MS-DRG 516Surgical

Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC

Major Diagnostic Category 08·Grouped by procedure·FY 2027

MS-DRG 516 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 2.1181 with a geometric mean length of stay of 4 days and an arithmetic mean of 5 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:
2.1181 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
4 days (used for transfer payments)
Average stay:
5 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
515Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC3.18736.7 days
516Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC (this page)2.11814 days
517Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC1.57272.3 days

Procedure codes (4,622)

ICD-10-PCS procedures that can group a stay to DRG 516.

Showing the first 1,000 of 4,622 codes. Use search to find a specific code.