MS-DRG 496Surgical

Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC

Major Diagnostic Category 08·Grouped by procedure·FY 2027

MS-DRG 496 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 1.7779 with a geometric mean length of stay of 2.8 days and an arithmetic mean of 3.9 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:
1.7779 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
2.8 days (used for transfer payments)
Average stay:
3.9 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.

DRGTitleRelative weightMean stay
495Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC3.33757 days
496Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC (this page)1.77792.8 days
497Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC1.17081.4 days

Procedure codes (1,851)

ICD-10-PCS procedures that can group a stay to DRG 496.

Showing the first 1,000 of 1,851 codes. Use search to find a specific code.