MS-DRG 257Surgical
Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC
Major Diagnostic Category 05·Grouped by procedure·FY 2027
MS-DRG 257 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) without a significant Complication or Comorbidity. For FY 2027 it carries a relative weight of 1.0457 with a geometric mean length of stay of 3.2 days and an arithmetic mean of 3.7 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:
- 1.0457 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.2 days (used for transfer payments)
- Average stay:
- 3.7 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 |
|---|---|---|---|
| 255 | Upper Limb and Toe Amputation for Circulatory System Disorders with MCC | 2.8292 | 6.9 days |
| 256 | Upper Limb and Toe Amputation for Circulatory System Disorders with CC | 1.6715 | 5 days |
| 257 | Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC (this page) | 1.0457 | 3.2 days |
Procedure codes (116)
ICD-10-PCS procedures that can group a stay to DRG 257.
- 0X600ZZDetachment at Right Forequarter, Open Approach
- 0X610ZZDetachment at Left Forequarter, Open Approach
- 0X620ZZDetachment at Right Shoulder Region, Open Approach
- 0X630ZZDetachment at Left Shoulder Region, Open Approach
- 0X680Z1Detachment at Right Upper Arm, High, Open Approach
- 0X680Z2Detachment at Right Upper Arm, Mid, Open Approach
- 0X680Z3Detachment at Right Upper Arm, Low, Open Approach
- 0X690Z1Detachment at Left Upper Arm, High, Open Approach
- 0X690Z2Detachment at Left Upper Arm, Mid, Open Approach
- 0X690Z3Detachment at Left Upper Arm, Low, Open Approach
- 0X6B0ZZDetachment at Right Elbow Region, Open Approach
- 0X6C0ZZDetachment at Left Elbow Region, Open Approach
- 0X6D0Z1Detachment at Right Lower Arm, High, Open Approach
- 0X6D0Z2Detachment at Right Lower Arm, Mid, Open Approach
- 0X6D0Z3Detachment at Right Lower Arm, Low, Open Approach
- 0X6F0Z1Detachment at Left Lower Arm, High, Open Approach
- 0X6F0Z2Detachment at Left Lower Arm, Mid, Open Approach
- 0X6F0Z3Detachment at Left Lower Arm, Low, Open Approach
- 0X6J0Z0Detachment at Right Hand, Complete, Open Approach
- 0X6J0Z4Detachment at Right Hand, Complete 1st Ray, Open Approach
- 0X6J0Z5Detachment at Right Hand, Complete 2nd Ray, Open Approach
- 0X6J0Z6Detachment at Right Hand, Complete 3rd Ray, Open Approach
- 0X6J0Z7Detachment at Right Hand, Complete 4th Ray, Open Approach
- 0X6J0Z8Detachment at Right Hand, Complete 5th Ray, Open Approach
- 0X6J0Z9Detachment at Right Hand, Partial 1st Ray, Open Approach
- 0X6J0ZBDetachment at Right Hand, Partial 2nd Ray, Open Approach
- 0X6J0ZCDetachment at Right Hand, Partial 3rd Ray, Open Approach
- 0X6J0ZDDetachment at Right Hand, Partial 4th Ray, Open Approach
- 0X6J0ZFDetachment at Right Hand, Partial 5th Ray, Open Approach
- 0X6K0Z0Detachment at Left Hand, Complete, Open Approach
- 0X6K0Z4Detachment at Left Hand, Complete 1st Ray, Open Approach
- 0X6K0Z5Detachment at Left Hand, Complete 2nd Ray, Open Approach
- 0X6K0Z6Detachment at Left Hand, Complete 3rd Ray, Open Approach
- 0X6K0Z7Detachment at Left Hand, Complete 4th Ray, Open Approach
- 0X6K0Z8Detachment at Left Hand, Complete 5th Ray, Open Approach
- 0X6K0Z9Detachment at Left Hand, Partial 1st Ray, Open Approach
- 0X6K0ZBDetachment at Left Hand, Partial 2nd Ray, Open Approach
- 0X6K0ZCDetachment at Left Hand, Partial 3rd Ray, Open Approach
- 0X6K0ZDDetachment at Left Hand, Partial 4th Ray, Open Approach
- 0X6K0ZFDetachment at Left Hand, Partial 5th Ray, Open Approach
- 0X6L0Z0Detachment at Right Thumb, Complete, Open Approach
- 0X6L0Z1Detachment at Right Thumb, High, Open Approach
- 0X6L0Z3Detachment at Right Thumb, Low, Open Approach
- 0X6M0Z0Detachment at Left Thumb, Complete, Open Approach
- 0X6M0Z1Detachment at Left Thumb, High, Open Approach
- 0X6M0Z3Detachment at Left Thumb, Low, Open Approach
- 0X6N0Z0Detachment at Right Index Finger, Complete, Open Approach
- 0X6N0Z1Detachment at Right Index Finger, High, Open Approach
- 0X6N0Z2Detachment at Right Index Finger, Mid, Open Approach
- 0X6N0Z3Detachment at Right Index Finger, Low, Open Approach
- 0X6P0Z0Detachment at Left Index Finger, Complete, Open Approach
- 0X6P0Z1Detachment at Left Index Finger, High, Open Approach
- 0X6P0Z2Detachment at Left Index Finger, Mid, Open Approach
- 0X6P0Z3Detachment at Left Index Finger, Low, Open Approach
- 0X6Q0Z0Detachment at Right Middle Finger, Complete, Open Approach
- 0X6Q0Z1Detachment at Right Middle Finger, High, Open Approach
- 0X6Q0Z2Detachment at Right Middle Finger, Mid, Open Approach
- 0X6Q0Z3Detachment at Right Middle Finger, Low, Open Approach
- 0X6R0Z0Detachment at Left Middle Finger, Complete, Open Approach
- 0X6R0Z1Detachment at Left Middle Finger, High, Open Approach
- 0X6R0Z2Detachment at Left Middle Finger, Mid, Open Approach
- 0X6R0Z3Detachment at Left Middle Finger, Low, Open Approach
- 0X6S0Z0Detachment at Right Ring Finger, Complete, Open Approach
- 0X6S0Z1Detachment at Right Ring Finger, High, Open Approach
- 0X6S0Z2Detachment at Right Ring Finger, Mid, Open Approach
- 0X6S0Z3Detachment at Right Ring Finger, Low, Open Approach
- 0X6T0Z0Detachment at Left Ring Finger, Complete, Open Approach
- 0X6T0Z1Detachment at Left Ring Finger, High, Open Approach
- 0X6T0Z2Detachment at Left Ring Finger, Mid, Open Approach
- 0X6T0Z3Detachment at Left Ring Finger, Low, Open Approach
- 0X6V0Z0Detachment at Right Little Finger, Complete, Open Approach
- 0X6V0Z1Detachment at Right Little Finger, High, Open Approach
- 0X6V0Z2Detachment at Right Little Finger, Mid, Open Approach
- 0X6V0Z3Detachment at Right Little Finger, Low, Open Approach
- 0X6W0Z0Detachment at Left Little Finger, Complete, Open Approach
- 0X6W0Z1Detachment at Left Little Finger, High, Open Approach
- 0X6W0Z2Detachment at Left Little Finger, Mid, Open Approach
- 0X6W0Z3Detachment at Left Little Finger, Low, Open Approach
- 0Y6P0Z0Detachment at Right 1st Toe, Complete, Open Approach
- 0Y6P0Z1Detachment at Right 1st Toe, High, Open Approach
- 0Y6P0Z3Detachment at Right 1st Toe, Low, Open Approach
- 0Y6Q0Z0Detachment at Left 1st Toe, Complete, Open Approach
- 0Y6Q0Z1Detachment at Left 1st Toe, High, Open Approach
- 0Y6Q0Z3Detachment at Left 1st Toe, Low, Open Approach
- 0Y6R0Z0Detachment at Right 2nd Toe, Complete, Open Approach
- 0Y6R0Z1Detachment at Right 2nd Toe, High, Open Approach
- 0Y6R0Z2Detachment at Right 2nd Toe, Mid, Open Approach
- 0Y6R0Z3Detachment at Right 2nd Toe, Low, Open Approach
- 0Y6S0Z0Detachment at Left 2nd Toe, Complete, Open Approach
- 0Y6S0Z1Detachment at Left 2nd Toe, High, Open Approach
- 0Y6S0Z2Detachment at Left 2nd Toe, Mid, Open Approach
- 0Y6S0Z3Detachment at Left 2nd Toe, Low, Open Approach
- 0Y6T0Z0Detachment at Right 3rd Toe, Complete, Open Approach
- 0Y6T0Z1Detachment at Right 3rd Toe, High, Open Approach
- 0Y6T0Z2Detachment at Right 3rd Toe, Mid, Open Approach
- 0Y6T0Z3Detachment at Right 3rd Toe, Low, Open Approach
- 0Y6U0Z0Detachment at Left 3rd Toe, Complete, Open Approach
- 0Y6U0Z1Detachment at Left 3rd Toe, High, Open Approach
- 0Y6U0Z2Detachment at Left 3rd Toe, Mid, Open Approach
- 0Y6U0Z3Detachment at Left 3rd Toe, Low, Open Approach
- 0Y6V0Z0Detachment at Right 4th Toe, Complete, Open Approach
- 0Y6V0Z1Detachment at Right 4th Toe, High, Open Approach
- 0Y6V0Z2Detachment at Right 4th Toe, Mid, Open Approach
- 0Y6V0Z3Detachment at Right 4th Toe, Low, Open Approach
- 0Y6W0Z0Detachment at Left 4th Toe, Complete, Open Approach
- 0Y6W0Z1Detachment at Left 4th Toe, High, Open Approach
- 0Y6W0Z2Detachment at Left 4th Toe, Mid, Open Approach
- 0Y6W0Z3Detachment at Left 4th Toe, Low, Open Approach
- 0Y6X0Z0Detachment at Right 5th Toe, Complete, Open Approach
- 0Y6X0Z1Detachment at Right 5th Toe, High, Open Approach
- 0Y6X0Z2Detachment at Right 5th Toe, Mid, Open Approach
- 0Y6X0Z3Detachment at Right 5th Toe, Low, Open Approach
- 0Y6Y0Z0Detachment at Left 5th Toe, Complete, Open Approach
- 0Y6Y0Z1Detachment at Left 5th Toe, High, Open Approach
- 0Y6Y0Z2Detachment at Left 5th Toe, Mid, Open Approach
- 0Y6Y0Z3Detachment at Left 5th Toe, Low, Open Approach