MS-DRG 537Medical

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

Major Diagnostic Category 08·Grouped by diagnosis·FY 2027

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 2027 it carries a relative weight of 0.9152 with a geometric mean length of stay of 3.1 days and an arithmetic mean of 3.8 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Advertisements

FY 2027 payment data

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

Relative weight:
0.9152 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
3.1 days (used for transfer payments)
Average stay:
3.8 days (arithmetic mean)
Post-acute transfer policy:
No (not subject to it)

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
537Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCC (this page)0.91523.1 days
538Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC0.71092.4 days

Diagnosis codes (61)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 537. 100% of the codes listed are billable.