DRG 537

Medical DRG

Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCC

TypeMedicalMDC08Dx Codes61

What is MS-DRG 537?

MS-DRG 537 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) with a Complication or Comorbidity (CC). It maps to 61 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 0.9543 with a geometric mean length of stay of 3.3 days and an arithmetic mean of 4.1 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
61 diagnosis
Billable Dx
100%
61 of 61 shown

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
0.9543
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.3 days
Used for transfer payment calculations
Arithmetic Mean LOS
4.1 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

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.

DRGTitleRel. WeightGMLOS
537Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCCThis page0.95433.3 days
538Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC0.72032.4 days

Linked ICD-10-CM Diagnosis Mappings

  • S33.4XXA

    Traumatic rupture of symphysis pubis, initial encounter

    BillableChapter 19
  • S73.001A

    Unspecified subluxation of right hip, initial encounter

    BillableChapter 19
  • S73.002A

    Unspecified subluxation of left hip, initial encounter

    BillableChapter 19
  • S73.003A

    Unspecified subluxation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.004A

    Unspecified dislocation of right hip, initial encounter

    BillableChapter 19
  • S73.005A

    Unspecified dislocation of left hip, initial encounter

    BillableChapter 19
  • S73.006A

    Unspecified dislocation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.011A

    Posterior subluxation of right hip, initial encounter

    BillableChapter 19
  • S73.012A

    Posterior subluxation of left hip, initial encounter

    BillableChapter 19
  • S73.013A

    Posterior subluxation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.014A

    Posterior dislocation of right hip, initial encounter

    BillableChapter 19
  • S73.015A

    Posterior dislocation of left hip, initial encounter

    BillableChapter 19
  • S73.016A

    Posterior dislocation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.021A

    Obturator subluxation of right hip, initial encounter

    BillableChapter 19
  • S73.022A

    Obturator subluxation of left hip, initial encounter

    BillableChapter 19
  • S73.023A

    Obturator subluxation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.024A

    Obturator dislocation of right hip, initial encounter

    BillableChapter 19
  • S73.025A

    Obturator dislocation of left hip, initial encounter

    BillableChapter 19
  • S73.026A

    Obturator dislocation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.031A

    Other anterior subluxation of right hip, initial encounter

    BillableChapter 19
  • S73.032A

    Other anterior subluxation of left hip, initial encounter

    BillableChapter 19
  • S73.033A

    Other anterior subluxation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.034A

    Other anterior dislocation of right hip, initial encounter

    BillableChapter 19
  • S73.035A

    Other anterior dislocation of left hip, initial encounter

    BillableChapter 19
  • S73.036A

    Other anterior dislocation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.041A

    Central subluxation of right hip, initial encounter

    BillableChapter 19
  • S73.042A

    Central subluxation of left hip, initial encounter

    BillableChapter 19
  • S73.043A

    Central subluxation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.044A

    Central dislocation of right hip, initial encounter

    BillableChapter 19
  • S73.045A

    Central dislocation of left hip, initial encounter

    BillableChapter 19
  • S73.046A

    Central dislocation of unspecified hip, initial encounter

    BillableChapter 19
  • S73.101A

    Unspecified sprain of right hip, initial encounter

    BillableChapter 19
  • S73.102A

    Unspecified sprain of left hip, initial encounter

    BillableChapter 19
  • S73.109A

    Unspecified sprain of unspecified hip, initial encounter

    BillableChapter 19
  • S73.111A

    Iliofemoral ligament sprain of right hip, initial encounter

    BillableChapter 19
  • S73.112A

    Iliofemoral ligament sprain of left hip, initial encounter

    BillableChapter 19
  • S73.119A

    Iliofemoral ligament sprain of unspecified hip, initial encounter

    BillableChapter 19
  • S73.121A

    Ischiocapsular ligament sprain of right hip, initial encounter

    BillableChapter 19
  • S73.122A

    Ischiocapsular ligament sprain of left hip, initial encounter

    BillableChapter 19
  • S73.129A

    Ischiocapsular ligament sprain of unspecified hip, initial encounter

    BillableChapter 19
  • S73.191A

    Other sprain of right hip, initial encounter

    BillableChapter 19
  • S73.192A

    Other sprain of left hip, initial encounter

    BillableChapter 19
  • S73.199A

    Other sprain of unspecified hip, initial encounter

    BillableChapter 19
  • S76.011A

    Strain of muscle, fascia and tendon of right hip, initial encounter

    BillableChapter 19
  • S76.012A

    Strain of muscle, fascia and tendon of left hip, initial encounter

    BillableChapter 19
  • S76.019A

    Strain of muscle, fascia and tendon of unspecified hip, initial encounter

    BillableChapter 19
  • S76.111A

    Strain of right quadriceps muscle, fascia and tendon, initial encounter

    BillableChapter 19
  • S76.112A

    Strain of left quadriceps muscle, fascia and tendon, initial encounter

    BillableChapter 19
  • S76.119A

    Strain of unspecified quadriceps muscle, fascia and tendon, initial encounter

    BillableChapter 19
  • S76.211A

    Strain of adductor muscle, fascia and tendon of right thigh, initial encounter

    BillableChapter 19
  • S76.212A

    Strain of adductor muscle, fascia and tendon of left thigh, initial encounter

    BillableChapter 19
  • S76.219A

    Strain of adductor muscle, fascia and tendon of unspecified thigh, initial encounter

    BillableChapter 19
  • S76.311A

    Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter

    BillableChapter 19
  • S76.312A

    Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter

    BillableChapter 19
  • S76.319A

    Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, unspecified thigh, initial encounter

    BillableChapter 19
  • S76.811A

    Strain of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter

    BillableChapter 19
  • S76.812A

    Strain of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter

    BillableChapter 19
  • S76.819A

    Strain of other specified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter

    BillableChapter 19
  • S76.911A

    Strain of unspecified muscles, fascia and tendons at thigh level, right thigh, initial encounter

    BillableChapter 19
  • S76.912A

    Strain of unspecified muscles, fascia and tendons at thigh level, left thigh, initial encounter

    BillableChapter 19
  • S76.919A

    Strain of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter

    BillableChapter 19