MS-DRG 562Medical

Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC

Major Diagnostic Category 08·Grouped by diagnosis·FY 2027

MS-DRG 562 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 4,649 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.3980 with a geometric mean length of stay of 4.1 days and an arithmetic mean of 5.1 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:
1.3980 (payment multiplier vs. the average case (1.0))
Geometric mean stay:
4.1 days (used for transfer payments)
Average stay:
5.1 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
562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC (this page)1.39804.1 days
563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC0.89853 days

Diagnosis codes (4,649)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 562. 100% of the codes listed are billable.

Showing the first 1,000 of 4,649 codes. Use search to find a specific code.