Diagnosis Codes in MS-DRG 542 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for Diagnosis Codes in MS-DRG 542 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH Major Complication or Comorbidity diseases in version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC 08 1.8237 Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
1.82 Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.
5.20 Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

List of ICD-10-CM Codes in Diagnostic Related Group


  • C40.0
    • C40.00 Malignant neoplasm of scapula and long bones of unspecified upper limb
    • C40.01 Malignant neoplasm of scapula and long bones of right upper limb
    • C40.02 Malignant neoplasm of scapula and long bones of left upper limb
  • C40.1
    • C40.10 Malignant neoplasm of short bones of unspecified upper limb
    • C40.11 Malignant neoplasm of short bones of right upper limb
    • C40.12 Malignant neoplasm of short bones of left upper limb
  • C40.2
    • C40.20 Malignant neoplasm of long bones of unspecified lower limb
    • C40.21 Malignant neoplasm of long bones of right lower limb
    • C40.22 Malignant neoplasm of long bones of left lower limb
  • C40.3
    • C40.30 Malignant neoplasm of short bones of unspecified lower limb
    • C40.31 Malignant neoplasm of short bones of right lower limb
    • C40.32 Malignant neoplasm of short bones of left lower limb
  • C40.8
    • C40.80 Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb
    • C40.81 Malignant neoplasm of overlapping sites of bone and articular cartilage of right limb
    • C40.82 Malignant neoplasm of overlapping sites of bone and articular cartilage of left limb
  • C40.9
    • C40.90 Malignant neoplasm of unspecified bones and articular cartilage of unspecified limb
    • C40.91 Malignant neoplasm of unspecified bones and articular cartilage of right limb
    • C40.92 Malignant neoplasm of unspecified bones and articular cartilage of left limb
  • C41
    • C41.0 Malignant neoplasm of bones of skull and face
    • C41.3 Malignant neoplasm of ribs, sternum and clavicle
    • C41.4 Malignant neoplasm of pelvic bones, sacrum and coccyx
    • C41.9 Malignant neoplasm of bone and articular cartilage, unspecified
  • C47
    • C47.0 Malignant neoplasm of peripheral nerves of head, face and neck
    • C47.3 Malignant neoplasm of peripheral nerves of thorax
    • C47.4 Malignant neoplasm of peripheral nerves of abdomen
    • C47.5 Malignant neoplasm of peripheral nerves of pelvis
    • C47.6 Malignant neoplasm of peripheral nerves of trunk, unspecified
    • C47.8 Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system
    • C47.9 Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified
  • C47.1
    • C47.10 Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder
    • C47.11 Malignant neoplasm of peripheral nerves of right upper limb, including shoulder
    • C47.12 Malignant neoplasm of peripheral nerves of left upper limb, including shoulder
  • C47.2
    • C47.20 Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip
    • C47.21 Malignant neoplasm of peripheral nerves of right lower limb, including hip
    • C47.22 Malignant neoplasm of peripheral nerves of left lower limb, including hip
  • C49
    • C49.0 Malignant neoplasm of connective and soft tissue of head, face and neck
    • C49.3 Malignant neoplasm of connective and soft tissue of thorax
    • C49.4 Malignant neoplasm of connective and soft tissue of abdomen
    • C49.5 Malignant neoplasm of connective and soft tissue of pelvis
    • C49.6 Malignant neoplasm of connective and soft tissue of trunk, unspecified
    • C49.8 Malignant neoplasm of overlapping sites of connective and soft tissue
    • C49.9 Malignant neoplasm of connective and soft tissue, unspecified
  • C49.1
    • C49.10 Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder
    • C49.11 Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder
    • C49.12 Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder
  • C49.2
    • C49.20 Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip
    • C49.21 Malignant neoplasm of connective and soft tissue of right lower limb, including hip
    • C49.22 Malignant neoplasm of connective and soft tissue of left lower limb, including hip
  • M30
    • M30.1 Polyarteritis with lung involvement [Churg-Strauss]
  • M31
    • M31.2 Lethal midline granuloma
  • M31.3
    • M31.30 Wegener's granulomatosis without renal involvement
    • M31.31 Wegener's granulomatosis with renal involvement
  • M48.40
    • M48.40XA Fatigue fracture of vertebra, site unspecified, initial encounter for fracture
  • M48.41
    • M48.41XA Fatigue fracture of vertebra, occipito-atlanto-axial region, initial encounter for fracture
  • M48.42
    • M48.42XA Fatigue fracture of vertebra, cervical region, initial encounter for fracture
  • M48.43
    • M48.43XA Fatigue fracture of vertebra, cervicothoracic region, initial encounter for fracture
  • M48.44
    • M48.44XA Fatigue fracture of vertebra, thoracic region, initial encounter for fracture
  • M48.45
    • M48.45XA Fatigue fracture of vertebra, thoracolumbar region, initial encounter for fracture
  • M48.46
    • M48.46XA Fatigue fracture of vertebra, lumbar region, initial encounter for fracture
  • M48.47
    • M48.47XA Fatigue fracture of vertebra, lumbosacral region, initial encounter for fracture
  • M48.48
    • M48.48XA Fatigue fracture of vertebra, sacral and sacrococcygeal region, initial encounter for fracture
  • M48.51
    • M48.51XA Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture
  • M48.52
    • M48.52XA Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture
  • M48.53
    • M48.53XA Collapsed vertebra, not elsewhere classified, cervicothoracic region, initial encounter for fracture
  • M80.00
    • M80.00XA Age-related osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture
  • M80.011
    • M80.011A Age-related osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture
  • M80.012
    • M80.012A Age-related osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture
  • M80.019
    • M80.019A Age-related osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture
  • M80.021
    • M80.021A Age-related osteoporosis with current pathological fracture, right humerus, initial encounter for fracture
  • M80.022
    • M80.022A Age-related osteoporosis with current pathological fracture, left humerus, initial encounter for fracture
  • M80.029
    • M80.029A Age-related osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture
  • M80.031
    • M80.031A Age-related osteoporosis with current pathological fracture, right forearm, initial encounter for fracture
  • M80.032
    • M80.032A Age-related osteoporosis with current pathological fracture, left forearm, initial encounter for fracture
  • M80.039
    • M80.039A Age-related osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture
  • M80.041
    • M80.041A Age-related osteoporosis with current pathological fracture, right hand, initial encounter for fracture
  • M80.042
    • M80.042A Age-related osteoporosis with current pathological fracture, left hand, initial encounter for fracture
  • M80.049
    • M80.049A Age-related osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture
  • M80.061
    • M80.061A Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture
  • M80.062
    • M80.062A Age-related osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture
  • M80.069
    • M80.069A Age-related osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture
  • M80.071
    • M80.071A Age-related osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture
  • M80.072
    • M80.072A Age-related osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture
  • M80.079
    • M80.079A Age-related osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture
  • M80.80
    • M80.80XA Other osteoporosis with current pathological fracture, unspecified site, initial encounter for fracture
  • M80.811
    • M80.811A Other osteoporosis with current pathological fracture, right shoulder, initial encounter for fracture
  • M80.812
    • M80.812A Other osteoporosis with current pathological fracture, left shoulder, initial encounter for fracture
  • M80.819
    • M80.819A Other osteoporosis with current pathological fracture, unspecified shoulder, initial encounter for fracture
  • M80.821
    • M80.821A Other osteoporosis with current pathological fracture, right humerus, initial encounter for fracture
  • M80.822
    • M80.822A Other osteoporosis with current pathological fracture, left humerus, initial encounter for fracture
  • M80.829
    • M80.829A Other osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture
  • M80.831
    • M80.831A Other osteoporosis with current pathological fracture, right forearm, initial encounter for fracture
  • M80.832
    • M80.832A Other osteoporosis with current pathological fracture, left forearm, initial encounter for fracture
  • M80.839
    • M80.839A Other osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture
  • M80.841
    • M80.841A Other osteoporosis with current pathological fracture, right hand, initial encounter for fracture
  • M80.842
    • M80.842A Other osteoporosis with current pathological fracture, left hand, initial encounter for fracture
  • M80.849
    • M80.849A Other osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture
  • M80.861
    • M80.861A Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture
  • M80.862
    • M80.862A Other osteoporosis with current pathological fracture, left lower leg, initial encounter for fracture
  • M80.869
    • M80.869A Other osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture
  • M80.871
    • M80.871A Other osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture
  • M80.872
    • M80.872A Other osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture
  • M80.879
    • M80.879A Other osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture
  • M84.30
    • M84.30XA Stress fracture, unspecified site, initial encounter for fracture
  • M84.311
    • M84.311A Stress fracture, right shoulder, initial encounter for fracture
  • M84.312
    • M84.312A Stress fracture, left shoulder, initial encounter for fracture
  • M84.319
    • M84.319A Stress fracture, unspecified shoulder, initial encounter for fracture
  • M84.321
    • M84.321A Stress fracture, right humerus, initial encounter for fracture
  • M84.322
    • M84.322A Stress fracture, left humerus, initial encounter for fracture
  • M84.329
    • M84.329A Stress fracture, unspecified humerus, initial encounter for fracture
  • M84.331
    • M84.331A Stress fracture, right ulna, initial encounter for fracture
  • M84.332
    • M84.332A Stress fracture, left ulna, initial encounter for fracture
  • M84.333
    • M84.333A Stress fracture, right radius, initial encounter for fracture
  • M84.334
    • M84.334A Stress fracture, left radius, initial encounter for fracture
  • M84.339
    • M84.339A Stress fracture, unspecified ulna and radius, initial encounter for fracture
  • M84.341
    • M84.341A Stress fracture, right hand, initial encounter for fracture
  • M84.342
    • M84.342A Stress fracture, left hand, initial encounter for fracture
  • M84.343
    • M84.343A Stress fracture, unspecified hand, initial encounter for fracture
  • M84.344
    • M84.344A Stress fracture, right finger(s), initial encounter for fracture
  • M84.345
    • M84.345A Stress fracture, left finger(s), initial encounter for fracture
  • M84.346
    • M84.346A Stress fracture, unspecified finger(s), initial encounter for fracture
  • M84.350
    • M84.350A Stress fracture, pelvis, initial encounter for fracture
  • M84.361
    • M84.361A Stress fracture, right tibia, initial encounter for fracture
  • M84.362
    • M84.362A Stress fracture, left tibia, initial encounter for fracture
  • M84.363
    • M84.363A Stress fracture, right fibula, initial encounter for fracture
  • M84.364
    • M84.364A Stress fracture, left fibula, initial encounter for fracture
  • M84.369
    • M84.369A Stress fracture, unspecified tibia and fibula, initial encounter for fracture
  • M84.371
    • M84.371A Stress fracture, right ankle, initial encounter for fracture
  • M84.372
    • M84.372A Stress fracture, left ankle, initial encounter for fracture
  • M84.373
    • M84.373A Stress fracture, unspecified ankle, initial encounter for fracture
  • M84.374
    • M84.374A Stress fracture, right foot, initial encounter for fracture
  • M84.375
    • M84.375A Stress fracture, left foot, initial encounter for fracture
  • M84.376
    • M84.376A Stress fracture, unspecified foot, initial encounter for fracture
  • M84.377
    • M84.377A Stress fracture, right toe(s), initial encounter for fracture
  • M84.378
    • M84.378A Stress fracture, left toe(s), initial encounter for fracture
  • M84.379
    • M84.379A Stress fracture, unspecified toe(s), initial encounter for fracture
  • M84.38
    • M84.38XA Stress fracture, other site, initial encounter for fracture
  • M84.40
    • M84.40XA Pathological fracture, unspecified site, initial encounter for fracture
  • M84.411
    • M84.411A Pathological fracture, right shoulder, initial encounter for fracture
  • M84.412
    • M84.412A Pathological fracture, left shoulder, initial encounter for fracture
  • M84.419
    • M84.419A Pathological fracture, unspecified shoulder, initial encounter for fracture
  • M84.421
    • M84.421A Pathological fracture, right humerus, initial encounter for fracture
  • M84.422
    • M84.422A Pathological fracture, left humerus, initial encounter for fracture
  • M84.429
    • M84.429A Pathological fracture, unspecified humerus, initial encounter for fracture
  • M84.431
    • M84.431A Pathological fracture, right ulna, initial encounter for fracture
  • M84.432
    • M84.432A Pathological fracture, left ulna, initial encounter for fracture
  • M84.433
    • M84.433A Pathological fracture, right radius, initial encounter for fracture
  • M84.434
    • M84.434A Pathological fracture, left radius, initial encounter for fracture
  • M84.439
    • M84.439A Pathological fracture, unspecified ulna and radius, initial encounter for fracture
  • M84.441
    • M84.441A Pathological fracture, right hand, initial encounter for fracture
  • M84.442
    • M84.442A Pathological fracture, left hand, initial encounter for fracture
  • M84.443
    • M84.443A Pathological fracture, unspecified hand, initial encounter for fracture
  • M84.444
    • M84.444A Pathological fracture, right finger(s), initial encounter for fracture
  • M84.445
    • M84.445A Pathological fracture, left finger(s), initial encounter for fracture
  • M84.446
    • M84.446A Pathological fracture, unspecified finger(s), initial encounter for fracture
  • M84.454
    • M84.454A Pathological fracture, pelvis, initial encounter for fracture
  • M84.461
    • M84.461A Pathological fracture, right tibia, initial encounter for fracture
  • M84.462
    • M84.462A Pathological fracture, left tibia, initial encounter for fracture
  • M84.463
    • M84.463A Pathological fracture, right fibula, initial encounter for fracture
  • M84.464
    • M84.464A Pathological fracture, left fibula, initial encounter for fracture
  • M84.469
    • M84.469A Pathological fracture, unspecified tibia and fibula, initial encounter for fracture
  • M84.471
    • M84.471A Pathological fracture, right ankle, initial encounter for fracture
  • M84.472
    • M84.472A Pathological fracture, left ankle, initial encounter for fracture
  • M84.473
    • M84.473A Pathological fracture, unspecified ankle, initial encounter for fracture
  • M84.474
    • M84.474A Pathological fracture, right foot, initial encounter for fracture
  • M84.475
    • M84.475A Pathological fracture, left foot, initial encounter for fracture
  • M84.476
    • M84.476A Pathological fracture, unspecified foot, initial encounter for fracture
  • M84.477
    • M84.477A Pathological fracture, right toe(s), initial encounter for fracture
  • M84.478
    • M84.478A Pathological fracture, left toe(s), initial encounter for fracture
  • M84.479
    • M84.479A Pathological fracture, unspecified toe(s), initial encounter for fracture
  • M84.48
    • M84.48XA Pathological fracture, other site, initial encounter for fracture
  • M84.50
    • M84.50XA Pathological fracture in neoplastic disease, unspecified site, initial encounter for fracture
  • M84.511
    • M84.511A Pathological fracture in neoplastic disease, right shoulder, initial encounter for fracture
  • M84.512
    • M84.512A Pathological fracture in neoplastic disease, left shoulder, initial encounter for fracture
  • M84.519
    • M84.519A Pathological fracture in neoplastic disease, unspecified shoulder, initial encounter for fracture
  • M84.521
    • M84.521A Pathological fracture in neoplastic disease, right humerus, initial encounter for fracture
  • M84.522
    • M84.522A Pathological fracture in neoplastic disease, left humerus, initial encounter for fracture
  • M84.529
    • M84.529A Pathological fracture in neoplastic disease, unspecified humerus, initial encounter for fracture
  • M84.531
    • M84.531A Pathological fracture in neoplastic disease, right ulna, initial encounter for fracture
  • M84.532
    • M84.532A Pathological fracture in neoplastic disease, left ulna, initial encounter for fracture
  • M84.533
    • M84.533A Pathological fracture in neoplastic disease, right radius, initial encounter for fracture
  • M84.534
    • M84.534A Pathological fracture in neoplastic disease, left radius, initial encounter for fracture
  • M84.539
    • M84.539A Pathological fracture in neoplastic disease, unspecified ulna and radius, initial encounter for fracture
  • M84.541
    • M84.541A Pathological fracture in neoplastic disease, right hand, initial encounter for fracture
  • M84.542
    • M84.542A Pathological fracture in neoplastic disease, left hand, initial encounter for fracture
  • M84.549
    • M84.549A Pathological fracture in neoplastic disease, unspecified hand, initial encounter for fracture
  • M84.550
    • M84.550A Pathological fracture in neoplastic disease, pelvis, initial encounter for fracture
  • M84.561
    • M84.561A Pathological fracture in neoplastic disease, right tibia, initial encounter for fracture
  • M84.562
    • M84.562A Pathological fracture in neoplastic disease, left tibia, initial encounter for fracture
  • M84.563
    • M84.563A Pathological fracture in neoplastic disease, right fibula, initial encounter for fracture
  • M84.564
    • M84.564A Pathological fracture in neoplastic disease, left fibula, initial encounter for fracture
  • M84.569
    • M84.569A Pathological fracture in neoplastic disease, unspecified tibia and fibula, initial encounter for fracture
  • M84.571
    • M84.571A Pathological fracture in neoplastic disease, right ankle, initial encounter for fracture
  • M84.572
    • M84.572A Pathological fracture in neoplastic disease, left ankle, initial encounter for fracture
  • M84.573
    • M84.573A Pathological fracture in neoplastic disease, unspecified ankle, initial encounter for fracture
  • M84.574
    • M84.574A Pathological fracture in neoplastic disease, right foot, initial encounter for fracture
  • M84.575
    • M84.575A Pathological fracture in neoplastic disease, left foot, initial encounter for fracture
  • M84.576
    • M84.576A Pathological fracture in neoplastic disease, unspecified foot, initial encounter for fracture
  • M84.60
    • M84.60XA Pathological fracture in other disease, unspecified site, initial encounter for fracture
  • M84.611
    • M84.611A Pathological fracture in other disease, right shoulder, initial encounter for fracture
  • M84.612
    • M84.612A Pathological fracture in other disease, left shoulder, initial encounter for fracture
  • M84.619
    • M84.619A Pathological fracture in other disease, unspecified shoulder, initial encounter for fracture
  • M84.621
    • M84.621A Pathological fracture in other disease, right humerus, initial encounter for fracture
  • M84.622
    • M84.622A Pathological fracture in other disease, left humerus, initial encounter for fracture
  • M84.629
    • M84.629A Pathological fracture in other disease, unspecified humerus, initial encounter for fracture
  • M84.631
    • M84.631A Pathological fracture in other disease, right ulna, initial encounter for fracture
  • M84.632
    • M84.632A Pathological fracture in other disease, left ulna, initial encounter for fracture
  • M84.633
    • M84.633A Pathological fracture in other disease, right radius, initial encounter for fracture
  • M84.634
    • M84.634A Pathological fracture in other disease, left radius, initial encounter for fracture
  • M84.639
    • M84.639A Pathological fracture in other disease, unspecified ulna and radius, initial encounter for fracture
  • M84.641
    • M84.641A Pathological fracture in other disease, right hand, initial encounter for fracture
  • M84.642
    • M84.642A Pathological fracture in other disease, left hand, initial encounter for fracture
  • M84.649
    • M84.649A Pathological fracture in other disease, unspecified hand, initial encounter for fracture
  • M84.650
    • M84.650A Pathological fracture in other disease, pelvis, initial encounter for fracture
  • M84.661
    • M84.661A Pathological fracture in other disease, right tibia, initial encounter for fracture
  • M84.662
    • M84.662A Pathological fracture in other disease, left tibia, initial encounter for fracture
  • M84.663
    • M84.663A Pathological fracture in other disease, right fibula, initial encounter for fracture
  • M84.664
    • M84.664A Pathological fracture in other disease, left fibula, initial encounter for fracture
  • M84.669
    • M84.669A Pathological fracture in other disease, unspecified tibia and fibula, initial encounter for fracture
  • M84.671
    • M84.671A Pathological fracture in other disease, right ankle, initial encounter for fracture
  • M84.672
    • M84.672A Pathological fracture in other disease, left ankle, initial encounter for fracture
  • M84.673
    • M84.673A Pathological fracture in other disease, unspecified ankle, initial encounter for fracture
  • M84.674
    • M84.674A Pathological fracture in other disease, right foot, initial encounter for fracture
  • M84.675
    • M84.675A Pathological fracture in other disease, left foot, initial encounter for fracture
  • M84.676
    • M84.676A Pathological fracture in other disease, unspecified foot, initial encounter for fracture