DRG 540
Medical DRGOsteomyelitis with CC
What is MS-DRG 540?
MS-DRG 540 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) with a Complication or Comorbidity (CC). It maps to 204 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.2963 with a geometric mean length of stay of 4.3 days and an arithmetic mean of 5.6 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
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.
Linked ICD-10-CM Diagnosis Mappings
- A02.24
Salmonella osteomyelitis
BillableChapter 1 - A18.01
Tuberculosis of spine
BillableChapter 1 - A18.03
Tuberculosis of other bones
BillableChapter 1 - A51.46
Secondary syphilitic osteopathy
BillableChapter 1 - A52.77
Syphilis of bone and joint
BillableChapter 1 - A54.41
Gonococcal spondylopathy
BillableChapter 1 - M46.20
Osteomyelitis of vertebra, site unspecified
BillableChapter 13 - M46.21
Osteomyelitis of vertebra, occipito-atlanto-axial region
BillableChapter 13 - M46.22
Osteomyelitis of vertebra, cervical region
BillableChapter 13 - M46.23
Osteomyelitis of vertebra, cervicothoracic region
BillableChapter 13 - M46.24
Osteomyelitis of vertebra, thoracic region
BillableChapter 13 - M46.25
Osteomyelitis of vertebra, thoracolumbar region
BillableChapter 13 - M46.26
Osteomyelitis of vertebra, lumbar region
BillableChapter 13 - M46.27
Osteomyelitis of vertebra, lumbosacral region
BillableChapter 13 - M46.28
Osteomyelitis of vertebra, sacral and sacrococcygeal region
BillableChapter 13 - M46.30
Infection of intervertebral disc (pyogenic), site unspecified
BillableChapter 13 - M46.31
Infection of intervertebral disc (pyogenic), occipito-atlanto-axial region
BillableChapter 13 - M46.32
Infection of intervertebral disc (pyogenic), cervical region
BillableChapter 13 - M46.33
Infection of intervertebral disc (pyogenic), cervicothoracic region
BillableChapter 13 - M46.34
Infection of intervertebral disc (pyogenic), thoracic region
BillableChapter 13 - M46.35
Infection of intervertebral disc (pyogenic), thoracolumbar region
BillableChapter 13 - M46.36
Infection of intervertebral disc (pyogenic), lumbar region
BillableChapter 13 - M46.37
Infection of intervertebral disc (pyogenic), lumbosacral region
BillableChapter 13 - M46.38
Infection of intervertebral disc (pyogenic), sacral and sacrococcygeal region
BillableChapter 13 - M46.39
Infection of intervertebral disc (pyogenic), multiple sites in spine
BillableChapter 13 - M86.00
Acute hematogenous osteomyelitis, unspecified site
BillableChapter 13 - M86.011
Acute hematogenous osteomyelitis, right shoulder
BillableChapter 13 - M86.012
Acute hematogenous osteomyelitis, left shoulder
BillableChapter 13 - M86.019
Acute hematogenous osteomyelitis, unspecified shoulder
BillableChapter 13 - M86.021
Acute hematogenous osteomyelitis, right humerus
BillableChapter 13 - M86.022
Acute hematogenous osteomyelitis, left humerus
BillableChapter 13 - M86.029
Acute hematogenous osteomyelitis, unspecified humerus
BillableChapter 13 - M86.031
Acute hematogenous osteomyelitis, right radius and ulna
BillableChapter 13 - M86.032
Acute hematogenous osteomyelitis, left radius and ulna
BillableChapter 13 - M86.039
Acute hematogenous osteomyelitis, unspecified radius and ulna
BillableChapter 13 - M86.041
Acute hematogenous osteomyelitis, right hand
BillableChapter 13 - M86.042
Acute hematogenous osteomyelitis, left hand
BillableChapter 13 - M86.049
Acute hematogenous osteomyelitis, unspecified hand
BillableChapter 13 - M86.051
Acute hematogenous osteomyelitis, right femur
BillableChapter 13 - M86.052
Acute hematogenous osteomyelitis, left femur
BillableChapter 13 - M86.059
Acute hematogenous osteomyelitis, unspecified femur
BillableChapter 13 - M86.061
Acute hematogenous osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.062
Acute hematogenous osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.069
Acute hematogenous osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.071
Acute hematogenous osteomyelitis, right ankle and foot
BillableChapter 13 - M86.072
Acute hematogenous osteomyelitis, left ankle and foot
BillableChapter 13 - M86.079
Acute hematogenous osteomyelitis, unspecified ankle and foot
BillableChapter 13 - M86.08
Acute hematogenous osteomyelitis, other sites
BillableChapter 13 - M86.09
Acute hematogenous osteomyelitis, multiple sites
BillableChapter 13 - M86.10
Other acute osteomyelitis, unspecified site
BillableChapter 13 - M86.111
Other acute osteomyelitis, right shoulder
BillableChapter 13 - M86.112
Other acute osteomyelitis, left shoulder
BillableChapter 13 - M86.119
Other acute osteomyelitis, unspecified shoulder
BillableChapter 13 - M86.121
Other acute osteomyelitis, right humerus
BillableChapter 13 - M86.122
Other acute osteomyelitis, left humerus
BillableChapter 13 - M86.129
Other acute osteomyelitis, unspecified humerus
BillableChapter 13 - M86.131
Other acute osteomyelitis, right radius and ulna
BillableChapter 13 - M86.132
Other acute osteomyelitis, left radius and ulna
BillableChapter 13 - M86.139
Other acute osteomyelitis, unspecified radius and ulna
BillableChapter 13 - M86.141
Other acute osteomyelitis, right hand
BillableChapter 13 - M86.142
Other acute osteomyelitis, left hand
BillableChapter 13 - M86.149
Other acute osteomyelitis, unspecified hand
BillableChapter 13 - M86.151
Other acute osteomyelitis, right femur
BillableChapter 13 - M86.152
Other acute osteomyelitis, left femur
BillableChapter 13 - M86.159
Other acute osteomyelitis, unspecified femur
BillableChapter 13 - M86.161
Other acute osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.162
Other acute osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.169
Other acute osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.171
Other acute osteomyelitis, right ankle and foot
BillableChapter 13 - M86.172
Other acute osteomyelitis, left ankle and foot
BillableChapter 13 - M86.179
Other acute osteomyelitis, unspecified ankle and foot
BillableChapter 13 - M86.18
Other acute osteomyelitis, other site
BillableChapter 13 - M86.19
Other acute osteomyelitis, multiple sites
BillableChapter 13 - M86.20
Subacute osteomyelitis, unspecified site
BillableChapter 13 - M86.211
Subacute osteomyelitis, right shoulder
BillableChapter 13 - M86.212
Subacute osteomyelitis, left shoulder
BillableChapter 13 - M86.219
Subacute osteomyelitis, unspecified shoulder
BillableChapter 13 - M86.221
Subacute osteomyelitis, right humerus
BillableChapter 13 - M86.222
Subacute osteomyelitis, left humerus
BillableChapter 13 - M86.229
Subacute osteomyelitis, unspecified humerus
BillableChapter 13 - M86.231
Subacute osteomyelitis, right radius and ulna
BillableChapter 13 - M86.232
Subacute osteomyelitis, left radius and ulna
BillableChapter 13 - M86.239
Subacute osteomyelitis, unspecified radius and ulna
BillableChapter 13 - M86.241
Subacute osteomyelitis, right hand
BillableChapter 13 - M86.242
Subacute osteomyelitis, left hand
BillableChapter 13 - M86.249
Subacute osteomyelitis, unspecified hand
BillableChapter 13 - M86.251
Subacute osteomyelitis, right femur
BillableChapter 13 - M86.252
Subacute osteomyelitis, left femur
BillableChapter 13 - M86.259
Subacute osteomyelitis, unspecified femur
BillableChapter 13 - M86.261
Subacute osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.262
Subacute osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.269
Subacute osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.271
Subacute osteomyelitis, right ankle and foot
BillableChapter 13 - M86.272
Subacute osteomyelitis, left ankle and foot
BillableChapter 13 - M86.279
Subacute osteomyelitis, unspecified ankle and foot
BillableChapter 13 - M86.28
Subacute osteomyelitis, other site
BillableChapter 13 - M86.29
Subacute osteomyelitis, multiple sites
BillableChapter 13 - M86.30
Chronic multifocal osteomyelitis, unspecified site
BillableChapter 13 - M86.311
Chronic multifocal osteomyelitis, right shoulder
BillableChapter 13 - M86.312
Chronic multifocal osteomyelitis, left shoulder
BillableChapter 13 - M86.319
Chronic multifocal osteomyelitis, unspecified shoulder
BillableChapter 13 - M86.321
Chronic multifocal osteomyelitis, right humerus
BillableChapter 13 - M86.322
Chronic multifocal osteomyelitis, left humerus
BillableChapter 13 - M86.329
Chronic multifocal osteomyelitis, unspecified humerus
BillableChapter 13 - M86.331
Chronic multifocal osteomyelitis, right radius and ulna
BillableChapter 13 - M86.332
Chronic multifocal osteomyelitis, left radius and ulna
BillableChapter 13 - M86.339
Chronic multifocal osteomyelitis, unspecified radius and ulna
BillableChapter 13 - M86.341
Chronic multifocal osteomyelitis, right hand
BillableChapter 13 - M86.342
Chronic multifocal osteomyelitis, left hand
BillableChapter 13 - M86.349
Chronic multifocal osteomyelitis, unspecified hand
BillableChapter 13 - M86.351
Chronic multifocal osteomyelitis, right femur
BillableChapter 13 - M86.352
Chronic multifocal osteomyelitis, left femur
BillableChapter 13 - M86.359
Chronic multifocal osteomyelitis, unspecified femur
BillableChapter 13 - M86.361
Chronic multifocal osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.362
Chronic multifocal osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.369
Chronic multifocal osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.371
Chronic multifocal osteomyelitis, right ankle and foot
BillableChapter 13 - M86.372
Chronic multifocal osteomyelitis, left ankle and foot
BillableChapter 13 - M86.379
Chronic multifocal osteomyelitis, unspecified ankle and foot
BillableChapter 13 - M86.38
Chronic multifocal osteomyelitis, other site
BillableChapter 13 - M86.39
Chronic multifocal osteomyelitis, multiple sites
BillableChapter 13 - M86.40
Chronic osteomyelitis with draining sinus, unspecified site
BillableChapter 13 - M86.411
Chronic osteomyelitis with draining sinus, right shoulder
BillableChapter 13 - M86.412
Chronic osteomyelitis with draining sinus, left shoulder
BillableChapter 13 - M86.419
Chronic osteomyelitis with draining sinus, unspecified shoulder
BillableChapter 13 - M86.421
Chronic osteomyelitis with draining sinus, right humerus
BillableChapter 13 - M86.422
Chronic osteomyelitis with draining sinus, left humerus
BillableChapter 13 - M86.429
Chronic osteomyelitis with draining sinus, unspecified humerus
BillableChapter 13 - M86.431
Chronic osteomyelitis with draining sinus, right radius and ulna
BillableChapter 13 - M86.432
Chronic osteomyelitis with draining sinus, left radius and ulna
BillableChapter 13 - M86.439
Chronic osteomyelitis with draining sinus, unspecified radius and ulna
BillableChapter 13 - M86.441
Chronic osteomyelitis with draining sinus, right hand
BillableChapter 13 - M86.442
Chronic osteomyelitis with draining sinus, left hand
BillableChapter 13 - M86.449
Chronic osteomyelitis with draining sinus, unspecified hand
BillableChapter 13 - M86.451
Chronic osteomyelitis with draining sinus, right femur
BillableChapter 13 - M86.452
Chronic osteomyelitis with draining sinus, left femur
BillableChapter 13 - M86.459
Chronic osteomyelitis with draining sinus, unspecified femur
BillableChapter 13 - M86.461
Chronic osteomyelitis with draining sinus, right tibia and fibula
BillableChapter 13 - M86.462
Chronic osteomyelitis with draining sinus, left tibia and fibula
BillableChapter 13 - M86.469
Chronic osteomyelitis with draining sinus, unspecified tibia and fibula
BillableChapter 13 - M86.471
Chronic osteomyelitis with draining sinus, right ankle and foot
BillableChapter 13 - M86.472
Chronic osteomyelitis with draining sinus, left ankle and foot
BillableChapter 13 - M86.479
Chronic osteomyelitis with draining sinus, unspecified ankle and foot
BillableChapter 13 - M86.48
Chronic osteomyelitis with draining sinus, other site
BillableChapter 13 - M86.49
Chronic osteomyelitis with draining sinus, multiple sites
BillableChapter 13 - M86.50
Other chronic hematogenous osteomyelitis, unspecified site
BillableChapter 13 - M86.511
Other chronic hematogenous osteomyelitis, right shoulder
BillableChapter 13 - M86.512
Other chronic hematogenous osteomyelitis, left shoulder
BillableChapter 13 - M86.519
Other chronic hematogenous osteomyelitis, unspecified shoulder
BillableChapter 13 - M86.521
Other chronic hematogenous osteomyelitis, right humerus
BillableChapter 13 - M86.522
Other chronic hematogenous osteomyelitis, left humerus
BillableChapter 13 - M86.529
Other chronic hematogenous osteomyelitis, unspecified humerus
BillableChapter 13 - M86.531
Other chronic hematogenous osteomyelitis, right radius and ulna
BillableChapter 13 - M86.532
Other chronic hematogenous osteomyelitis, left radius and ulna
BillableChapter 13 - M86.539
Other chronic hematogenous osteomyelitis, unspecified radius and ulna
BillableChapter 13 - M86.541
Other chronic hematogenous osteomyelitis, right hand
BillableChapter 13 - M86.542
Other chronic hematogenous osteomyelitis, left hand
BillableChapter 13 - M86.549
Other chronic hematogenous osteomyelitis, unspecified hand
BillableChapter 13 - M86.551
Other chronic hematogenous osteomyelitis, right femur
BillableChapter 13 - M86.552
Other chronic hematogenous osteomyelitis, left femur
BillableChapter 13 - M86.559
Other chronic hematogenous osteomyelitis, unspecified femur
BillableChapter 13 - M86.561
Other chronic hematogenous osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.562
Other chronic hematogenous osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.569
Other chronic hematogenous osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.571
Other chronic hematogenous osteomyelitis, right ankle and foot
BillableChapter 13 - M86.572
Other chronic hematogenous osteomyelitis, left ankle and foot
BillableChapter 13 - M86.579
Other chronic hematogenous osteomyelitis, unspecified ankle and foot
BillableChapter 13 - M86.58
Other chronic hematogenous osteomyelitis, other site
BillableChapter 13 - M86.59
Other chronic hematogenous osteomyelitis, multiple sites
BillableChapter 13 - M86.60
Other chronic osteomyelitis, unspecified site
BillableChapter 13 - M86.611
Other chronic osteomyelitis, right shoulder
BillableChapter 13 - M86.612
Other chronic osteomyelitis, left shoulder
BillableChapter 13 - M86.619
Other chronic osteomyelitis, unspecified shoulder
BillableChapter 13 - M86.621
Other chronic osteomyelitis, right humerus
BillableChapter 13 - M86.622
Other chronic osteomyelitis, left humerus
BillableChapter 13 - M86.629
Other chronic osteomyelitis, unspecified humerus
BillableChapter 13 - M86.631
Other chronic osteomyelitis, right radius and ulna
BillableChapter 13 - M86.632
Other chronic osteomyelitis, left radius and ulna
BillableChapter 13 - M86.639
Other chronic osteomyelitis, unspecified radius and ulna
BillableChapter 13 - M86.641
Other chronic osteomyelitis, right hand
BillableChapter 13 - M86.642
Other chronic osteomyelitis, left hand
BillableChapter 13 - M86.649
Other chronic osteomyelitis, unspecified hand
BillableChapter 13 - M86.651
Other chronic osteomyelitis, right thigh
BillableChapter 13 - M86.652
Other chronic osteomyelitis, left thigh
BillableChapter 13 - M86.659
Other chronic osteomyelitis, unspecified thigh
BillableChapter 13 - M86.661
Other chronic osteomyelitis, right tibia and fibula
BillableChapter 13 - M86.662
Other chronic osteomyelitis, left tibia and fibula
BillableChapter 13 - M86.669
Other chronic osteomyelitis, unspecified tibia and fibula
BillableChapter 13 - M86.671
Other chronic osteomyelitis, right ankle and foot
BillableChapter 13 - M86.672
Other chronic osteomyelitis, left ankle and foot
BillableChapter 13 - M86.679
Other chronic osteomyelitis, unspecified ankle and foot
BillableChapter 13 - M86.68
Other chronic osteomyelitis, other site
BillableChapter 13 - M86.69
Other chronic osteomyelitis, multiple sites
BillableChapter 13 - M86.8X0
Other osteomyelitis, multiple sites
BillableChapter 13 - M86.8X1
Other osteomyelitis, shoulder
BillableChapter 13 - M86.8X2
Other osteomyelitis, upper arm
BillableChapter 13 - M86.8X3
Other osteomyelitis, forearm
BillableChapter 13 - M86.8X4
Other osteomyelitis, hand
BillableChapter 13 - M86.8X5
Other osteomyelitis, thigh
BillableChapter 13 - M86.8X6
Other osteomyelitis, lower leg
BillableChapter 13 - M86.8X7
Other osteomyelitis, ankle and foot
BillableChapter 13 - M86.8X8
Other osteomyelitis, other site
BillableChapter 13 - M86.8X9
Other osteomyelitis, unspecified sites
BillableChapter 13 - M86.9
Osteomyelitis, unspecified
BillableChapter 13