MS-DRG 533Medical

Fractures of Femur with MCC

Major Diagnostic Category 08·Grouped by diagnosis·FY 2027

MS-DRG 533 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) with a Major Complication or Comorbidity (MCC). It maps to 273 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.4649 with a geometric mean length of stay of 4.2 days and an arithmetic mean of 5.4 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:
1.4649 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
4.2 days (used for transfer payments)
Average stay:
5.4 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
533Fractures of Femur with MCC (this page)1.46494.2 days
534Fractures of Femur without MCC0.84033 days

Diagnosis codes (273)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 533. 100% of the codes listed are billable.