MS-DRG 618Surgical
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders without CC/MCC
Major Diagnostic Category 10·Grouped by procedure·FY 2027
MS-DRG 618 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 10 (MDC 10) without a significant Complication or Comorbidity. For FY 2027 it carries a relative weight of 1.2765 with a geometric mean length of stay of 3.4 days and an arithmetic mean of 3.9 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:
- 1.2765 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 3.4 days (used for transfer payments)
- Average stay:
- 3.9 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.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 616 | Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler | 3.1453 | 8.3 days |
| 617 | Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC | 1.7227 | 5.3 days |
| 618 | Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders without CC/MCC (this page) | 1.2765 | 3.4 days |
Procedure codes (76)
ICD-10-PCS procedures that can group a stay to DRG 618.
- 0Y6C0Z1Detachment at Right Upper Leg, High, Open Approach
- 0Y6C0Z2Detachment at Right Upper Leg, Mid, Open Approach
- 0Y6C0Z3Detachment at Right Upper Leg, Low, Open Approach
- 0Y6D0Z1Detachment at Left Upper Leg, High, Open Approach
- 0Y6D0Z2Detachment at Left Upper Leg, Mid, Open Approach
- 0Y6D0Z3Detachment at Left Upper Leg, Low, Open Approach
- 0Y6F0ZZDetachment at Right Knee Region, Open Approach
- 0Y6G0ZZDetachment at Left Knee Region, Open Approach
- 0Y6H0Z1Detachment at Right Lower Leg, High, Open Approach
- 0Y6H0Z2Detachment at Right Lower Leg, Mid, Open Approach
- 0Y6H0Z3Detachment at Right Lower Leg, Low, Open Approach
- 0Y6J0Z1Detachment at Left Lower Leg, High, Open Approach
- 0Y6J0Z2Detachment at Left Lower Leg, Mid, Open Approach
- 0Y6J0Z3Detachment at Left Lower Leg, Low, Open Approach
- 0Y6M0Z0Detachment at Right Foot, Complete, Open Approach
- 0Y6M0Z4Detachment at Right Foot, Complete 1st Ray, Open Approach
- 0Y6M0Z5Detachment at Right Foot, Complete 2nd Ray, Open Approach
- 0Y6M0Z6Detachment at Right Foot, Complete 3rd Ray, Open Approach
- 0Y6M0Z7Detachment at Right Foot, Complete 4th Ray, Open Approach
- 0Y6M0Z8Detachment at Right Foot, Complete 5th Ray, Open Approach
- 0Y6M0Z9Detachment at Right Foot, Partial 1st Ray, Open Approach
- 0Y6M0ZBDetachment at Right Foot, Partial 2nd Ray, Open Approach
- 0Y6M0ZCDetachment at Right Foot, Partial 3rd Ray, Open Approach
- 0Y6M0ZDDetachment at Right Foot, Partial 4th Ray, Open Approach
- 0Y6M0ZFDetachment at Right Foot, Partial 5th Ray, Open Approach
- 0Y6N0Z0Detachment at Left Foot, Complete, Open Approach
- 0Y6N0Z4Detachment at Left Foot, Complete 1st Ray, Open Approach
- 0Y6N0Z5Detachment at Left Foot, Complete 2nd Ray, Open Approach
- 0Y6N0Z6Detachment at Left Foot, Complete 3rd Ray, Open Approach
- 0Y6N0Z7Detachment at Left Foot, Complete 4th Ray, Open Approach
- 0Y6N0Z8Detachment at Left Foot, Complete 5th Ray, Open Approach
- 0Y6N0Z9Detachment at Left Foot, Partial 1st Ray, Open Approach
- 0Y6N0ZBDetachment at Left Foot, Partial 2nd Ray, Open Approach
- 0Y6N0ZCDetachment at Left Foot, Partial 3rd Ray, Open Approach
- 0Y6N0ZDDetachment at Left Foot, Partial 4th Ray, Open Approach
- 0Y6N0ZFDetachment at Left Foot, Partial 5th Ray, Open Approach
- 0Y6P0Z0Detachment at Right 1st Toe, Complete, Open Approach
- 0Y6P0Z1Detachment at Right 1st Toe, High, Open Approach
- 0Y6P0Z3Detachment at Right 1st Toe, Low, Open Approach
- 0Y6Q0Z0Detachment at Left 1st Toe, Complete, Open Approach
- 0Y6Q0Z1Detachment at Left 1st Toe, High, Open Approach
- 0Y6Q0Z3Detachment at Left 1st Toe, Low, Open Approach
- 0Y6R0Z0Detachment at Right 2nd Toe, Complete, Open Approach
- 0Y6R0Z1Detachment at Right 2nd Toe, High, Open Approach
- 0Y6R0Z2Detachment at Right 2nd Toe, Mid, Open Approach
- 0Y6R0Z3Detachment at Right 2nd Toe, Low, Open Approach
- 0Y6S0Z0Detachment at Left 2nd Toe, Complete, Open Approach
- 0Y6S0Z1Detachment at Left 2nd Toe, High, Open Approach
- 0Y6S0Z2Detachment at Left 2nd Toe, Mid, Open Approach
- 0Y6S0Z3Detachment at Left 2nd Toe, Low, Open Approach
- 0Y6T0Z0Detachment at Right 3rd Toe, Complete, Open Approach
- 0Y6T0Z1Detachment at Right 3rd Toe, High, Open Approach
- 0Y6T0Z2Detachment at Right 3rd Toe, Mid, Open Approach
- 0Y6T0Z3Detachment at Right 3rd Toe, Low, Open Approach
- 0Y6U0Z0Detachment at Left 3rd Toe, Complete, Open Approach
- 0Y6U0Z1Detachment at Left 3rd Toe, High, Open Approach
- 0Y6U0Z2Detachment at Left 3rd Toe, Mid, Open Approach
- 0Y6U0Z3Detachment at Left 3rd Toe, Low, Open Approach
- 0Y6V0Z0Detachment at Right 4th Toe, Complete, Open Approach
- 0Y6V0Z1Detachment at Right 4th Toe, High, Open Approach
- 0Y6V0Z2Detachment at Right 4th Toe, Mid, Open Approach
- 0Y6V0Z3Detachment at Right 4th Toe, Low, Open Approach
- 0Y6W0Z0Detachment at Left 4th Toe, Complete, Open Approach
- 0Y6W0Z1Detachment at Left 4th Toe, High, Open Approach
- 0Y6W0Z2Detachment at Left 4th Toe, Mid, Open Approach
- 0Y6W0Z3Detachment at Left 4th Toe, Low, Open Approach
- 0Y6X0Z0Detachment at Right 5th Toe, Complete, Open Approach
- 0Y6X0Z1Detachment at Right 5th Toe, High, Open Approach
- 0Y6X0Z2Detachment at Right 5th Toe, Mid, Open Approach
- 0Y6X0Z3Detachment at Right 5th Toe, Low, Open Approach
- 0Y6Y0Z0Detachment at Left 5th Toe, Complete, Open Approach
- 0Y6Y0Z1Detachment at Left 5th Toe, High, Open Approach
- 0Y6Y0Z2Detachment at Left 5th Toe, Mid, Open Approach
- 0Y6Y0Z3Detachment at Left 5th Toe, Low, Open Approach
- XW0V0BCIntroduction of Vancomycin-eluting Bone Void Filler into Bones, Open Approach, New Technology Group 12
- XW0V0P7Introduction of Gentamicin-eluting Bone Void Filler into Bones, Open Approach, New Technology Group 7