MS-DRG 565Medical

Other Musculoskeletal System and Connective Tissue Diagnoses with CC

Major Diagnostic Category 08·Grouped by diagnosis·FY 2027

MS-DRG 565 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) with a Complication or Comorbidity (CC). It maps to 6,770 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.9783 with a geometric mean length of stay of 3.3 days and an arithmetic mean of 4 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

FY 2027 payment data

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

Relative weight:: 0.9783 (payment multiplier vs. the average case (1.0))
Geometric mean stay:: 3.3 days (used for transfer payments)
Average stay:: 4 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
564	Other Musculoskeletal System and Connective Tissue Diagnoses with MCC	1.4908	4.6 days
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC (this page)	0.9783	3.3 days
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC	0.7378	2.4 days

Diagnosis codes (6,770)

As the principal diagnosis, these ICD-10-CM codes can group to DRG 565. 100% of the codes listed are billable.

Showing the first 1,000 of 6,770 codes. Use search to find a specific code.