MS-DRG 538Medical
Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC
Major Diagnostic Category 08·Grouped by diagnosis·FY 2027
MS-DRG 538 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) without a significant Complication or Comorbidity. It maps to 61 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.7109 with a geometric mean length of stay of 2.4 days and an arithmetic mean of 2.8 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:
- 0.7109 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.4 days (used for transfer payments)
- Average stay:
- 2.8 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.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 537 | Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCC | 0.9152 | 3.1 days |
| 538 | Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC (this page) | 0.7109 | 2.4 days |
Diagnosis codes (61)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 538. 100% of the codes listed are billable.
- S33.4XXATraumatic rupture of symphysis pubis, initial encounter
- S73.001AUnspecified subluxation of right hip, initial encounter
- S73.002AUnspecified subluxation of left hip, initial encounter
- S73.003AUnspecified subluxation of unspecified hip, initial encounter
- S73.004AUnspecified dislocation of right hip, initial encounter
- S73.005AUnspecified dislocation of left hip, initial encounter
- S73.006AUnspecified dislocation of unspecified hip, initial encounter
- S73.011APosterior subluxation of right hip, initial encounter
- S73.012APosterior subluxation of left hip, initial encounter
- S73.013APosterior subluxation of unspecified hip, initial encounter
- S73.014APosterior dislocation of right hip, initial encounter
- S73.015APosterior dislocation of left hip, initial encounter
- S73.016APosterior dislocation of unspecified hip, initial encounter
- S73.021AObturator subluxation of right hip, initial encounter
- S73.022AObturator subluxation of left hip, initial encounter
- S73.023AObturator subluxation of unspecified hip, initial encounter
- S73.024AObturator dislocation of right hip, initial encounter
- S73.025AObturator dislocation of left hip, initial encounter
- S73.026AObturator dislocation of unspecified hip, initial encounter
- S73.031AOther anterior subluxation of right hip, initial encounter
- S73.032AOther anterior subluxation of left hip, initial encounter
- S73.033AOther anterior subluxation of unspecified hip, initial encounter
- S73.034AOther anterior dislocation of right hip, initial encounter
- S73.035AOther anterior dislocation of left hip, initial encounter
- S73.036AOther anterior dislocation of unspecified hip, initial encounter
- S73.041ACentral subluxation of right hip, initial encounter
- S73.042ACentral subluxation of left hip, initial encounter
- S73.043ACentral subluxation of unspecified hip, initial encounter
- S73.044ACentral dislocation of right hip, initial encounter
- S73.045ACentral dislocation of left hip, initial encounter
- S73.046ACentral dislocation of unspecified hip, initial encounter
- S73.101AUnspecified sprain of right hip, initial encounter
- S73.102AUnspecified sprain of left hip, initial encounter
- S73.109AUnspecified sprain of unspecified hip, initial encounter
- S73.111AIliofemoral ligament sprain of right hip, initial encounter
- S73.112AIliofemoral ligament sprain of left hip, initial encounter
- S73.119AIliofemoral ligament sprain of unspecified hip, initial encounter
- S73.121AIschiocapsular ligament sprain of right hip, initial encounter
- S73.122AIschiocapsular ligament sprain of left hip, initial encounter
- S73.129AIschiocapsular ligament sprain of unspecified hip, initial encounter
- S73.191AOther sprain of right hip, initial encounter
- S73.192AOther sprain of left hip, initial encounter
- S73.199AOther sprain of unspecified hip, initial encounter
- S76.011AStrain of muscle, fascia and tendon of right hip, initial encounter
- S76.012AStrain of muscle, fascia and tendon of left hip, initial encounter
- S76.019AStrain of muscle, fascia and tendon of unspecified hip, initial encounter
- S76.111AStrain of right quadriceps muscle, fascia and tendon, initial encounter
- S76.112AStrain of left quadriceps muscle, fascia and tendon, initial encounter
- S76.119AStrain of unspecified quadriceps muscle, fascia and tendon, initial encounter
- S76.211AStrain of adductor muscle, fascia and tendon of right thigh, initial encounter
- S76.212AStrain of adductor muscle, fascia and tendon of left thigh, initial encounter
- S76.219AStrain of adductor muscle, fascia and tendon of unspecified thigh, initial encounter
- S76.311AStrain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter
- S76.312AStrain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter
- S76.319AStrain of muscle, fascia and tendon of the posterior muscle group at thigh level, unspecified thigh, initial encounter
- S76.811AStrain of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter
- S76.812AStrain of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter
- S76.819AStrain of other specified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter
- S76.911AStrain of unspecified muscles, fascia and tendons at thigh level, right thigh, initial encounter
- S76.912AStrain of unspecified muscles, fascia and tendons at thigh level, left thigh, initial encounter
- S76.919AStrain of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter