MS-DRG 493Surgical

Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC

Major Diagnostic Category 08·Grouped by procedure·FY 2027

MS-DRG 493 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 2.5528 with a geometric mean length of stay of 4.2 days and an arithmetic mean of 5.1 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

FY 2027 payment data

From Table 5 of the FY 2027 IPPS Final Rule (CMS).

Relative weight:: 2.5528 (payment multiplier vs. the average case (1.0))
Geometric mean stay:: 4.2 days (used for transfer payments)
Average stay:: 5.1 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
492	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler	3.6914	6.4 days
493	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC (this page)	2.5528	4.2 days
494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC	2.0257	2.8 days

Procedure codes (768)

ICD-10-PCS procedures that can group a stay to DRG 493.