Little Finger, Low, Open Approach

    BillableSection 0
  • 0X6W0Z0

    Detachment at Left Little Finger, Complete, Open Approach

    BillableSection 0
  • 0X6W0Z1

    Detachment at Left Little Finger, High, Open Approach

    BillableSection 0
  • 0X6W0Z2

    Detachment at Left Little Finger, Mid, Open Approach

    BillableSection 0
  • 0X6W0Z3

    Detachment at Left Little Finger, Low, Open Approach

    BillableSection 0
  • 0Y6P0Z0

    Detachment at Right 1st Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6P0Z1

    Detachment at Right 1st Toe, High, Open Approach

    BillableSection 0
  • 0Y6P0Z3

    Detachment at Right 1st Toe, Low, Open Approach

    BillableSection 0
  • 0Y6Q0Z0

    Detachment at Left 1st Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6Q0Z1

    Detachment at Left 1st Toe, High, Open Approach

    BillableSection 0
  • 0Y6Q0Z3

    Detachment at Left 1st Toe, Low, Open Approach

    BillableSection 0
  • 0Y6R0Z0

    Detachment at Right 2nd Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6R0Z1

    Detachment at Right 2nd Toe, High, Open Approach

    BillableSection 0
  • 0Y6R0Z2

    Detachment at Right 2nd Toe, Mid, Open Approach

    BillableSection 0
  • 0Y6R0Z3

    Detachment at Right 2nd Toe, Low, Open Approach

    BillableSection 0
  • 0Y6S0Z0

    Detachment at Left 2nd Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6S0Z1

    Detachment at Left 2nd Toe, High, Open Approach

    BillableSection 0
  • 0Y6S0Z2

    Detachment at Left 2nd Toe, Mid, Open Approach

    BillableSection 0
  • 0Y6S0Z3

    Detachment at Left 2nd Toe, Low, Open Approach

    BillableSection 0
  • 0Y6T0Z0

    Detachment at Right 3rd Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6T0Z1

    Detachment at Right 3rd Toe, High, Open Approach

    BillableSection 0
  • 0Y6T0Z2

    Detachment at Right 3rd Toe, Mid, Open Approach

    BillableSection 0
  • 0Y6T0Z3

    Detachment at Right 3rd Toe, Low, Open Approach

    BillableSection 0
  • 0Y6U0Z0

    Detachment at Left 3rd Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6U0Z1

    Detachment at Left 3rd Toe, High, Open Approach

    BillableSection 0
  • 0Y6U0Z2

    Detachment at Left 3rd Toe, Mid, Open Approach

    BillableSection 0
  • 0Y6U0Z3

    Detachment at Left 3rd Toe, Low, Open Approach

    BillableSection 0
  • 0Y6V0Z0

    Detachment at Right 4th Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6V0Z1

    Detachment at Right 4th Toe, High, Open Approach

    BillableSection 0
  • 0Y6V0Z2

    Detachment at Right 4th Toe, Mid, Open Approach

    BillableSection 0
  • 0Y6V0Z3

    Detachment at Right 4th Toe, Low, Open Approach

    BillableSection 0
  • 0Y6W0Z0

    Detachment at Left 4th Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6W0Z1

    Detachment at Left 4th Toe, High, Open Approach

    BillableSection 0
  • 0Y6W0Z2

    Detachment at Left 4th Toe, Mid, Open Approach

    BillableSection 0
  • 0Y6W0Z3

    Detachment at Left 4th Toe, Low, Open Approach

    BillableSection 0
  • 0Y6X0Z0

    Detachment at Right 5th Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6X0Z1

    Detachment at Right 5th Toe, High, Open Approach

    BillableSection 0
  • 0Y6X0Z2

    Detachment at Right 5th Toe, Mid, Open Approach

    BillableSection 0
  • 0Y6X0Z3

    Detachment at Right 5th Toe, Low, Open Approach

    BillableSection 0
  • 0Y6Y0Z0

    Detachment at Left 5th Toe, Complete, Open Approach

    BillableSection 0
  • 0Y6Y0Z1

    Detachment at Left 5th Toe, High, Open Approach

    BillableSection 0
  • 0Y6Y0Z2

    Detachment at Left 5th Toe, Mid, Open Approach

    BillableSection 0
  • 0Y6Y0Z3

    Detachment at Left 5th Toe, Low, Open Approach

    BillableSection 0