MS-DRG 476Surgical
Amputation for Musculoskeletal System and Connective Tissue Disorders without CC/MCC
Major Diagnostic Category 08·Grouped by procedure·FY 2027
MS-DRG 476 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) without a significant Complication or Comorbidity. For FY 2027 it carries a relative weight of 1.1360 with a geometric mean length of stay of 2.6 days and an arithmetic mean of 3.3 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
Advertisements
FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 1.1360 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.6 days (used for transfer payments)
- Average stay:
- 3.3 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 |
|---|---|---|---|
| 474 | Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler | 4.2144 | 9.7 days |
| 475 | Amputation for Musculoskeletal System and Connective Tissue Disorders with CC | 2.2249 | 6 days |
| 476 | Amputation for Musculoskeletal System and Connective Tissue Disorders without CC/MCC (this page) | 1.1360 | 2.6 days |
Procedure codes (83)
ICD-10-PCS procedures that can group a stay to DRG 476.
- 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
- 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
- XW0V0BCIntroduction of Vancomycin-eluting Bone Void Filler into Bones, Open Approach, New Technology Group 12
- XW0V0P7Introduction of Gentamicin-eluting Bone Void Filler into Bones, Open Approach, New Technology Group 7