DRG 486
Surgical DRGKnee Procedures with Principal Diagnosis of Infection with CC
What is MS-DRG 486?
MS-DRG 486 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) with a Complication or Comorbidity (CC). It maps to 56 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 2.0911 with a geometric mean length of stay of 5.1 days and an arithmetic mean of 6 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
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.
Linked ICD-10-CM Diagnosis Mappings
- A18.02
Tuberculous arthritis of other joints
BillableChapter 1 - A54.42
Gonococcal arthritis
BillableChapter 1 - M00.061
Staphylococcal arthritis, right knee
BillableChapter 13 - M00.062
Staphylococcal arthritis, left knee
BillableChapter 13 - M00.069
Staphylococcal arthritis, unspecified knee
BillableChapter 13 - M00.161
Pneumococcal arthritis, right knee
BillableChapter 13 - M00.162
Pneumococcal arthritis, left knee
BillableChapter 13 - M00.169
Pneumococcal arthritis, unspecified knee
BillableChapter 13 - M00.261
Other streptococcal arthritis, right knee
BillableChapter 13 - M00.262
Other streptococcal arthritis, left knee
BillableChapter 13 - M00.269
Other streptococcal arthritis, unspecified knee
BillableChapter 13 - M00.861
Arthritis due to other bacteria, right knee
BillableChapter 13 - M00.862
Arthritis due to other bacteria, left knee
BillableChapter 13 - M00.869
Arthritis due to other bacteria, unspecified knee
BillableChapter 13 - M00.9
Pyogenic arthritis, unspecified
BillableChapter 13 - M01.X61
Direct infection of right knee in infectious and parasitic diseases classified elsewhere
BillableChapter 13 - M01.X62
Direct infection of left knee in infectious and parasitic diseases classified elsewhere
BillableChapter 13 - M01.X69
Direct infection of unspecified knee in infectious and parasitic diseases classified elsewhere
BillableChapter 13 - M71.061
Abscess of bursa, right knee
BillableChapter 13 - M71.062
Abscess of bursa, left knee
BillableChapter 13 - M71.069
Abscess of bursa, unspecified knee
BillableChapter 13 - M71.161
Other infective bursitis, right knee
BillableChapter 13 - M71.162
Other infective bursitis, left knee
BillableChapter 13 - M71.169
Other infective bursitis, unspecified knee
BillableChapter 13 - M86.061
Acute hematogenous osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.062
Acute hematogenous osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.069
Acute hematogenous osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.161
Other acute osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.162
Other acute osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.169
Other acute osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.261
Subacute osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.262
Subacute osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.269
Subacute osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.361
Chronic multifocal osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.362
Chronic multifocal osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.369
Chronic multifocal osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.461
Chronic osteomyelitis with draining sinus, right tibia and fibula
BillableChapter 13 - M86.462
Chronic osteomyelitis with draining sinus, left tibia and fibula
BillableChapter 13 - M86.469
Chronic osteomyelitis with draining sinus, unspecified tibia and fibula
BillableChapter 13 - M86.561
Other chronic hematogenous osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.562
Other chronic hematogenous osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.569
Other chronic hematogenous osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.661
Other chronic osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.662
Other chronic osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.669
Other chronic osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.8X6
Other osteomyelitis, lower leg
BillableChapter 13 - T84.53XA
Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter
BillableChapter 19 - T84.54XA
Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter
BillableChapter 19 - T84.620A
Infection and inflammatory reaction due to internal fixation device of right femur, initial encounter
BillableChapter 19 - T84.621A
Infection and inflammatory reaction due to internal fixation device of left femur, initial encounter
BillableChapter 19 - T84.622A
Infection and inflammatory reaction due to internal fixation device of right tibia, initial encounter
BillableChapter 19 - T84.623A
Infection and inflammatory reaction due to internal fixation device of left tibia, initial encounter
BillableChapter 19 - T84.624A
Infection and inflammatory reaction due to internal fixation device of right fibula, initial encounter
BillableChapter 19 - T84.625A
Infection and inflammatory reaction due to internal fixation device of left fibula, initial encounter
BillableChapter 19 - T84.629A
Infection and inflammatory reaction due to internal fixation device of unspecified bone of leg, initial encounter
BillableChapter 19 - T84.7XXA
Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter
BillableChapter 19