MS-DRG 469Surgical
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement
Major Diagnostic Category 08·Grouped by procedure·FY 2027
MS-DRG 469 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 3.1085 with a geometric mean length of stay of 3.3 days and an arithmetic mean of 4.5 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:
- 3.1085 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.3 days (used for transfer payments)
- Average stay:
- 4.5 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 |
|---|---|---|---|
| 469 | Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement (this page) | 3.1085 | 3.3 days |
| 470 | Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC | 1.9563 | 2 days |
Procedure codes (184)
ICD-10-PCS procedures that can group a stay to DRG 469.
- 0SR9019Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach
- 0SR901AReplacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach
- 0SR901ZReplacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach
- 0SR9029Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SR902AReplacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SR902ZReplacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach
- 0SR9039Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach
- 0SR903AReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
- 0SR903ZReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach
- 0SR9049Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SR904AReplacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SR904ZReplacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach
- 0SR9069Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SR906AReplacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SR906ZReplacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
- 0SR907ZReplacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach
- 0SR90J9Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Open Approach
- 0SR90JAReplacement of Right Hip Joint with Synthetic Substitute, Uncemented, Open Approach
- 0SR90JZReplacement of Right Hip Joint with Synthetic Substitute, Open Approach
- 0SR90KZReplacement of Right Hip Joint with Nonautologous Tissue Substitute, Open Approach
- 0SRA009Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SRA00AReplacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SRA00ZReplacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach
- 0SRA019Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach
- 0SRA01AReplacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach
- 0SRA01ZReplacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach
- 0SRA039Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
- 0SRA03AReplacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
- 0SRA03ZReplacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach
- 0SRA07ZReplacement of Right Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
- 0SRA0J9Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
- 0SRA0JAReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach
- 0SRA0JZReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
- 0SRA0KZReplacement of Right Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
- 0SRB019Replacement of Left Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach
- 0SRB01AReplacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach
- 0SRB01ZReplacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach
- 0SRB029Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SRB02AReplacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SRB02ZReplacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach
- 0SRB039Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach
- 0SRB03AReplacement of Left Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
- 0SRB03ZReplacement of Left Hip Joint with Ceramic Synthetic Substitute, Open Approach
- 0SRB049Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SRB04AReplacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SRB04ZReplacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach
- 0SRB069Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SRB06AReplacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SRB06ZReplacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
- 0SRB07ZReplacement of Left Hip Joint with Autologous Tissue Substitute, Open Approach
- 0SRB0J9Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Open Approach
- 0SRB0JAReplacement of Left Hip Joint with Synthetic Substitute, Uncemented, Open Approach
- 0SRB0JZReplacement of Left Hip Joint with Synthetic Substitute, Open Approach
- 0SRB0KZReplacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach
- 0SRC069Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SRC06AReplacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SRC06ZReplacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
- 0SRC07DReplacement of Right Knee Joint with Autologous Tissue Substitute, Medial Meniscus, Open Approach
- 0SRC07EReplacement of Right Knee Joint with Autologous Tissue Substitute, Lateral Meniscus, Open Approach
- 0SRC07ZReplacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach
- 0SRC0J9Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach
- 0SRC0JAReplacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach
- 0SRC0JZReplacement of Right Knee Joint with Synthetic Substitute, Open Approach
- 0SRC0KDReplacement of Right Knee Joint with Nonautologous Tissue Substitute, Medial Meniscus, Open Approach
- 0SRC0KEReplacement of Right Knee Joint with Nonautologous Tissue Substitute, Lateral Meniscus, Open Approach
- 0SRC0KZReplacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach
- 0SRC0L9Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach
- 0SRC0LAReplacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach
- 0SRC0LZReplacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach
- 0SRC0M9Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
- 0SRC0MAReplacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
- 0SRC0MZReplacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
- 0SRC0N9Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
- 0SRC0NAReplacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
- 0SRC0NZReplacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
- 0SRD069Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SRD06AReplacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SRD06ZReplacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
- 0SRD07DReplacement of Left Knee Joint with Autologous Tissue Substitute, Medial Meniscus, Open Approach
- 0SRD07EReplacement of Left Knee Joint with Autologous Tissue Substitute, Lateral Meniscus, Open Approach
- 0SRD07ZReplacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach
- 0SRD0J9Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach
- 0SRD0JAReplacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach
- 0SRD0JZReplacement of Left Knee Joint with Synthetic Substitute, Open Approach
- 0SRD0KDReplacement of Left Knee Joint with Nonautologous Tissue Substitute, Medial Meniscus, Open Approach
- 0SRD0KEReplacement of Left Knee Joint with Nonautologous Tissue Substitute, Lateral Meniscus, Open Approach
- 0SRD0KZReplacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach
- 0SRD0L9Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach
- 0SRD0LAReplacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach
- 0SRD0LZReplacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach
- 0SRD0M9Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
- 0SRD0MAReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
- 0SRD0MZReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
- 0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
- 0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
- 0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
- 0SRE009Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
- 0SRE00AReplacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach
- 0SRE00ZReplacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach
- 0SRE019Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach
- 0SRE01AReplacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach
- 0SRE01ZReplacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach
- 0SRE039Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
- 0SRE03AReplacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
- 0SRE03ZReplacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach
- 0SRE07ZReplacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
- 0SRE0J9Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
- 0SRE0JAReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach
- 0SRE0JZReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
- 0SRE0KZReplacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
- 0SRF07ZReplacement of Right Ankle Joint with Autologous Tissue Substitute, Open Approach
- 0SRF0J9Replacement of Right Ankle Joint with Synthetic Substitute, Cemented, Open Approach
- 0SRF0JAReplacement of Right Ankle Joint with Synthetic Substitute, Uncemented, Open Approach
- 0SRF0JZReplacement of Right Ankle Joint with Synthetic Substitute, Open Approach
- 0SRF0KZReplacement of Right Ankle Joint with Nonautologous Tissue Substitute, Open Approach
- 0SRG07ZReplacement of Left Ankle Joint with Autologous Tissue Substitute, Open Approach
- 0SRG0J9Replacement of Left Ankle Joint with Synthetic Substitute, Cemented, Open Approach
- 0SRG0JAReplacement of Left Ankle Joint with Synthetic Substitute, Uncemented, Open Approach
- 0SRG0JZReplacement of Left Ankle Joint with Synthetic Substitute, Open Approach
- 0SRG0KZReplacement of Left Ankle Joint with Nonautologous Tissue Substitute, Open Approach
- 0SRR019Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach
- 0SRR01AReplacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach
- 0SRR01ZReplacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach
- 0SRR039Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
- 0SRR03AReplacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
- 0SRR03ZReplacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach
- 0SRR07ZReplacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
- 0SRR0J9Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
- 0SRR0JAReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
- 0SRR0JZReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
- 0SRR0KZReplacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
- 0SRS019Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach
- 0SRS01AReplacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach
- 0SRS01ZReplacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach
- 0SRS039Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
- 0SRS03AReplacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
- 0SRS03ZReplacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach
- 0SRS07ZReplacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
- 0SRS0J9Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
- 0SRS0JAReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
- 0SRS0JZReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
- 0SRS0KZReplacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
- 0SRT07ZReplacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
- 0SRT0J9Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
- 0SRT0JAReplacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
- 0SRT0JZReplacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach
- 0SRT0KZReplacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
- 0SRU07ZReplacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
- 0SRU0J9Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
- 0SRU0JAReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
- 0SRU0JZReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach
- 0SRU0KZReplacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
- 0SRV07ZReplacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach
- 0SRV0J9Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach
- 0SRV0JAReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach
- 0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
- 0SRV0KZReplacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach
- 0SRW07ZReplacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach
- 0SRW0J9Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach
- 0SRW0JAReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach
- 0SRW0JZReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
- 0SRW0KZReplacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach
- 0SU90BZSupplement Right Hip Joint with Resurfacing Device, Open Approach
- 0SUA0BZSupplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
- 0SUB0BZSupplement Left Hip Joint with Resurfacing Device, Open Approach
- 0SUE0BZSupplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
- 0SUR0BZSupplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach
- 0SUS0BZSupplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach
- 0YM70ZZReattachment of Right Femoral Region, Open Approach
- 0YM80ZZReattachment of Left Femoral Region, Open Approach
- 0YMC0ZZReattachment of Right Upper Leg, Open Approach
- 0YMD0ZZReattachment of Left Upper Leg, Open Approach
- 0YMF0ZZReattachment of Right Knee Region, Open Approach
- 0YMG0ZZReattachment of Left Knee Region, Open Approach
- 0YMH0ZZReattachment of Right Lower Leg, Open Approach
- 0YMJ0ZZReattachment of Left Lower Leg, Open Approach
- 0YMK0ZZReattachment of Right Ankle Region, Open Approach
- 0YML0ZZReattachment of Left Ankle Region, Open Approach
- 0YMM0ZZReattachment of Right Foot, Open Approach
- 0YMN0ZZReattachment of Left Foot, Open Approach
- XRRG0L8Replacement of Right Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
- XRRG0M8Replacement of Right Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8
- XRRH0L8Replacement of Left Knee Joint with Synthetic Substitute, Lateral Meniscus, Open Approach, New Technology Group 8
- XRRH0M8Replacement of Left Knee Joint with Synthetic Substitute, Medial Meniscus, Open Approach, New Technology Group 8