All ICD10 Codes

DRG 474

Surgical DRG

Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC

TypeSurgicalMDC08

What is MS-DRG 474?

MS-DRG 474 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) with a Major Complication or Comorbidity (MCC). For FY 2026 it carries a relative weight of 4.2929 with a geometric mean length of stay of 9.8 days and an arithmetic mean of 12.3 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
MDC
Major Diagnostic Category 08
Linked Codes
0 diagnosis
81 procedure

FY 2026 Payment Data

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

Relative Weight
4.2929
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
9.8 days
Used for transfer payment calculations
Arithmetic Mean LOS
12.3 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
474Amputation for Musculoskeletal System and Connective Tissue Disorders with MCCThis page4.29299.8 days
475Amputation for Musculoskeletal System and Connective Tissue Disorders with CC2.27575.9 days
476Amputation for Musculoskeletal System and Connective Tissue Disorders without CC/MCC1.18022.7 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
  • 0Y620ZZ

    Detachment at Right Hindquarter, Open Approach

    BillableSection 0
  • 0Y630ZZ

    Detachment at Left Hindquarter, Open Approach

    BillableSection 0
  • 0Y640ZZ

    Detachment at Bilateral Hindquarter, Open Approach

    BillableSection 0
  • 0Y670ZZ

    Detachment at Right Femoral Region, Open Approach

    BillableSection 0
  • 0Y680ZZ

    Detachment at Left Femoral Region, Open Approach

    BillableSection 0
  • 0Y6C0Z1

    Detachment at Right Upper Leg, High, Open Approach

    BillableSection 0
  • 0Y6C0Z2

    Detachment at Right Upper Leg, Mid, Open Approach

    BillableSection 0
  • 0Y6C0Z3

    Detachment at Right Upper Leg, Low, Open Approach

    BillableSection 0
  • 0Y6D0Z1

    Detachment at Left Upper Leg, High, Open Approach

    BillableSection 0
  • 0Y6D0Z2

    Detachment at Left Upper Leg, Mid, Open Approach

    BillableSection 0
  • 0Y6D0Z3

    Detachment at Left Upper Leg, Low, Open Approach

    BillableSection 0
  • 0Y6F0ZZ

    Detachment at Right Knee Region, Open Approach

    BillableSection 0
  • 0Y6G0ZZ

    Detachment at Left Knee Region, Open Approach

    BillableSection 0
  • 0Y6H0Z1

    Detachment at Right Lower Leg, High, Open Approach

    BillableSection 0
  • 0Y6H0Z2

    Detachment at Right Lower Leg, Mid, Open Approach

    BillableSection 0
  • 0Y6H0Z3

    Detachment at Right Lower Leg, Low, Open Approach

    BillableSection 0
  • 0Y6J0Z1

    Detachment at Left Lower Leg, High, Open Approach

    BillableSection 0
  • 0Y6J0Z2

    Detachment at Left Lower Leg, Mid, Open Approach

    BillableSection 0
  • 0Y6J0Z3

    Detachment at Left Lower Leg, Low, Open Approach

    BillableSection 0
  • 0Y6M0Z0

    Detachment at Right Foot, Complete, Open Approach

    BillableSection 0
  • 0Y6M0Z4

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

    BillableSection 0
  • 0Y6M0Z5

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

    BillableSection 0
  • 0Y6M0Z6

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

    BillableSection 0
  • 0Y6M0Z7

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

    BillableSection 0
  • 0Y6M0Z8

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

    BillableSection 0
  • 0Y6M0Z9

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

    BillableSection 0
  • 0Y6M0ZB

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

    BillableSection 0
  • 0Y6M0ZC

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

    BillableSection 0
  • 0Y6M0ZD

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

    BillableSection 0
  • 0Y6M0ZF

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

    BillableSection 0
  • 0Y6N0Z0

    Detachment at Left Foot, Complete, Open Approach

    BillableSection 0
  • 0Y6N0Z4

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

    BillableSection 0
  • 0Y6N0Z5

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

    BillableSection 0
  • 0Y6N0Z6

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

    BillableSection 0
  • 0Y6N0Z7

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

    BillableSection 0
  • 0Y6N0Z8

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

    BillableSection 0
  • 0Y6N0Z9

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

    BillableSection 0
  • 0Y6N0ZB

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

    BillableSection 0
  • 0Y6N0ZC

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

    BillableSection 0
  • 0Y6N0ZD

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

    BillableSection 0
  • 0Y6N0ZF

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

    BillableSection 0