MS-DRG · FY 2027 v44.0

MS-DRG 404 – Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection without MCC

A Surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Inpatient cases group to DRG 404 when one of the 305 ICD-10-PCS operating-room procedures listed below is reported with a qualifying principal diagnosis. Its FY 2027 relative weight is 3.2521 with a geometric mean length of stay of 4.6 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v44.0 dataset

3.2521

Relative Weight

4.6

Geometric Mean LOS (days)

5.7

Arithmetic Mean LOS (days)

Diagnosis Codes

305

Procedure Codes

How a case is assigned to DRG 404

The grouper first assigns the case to MDC 08 from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG).

ICD-10-PCS

Procedure Codes 305 codes · 76 categories

305 of 305 shown

0M9L Bursae and Ligaments, Drainage1 code

0M9L4ZZ Drainage of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach

0M9M Bursae and Ligaments, Drainage1 code

0M9M4ZZ Drainage of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach

0QBG Lower Bones, Excision3 codes

0QBG0ZZ Excision of Right Tibia, Open Approach
0QBG3ZZ Excision of Right Tibia, Percutaneous Approach
0QBG4ZZ Excision of Right Tibia, Percutaneous Endoscopic Approach

0QBH Lower Bones, Excision3 codes

0QBH0ZZ Excision of Left Tibia, Open Approach
0QBH3ZZ Excision of Left Tibia, Percutaneous Approach
0QBH4ZZ Excision of Left Tibia, Percutaneous Endoscopic Approach

0QC6 Lower Bones, Extirpation3 codes

0QC60ZZ Extirpation of Matter from Right Upper Femur, Open Approach
0QC63ZZ Extirpation of Matter from Right Upper Femur, Percutaneous Approach
0QC64ZZ Extirpation of Matter from Right Upper Femur, Percutaneous Endoscopic Approach

0QC7 Lower Bones, Extirpation3 codes

0QC70ZZ Extirpation of Matter from Left Upper Femur, Open Approach
0QC73ZZ Extirpation of Matter from Left Upper Femur, Percutaneous Approach
0QC74ZZ Extirpation of Matter from Left Upper Femur, Percutaneous Endoscopic Approach

0QC8 Lower Bones, Extirpation3 codes

0QC80ZZ Extirpation of Matter from Right Femoral Shaft, Open Approach
0QC83ZZ Extirpation of Matter from Right Femoral Shaft, Percutaneous Approach
0QC84ZZ Extirpation of Matter from Right Femoral Shaft, Percutaneous Endoscopic Approach

0QC9 Lower Bones, Extirpation3 codes

0QC90ZZ Extirpation of Matter from Left Femoral Shaft, Open Approach
0QC93ZZ Extirpation of Matter from Left Femoral Shaft, Percutaneous Approach
0QC94ZZ Extirpation of Matter from Left Femoral Shaft, Percutaneous Endoscopic Approach

0QCB Lower Bones, Extirpation3 codes

0QCB0ZZ Extirpation of Matter from Right Lower Femur, Open Approach
0QCB3ZZ Extirpation of Matter from Right Lower Femur, Percutaneous Approach
0QCB4ZZ Extirpation of Matter from Right Lower Femur, Percutaneous Endoscopic Approach

0QCC Lower Bones, Extirpation3 codes

0QCC0ZZ Extirpation of Matter from Left Lower Femur, Open Approach
0QCC3ZZ Extirpation of Matter from Left Lower Femur, Percutaneous Approach
0QCC4ZZ Extirpation of Matter from Left Lower Femur, Percutaneous Endoscopic Approach

0QCG Lower Bones, Extirpation3 codes

0QCG0ZZ Extirpation of Matter from Right Tibia, Open Approach
0QCG3ZZ Extirpation of Matter from Right Tibia, Percutaneous Approach
0QCG4ZZ Extirpation of Matter from Right Tibia, Percutaneous Endoscopic Approach

0QCH Lower Bones, Extirpation3 codes

0QCH0ZZ Extirpation of Matter from Left Tibia, Open Approach
0QCH3ZZ Extirpation of Matter from Left Tibia, Percutaneous Approach
0QCH4ZZ Extirpation of Matter from Left Tibia, Percutaneous Endoscopic Approach

0QR6 Lower Bones, Replacement6 codes

0QR60JZ Replacement of Right Upper Femur with Synthetic Substitute, Open Approach
0QR60KZ Replacement of Right Upper Femur with Nonautologous Tissue Substitute, Open Approach
0QR63JZ Replacement of Right Upper Femur with Synthetic Substitute, Percutaneous Approach
0QR63KZ Replacement of Right Upper Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QR64JZ Replacement of Right Upper Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR64KZ Replacement of Right Upper Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0QR7 Lower Bones, Replacement6 codes

0QR70JZ Replacement of Left Upper Femur with Synthetic Substitute, Open Approach
0QR70KZ Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Open Approach
0QR73JZ Replacement of Left Upper Femur with Synthetic Substitute, Percutaneous Approach
0QR73KZ Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QR74JZ Replacement of Left Upper Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR74KZ Replacement of Left Upper Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0QR8 Lower Bones, Replacement6 codes

0QR80JZ Replacement of Right Femoral Shaft with Synthetic Substitute, Open Approach
0QR80KZ Replacement of Right Femoral Shaft with Nonautologous Tissue Substitute, Open Approach
0QR83JZ Replacement of Right Femoral Shaft with Synthetic Substitute, Percutaneous Approach
0QR83KZ Replacement of Right Femoral Shaft with Nonautologous Tissue Substitute, Percutaneous Approach
0QR84JZ Replacement of Right Femoral Shaft with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR84KZ Replacement of Right Femoral Shaft with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0QR9 Lower Bones, Replacement6 codes

0QR90JZ Replacement of Left Femoral Shaft with Synthetic Substitute, Open Approach
0QR90KZ Replacement of Left Femoral Shaft with Nonautologous Tissue Substitute, Open Approach
0QR93JZ Replacement of Left Femoral Shaft with Synthetic Substitute, Percutaneous Approach
0QR93KZ Replacement of Left Femoral Shaft with Nonautologous Tissue Substitute, Percutaneous Approach
0QR94JZ Replacement of Left Femoral Shaft with Synthetic Substitute, Percutaneous Endoscopic Approach
0QR94KZ Replacement of Left Femoral Shaft with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0QRB Lower Bones, Replacement6 codes

0QRB0JZ Replacement of Right Lower Femur with Synthetic Substitute, Open Approach
0QRB0KZ Replacement of Right Lower Femur with Nonautologous Tissue Substitute, Open Approach
0QRB3JZ Replacement of Right Lower Femur with Synthetic Substitute, Percutaneous Approach
0QRB3KZ Replacement of Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QRB4JZ Replacement of Right Lower Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QRB4KZ Replacement of Right Lower Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0QRC Lower Bones, Replacement6 codes

0QRC0JZ Replacement of Left Lower Femur with Synthetic Substitute, Open Approach
0QRC0KZ Replacement of Left Lower Femur with Nonautologous Tissue Substitute, Open Approach
0QRC3JZ Replacement of Left Lower Femur with Synthetic Substitute, Percutaneous Approach
0QRC3KZ Replacement of Left Lower Femur with Nonautologous Tissue Substitute, Percutaneous Approach
0QRC4JZ Replacement of Left Lower Femur with Synthetic Substitute, Percutaneous Endoscopic Approach
0QRC4KZ Replacement of Left Lower Femur with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0QRG Lower Bones, Replacement9 codes

0QRG07Z Replacement of Right Tibia with Autologous Tissue Substitute, Open Approach
0QRG0JZ Replacement of Right Tibia with Synthetic Substitute, Open Approach
0QRG0KZ Replacement of Right Tibia with Nonautologous Tissue Substitute, Open Approach
0QRG37Z Replacement of Right Tibia with Autologous Tissue Substitute, Percutaneous Approach
0QRG3JZ Replacement of Right Tibia with Synthetic Substitute, Percutaneous Approach
0QRG3KZ Replacement of Right Tibia with Nonautologous Tissue Substitute, Percutaneous Approach
0QRG47Z Replacement of Right Tibia with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QRG4JZ Replacement of Right Tibia with Synthetic Substitute, Percutaneous Endoscopic Approach
0QRG4KZ Replacement of Right Tibia with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0QRH Lower Bones, Replacement9 codes

0QRH07Z Replacement of Left Tibia with Autologous Tissue Substitute, Open Approach
0QRH0JZ Replacement of Left Tibia with Synthetic Substitute, Open Approach
0QRH0KZ Replacement of Left Tibia with Nonautologous Tissue Substitute, Open Approach
0QRH37Z Replacement of Left Tibia with Autologous Tissue Substitute, Percutaneous Approach
0QRH3JZ Replacement of Left Tibia with Synthetic Substitute, Percutaneous Approach
0QRH3KZ Replacement of Left Tibia with Nonautologous Tissue Substitute, Percutaneous Approach
0QRH47Z Replacement of Left Tibia with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QRH4JZ Replacement of Left Tibia with Synthetic Substitute, Percutaneous Endoscopic Approach
0QRH4KZ Replacement of Left Tibia with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0QT6 Lower Bones, Resection1 code

0QT60ZZ Resection of Right Upper Femur, Open Approach

0QT7 Lower Bones, Resection1 code

0QT70ZZ Resection of Left Upper Femur, Open Approach

0QT8 Lower Bones, Resection1 code

0QT80ZZ Resection of Right Femoral Shaft, Open Approach

0QT9 Lower Bones, Resection1 code

0QT90ZZ Resection of Left Femoral Shaft, Open Approach

0QTB Lower Bones, Resection1 code

0QTB0ZZ Resection of Right Lower Femur, Open Approach

0QTC Lower Bones, Resection1 code

0QTC0ZZ Resection of Left Lower Femur, Open Approach

0QTD Lower Bones, Resection1 code

0QTD0ZZ Resection of Right Patella, Open Approach

0QTF Lower Bones, Resection1 code

0QTF0ZZ Resection of Left Patella, Open Approach

0S99 Lower Joints, Drainage2 codes

0S9900Z Drainage of Right Hip Joint with Drainage Device, Open Approach
0S990ZZ Drainage of Right Hip Joint, Open Approach

0S9B Lower Joints, Drainage2 codes

0S9B00Z Drainage of Left Hip Joint with Drainage Device, Open Approach
0S9B0ZZ Drainage of Left Hip Joint, Open Approach

0SB9 Lower Joints, Excision3 codes

0SB90ZZ Excision of Right Hip Joint, Open Approach
0SB93ZZ Excision of Right Hip Joint, Percutaneous Approach
0SB94ZZ Excision of Right Hip Joint, Percutaneous Endoscopic Approach

0SBB Lower Joints, Excision3 codes

0SBB0ZZ Excision of Left Hip Joint, Open Approach
0SBB3ZZ Excision of Left Hip Joint, Percutaneous Approach
0SBB4ZZ Excision of Left Hip Joint, Percutaneous Endoscopic Approach

0SC9 Lower Joints, Extirpation3 codes

0SC90ZZ Extirpation of Matter from Right Hip Joint, Open Approach
0SC93ZZ Extirpation of Matter from Right Hip Joint, Percutaneous Approach
0SC94ZZ Extirpation of Matter from Right Hip Joint, Percutaneous Endoscopic Approach

0SCB Lower Joints, Extirpation3 codes

0SCB0ZZ Extirpation of Matter from Left Hip Joint, Open Approach
0SCB3ZZ Extirpation of Matter from Left Hip Joint, Percutaneous Approach
0SCB4ZZ Extirpation of Matter from Left Hip Joint, Percutaneous Endoscopic Approach

0SCC Lower Joints, Extirpation3 codes

0SCC0ZZ Extirpation of Matter from Right Knee Joint, Open Approach
0SCC3ZZ Extirpation of Matter from Right Knee Joint, Percutaneous Approach
0SCC4ZZ Extirpation of Matter from Right Knee Joint, Percutaneous Endoscopic Approach

0SCD Lower Joints, Extirpation3 codes

0SCD0ZZ Extirpation of Matter from Left Knee Joint, Open Approach
0SCD3ZZ Extirpation of Matter from Left Knee Joint, Percutaneous Approach
0SCD4ZZ Extirpation of Matter from Left Knee Joint, Percutaneous Endoscopic Approach

0SH9 Lower Joints, Insertion1 code

0SH908Z Insertion of Spacer into Right Hip Joint, Open Approach

0SHB Lower Joints, Insertion1 code

0SHB08Z Insertion of Spacer into Left Hip Joint, Open Approach

0SJ9 Lower Joints, Inspection1 code

0SJ90ZZ Inspection of Right Hip Joint, Open Approach

0SJB Lower Joints, Inspection1 code

0SJB0ZZ Inspection of Left Hip Joint, Open Approach

0SJC Lower Joints, Inspection1 code

0SJC0ZZ Inspection of Right Knee Joint, Open Approach

0SJD Lower Joints, Inspection1 code

0SJD0ZZ Inspection of Left Knee Joint, Open Approach

0SP9 Lower Joints, Removal17 codes

0SP900Z Removal of Drainage Device from Right Hip Joint, Open Approach
0SP903Z Removal of Infusion Device from Right Hip Joint, Open Approach
0SP904Z Removal of Internal Fixation Device from Right Hip Joint, Open Approach
0SP908Z Removal of Spacer from Right Hip Joint, Open Approach
0SP909Z Removal of Liner from Right Hip Joint, Open Approach
0SP90BZ Removal of Resurfacing Device from Right Hip Joint, Open Approach
0SP90EZ Removal of Articulating Spacer from Right Hip Joint, Open Approach
0SP90JZ Removal of Synthetic Substitute from Right Hip Joint, Open Approach
0SP90KZ Removal of Nonautologous Tissue Substitute from Right Hip Joint, Open Approach
0SP934Z Removal of Internal Fixation Device from Right Hip Joint, Percutaneous Approach
0SP93JZ Removal of Synthetic Substitute from Right Hip Joint, Percutaneous Approach
0SP93KZ Removal of Nonautologous Tissue Substitute from Right Hip Joint, Percutaneous Approach
0SP940Z Removal of Drainage Device from Right Hip Joint, Percutaneous Endoscopic Approach
0SP943Z Removal of Infusion Device from Right Hip Joint, Percutaneous Endoscopic Approach
0SP944Z Removal of Internal Fixation Device from Right Hip Joint, Percutaneous Endoscopic Approach
0SP94JZ Removal of Synthetic Substitute from Right Hip Joint, Percutaneous Endoscopic Approach
0SP94KZ Removal of Nonautologous Tissue Substitute from Right Hip Joint, Percutaneous Endoscopic Approach

0SPA Lower Joints, Removal3 codes

0SPA0JZ Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Open Approach
0SPA3JZ Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Approach
0SPA4JZ Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach

0SPB Lower Joints, Removal17 codes

0SPB00Z Removal of Drainage Device from Left Hip Joint, Open Approach
0SPB03Z Removal of Infusion Device from Left Hip Joint, Open Approach
0SPB04Z Removal of Internal Fixation Device from Left Hip Joint, Open Approach
0SPB08Z Removal of Spacer from Left Hip Joint, Open Approach
0SPB09Z Removal of Liner from Left Hip Joint, Open Approach
0SPB0BZ Removal of Resurfacing Device from Left Hip Joint, Open Approach
0SPB0EZ Removal of Articulating Spacer from Left Hip Joint, Open Approach
0SPB0JZ Removal of Synthetic Substitute from Left Hip Joint, Open Approach
0SPB0KZ Removal of Nonautologous Tissue Substitute from Left Hip Joint, Open Approach
0SPB34Z Removal of Internal Fixation Device from Left Hip Joint, Percutaneous Approach
0SPB3JZ Removal of Synthetic Substitute from Left Hip Joint, Percutaneous Approach
0SPB3KZ Removal of Nonautologous Tissue Substitute from Left Hip Joint, Percutaneous Approach
0SPB40Z Removal of Drainage Device from Left Hip Joint, Percutaneous Endoscopic Approach
0SPB43Z Removal of Infusion Device from Left Hip Joint, Percutaneous Endoscopic Approach
0SPB44Z Removal of Internal Fixation Device from Left Hip Joint, Percutaneous Endoscopic Approach
0SPB4JZ Removal of Synthetic Substitute from Left Hip Joint, Percutaneous Endoscopic Approach
0SPB4KZ Removal of Nonautologous Tissue Substitute from Left Hip Joint, Percutaneous Endoscopic Approach

0SPC Lower Joints, Removal16 codes

0SPC09Z Removal of Liner from Right Knee Joint, Open Approach
0SPC0JC Removal of Synthetic Substitute from Right Knee Joint, Patellar Surface, Open Approach
0SPC0JZ Removal of Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0LZ Removal of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0MZ Removal of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Open Approach
0SPC0NZ Removal of Patellofemoral Synthetic Substitute from Right Knee Joint, Open Approach
0SPC3JC Removal of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Approach
0SPC3JZ Removal of Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3LZ Removal of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3MZ Removal of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC3NZ Removal of Patellofemoral Synthetic Substitute from Right Knee Joint, Percutaneous Approach
0SPC4JC Removal of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
0SPC4JZ Removal of Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4LZ Removal of Medial Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4MZ Removal of Lateral Unicondylar Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach
0SPC4NZ Removal of Patellofemoral Synthetic Substitute from Right Knee Joint, Percutaneous Endoscopic Approach

0SPD Lower Joints, Removal16 codes

0SPD09Z Removal of Liner from Left Knee Joint, Open Approach
0SPD0JC Removal of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach
0SPD0JZ Removal of Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0LZ Removal of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0MZ Removal of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Open Approach
0SPD0NZ Removal of Patellofemoral Synthetic Substitute from Left Knee Joint, Open Approach
0SPD3JC Removal of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Approach
0SPD3JZ Removal of Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3LZ Removal of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3MZ Removal of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD3NZ Removal of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Approach
0SPD4JC Removal of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach
0SPD4JZ Removal of Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4LZ Removal of Medial Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4MZ Removal of Lateral Unicondylar Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach
0SPD4NZ Removal of Patellofemoral Synthetic Substitute from Left Knee Joint, Percutaneous Endoscopic Approach

0SPE Lower Joints, Removal3 codes

0SPE0JZ Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Open Approach
0SPE3JZ Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Approach
0SPE4JZ Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach

0SPR Lower Joints, Removal3 codes

0SPR0JZ Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Open Approach
0SPR3JZ Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Approach
0SPR4JZ Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach

0SPS Lower Joints, Removal3 codes

0SPS0JZ Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Open Approach
0SPS3JZ Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Approach
0SPS4JZ Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach

0SPT Lower Joints, Removal3 codes

0SPT0JZ Removal of Synthetic Substitute from Right Knee Joint, Femoral Surface, Open Approach
0SPT3JZ Removal of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Approach
0SPT4JZ Removal of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach

0SPU Lower Joints, Removal3 codes

0SPU0JZ Removal of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach
0SPU3JZ Removal of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Approach
0SPU4JZ Removal of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach

0SPV Lower Joints, Removal3 codes

0SPV0JZ Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach
0SPV3JZ Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Approach
0SPV4JZ Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach

0SPW Lower Joints, Removal3 codes

0SPW0JZ Removal of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach
0SPW3JZ Removal of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Approach
0SPW4JZ Removal of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach

0SR9 Lower Joints, Replacement1 code

0SR90EZ Replacement of Right Hip Joint with Articulating Spacer, Open Approach

0SRB Lower Joints, Replacement1 code

0SRB0EZ Replacement of Left Hip Joint with Articulating Spacer, Open Approach

0ST9 Lower Joints, Resection1 code

0ST90ZZ Resection of Right Hip Joint, Open Approach

0STB Lower Joints, Resection1 code

0STB0ZZ Resection of Left Hip Joint, Open Approach

0STC Lower Joints, Resection1 code

0STC0ZZ Resection of Right Knee Joint, Open Approach

0STD Lower Joints, Resection1 code

0STD0ZZ Resection of Left Knee Joint, Open Approach

0SW9 Lower Joints, Revision17 codes

0SW900Z Revision of Drainage Device in Right Hip Joint, Open Approach
0SW903Z Revision of Infusion Device in Right Hip Joint, Open Approach
0SW904Z Revision of Internal Fixation Device in Right Hip Joint, Open Approach
0SW908Z Revision of Spacer in Right Hip Joint, Open Approach
0SW909Z Revision of Liner in Right Hip Joint, Open Approach
0SW90BZ Revision of Resurfacing Device in Right Hip Joint, Open Approach
0SW90KZ Revision of Nonautologous Tissue Substitute in Right Hip Joint, Open Approach
0SW930Z Revision of Drainage Device in Right Hip Joint, Percutaneous Approach
0SW933Z Revision of Infusion Device in Right Hip Joint, Percutaneous Approach
0SW934Z Revision of Internal Fixation Device in Right Hip Joint, Percutaneous Approach
0SW938Z Revision of Spacer in Right Hip Joint, Percutaneous Approach
0SW93KZ Revision of Nonautologous Tissue Substitute in Right Hip Joint, Percutaneous Approach
0SW940Z Revision of Drainage Device in Right Hip Joint, Percutaneous Endoscopic Approach
0SW943Z Revision of Infusion Device in Right Hip Joint, Percutaneous Endoscopic Approach
0SW944Z Revision of Internal Fixation Device in Right Hip Joint, Percutaneous Endoscopic Approach
0SW948Z Revision of Spacer in Right Hip Joint, Percutaneous Endoscopic Approach
0SW94KZ Revision of Nonautologous Tissue Substitute in Right Hip Joint, Percutaneous Endoscopic Approach

0SWB Lower Joints, Revision17 codes

0SWB00Z Revision of Drainage Device in Left Hip Joint, Open Approach
0SWB03Z Revision of Infusion Device in Left Hip Joint, Open Approach
0SWB04Z Revision of Internal Fixation Device in Left Hip Joint, Open Approach
0SWB08Z Revision of Spacer in Left Hip Joint, Open Approach
0SWB09Z Revision of Liner in Left Hip Joint, Open Approach
0SWB0BZ Revision of Resurfacing Device in Left Hip Joint, Open Approach
0SWB0KZ Revision of Nonautologous Tissue Substitute in Left Hip Joint, Open Approach
0SWB30Z Revision of Drainage Device in Left Hip Joint, Percutaneous Approach
0SWB33Z Revision of Infusion Device in Left Hip Joint, Percutaneous Approach
0SWB34Z Revision of Internal Fixation Device in Left Hip Joint, Percutaneous Approach
0SWB38Z Revision of Spacer in Left Hip Joint, Percutaneous Approach
0SWB3KZ Revision of Nonautologous Tissue Substitute in Left Hip Joint, Percutaneous Approach
0SWB40Z Revision of Drainage Device in Left Hip Joint, Percutaneous Endoscopic Approach
0SWB43Z Revision of Infusion Device in Left Hip Joint, Percutaneous Endoscopic Approach
0SWB44Z Revision of Internal Fixation Device in Left Hip Joint, Percutaneous Endoscopic Approach
0SWB48Z Revision of Spacer in Left Hip Joint, Percutaneous Endoscopic Approach
0SWB4KZ Revision of Nonautologous Tissue Substitute in Left Hip Joint, Percutaneous Endoscopic Approach

0SWC Lower Joints, Revision16 codes

0SWC00Z Revision of Drainage Device in Right Knee Joint, Open Approach
0SWC03Z Revision of Infusion Device in Right Knee Joint, Open Approach
0SWC04Z Revision of Internal Fixation Device in Right Knee Joint, Open Approach
0SWC08Z Revision of Spacer in Right Knee Joint, Open Approach
0SWC09Z Revision of Liner in Right Knee Joint, Open Approach
0SWC0KZ Revision of Nonautologous Tissue Substitute in Right Knee Joint, Open Approach
0SWC30Z Revision of Drainage Device in Right Knee Joint, Percutaneous Approach
0SWC33Z Revision of Infusion Device in Right Knee Joint, Percutaneous Approach
0SWC34Z Revision of Internal Fixation Device in Right Knee Joint, Percutaneous Approach
0SWC38Z Revision of Spacer in Right Knee Joint, Percutaneous Approach
0SWC3KZ Revision of Nonautologous Tissue Substitute in Right Knee Joint, Percutaneous Approach
0SWC40Z Revision of Drainage Device in Right Knee Joint, Percutaneous Endoscopic Approach
0SWC43Z Revision of Infusion Device in Right Knee Joint, Percutaneous Endoscopic Approach
0SWC44Z Revision of Internal Fixation Device in Right Knee Joint, Percutaneous Endoscopic Approach
0SWC48Z Revision of Spacer in Right Knee Joint, Percutaneous Endoscopic Approach
0SWC4KZ Revision of Nonautologous Tissue Substitute in Right Knee Joint, Percutaneous Endoscopic Approach

0SWD Lower Joints, Revision16 codes

0SWD00Z Revision of Drainage Device in Left Knee Joint, Open Approach
0SWD03Z Revision of Infusion Device in Left Knee Joint, Open Approach
0SWD04Z Revision of Internal Fixation Device in Left Knee Joint, Open Approach
0SWD08Z Revision of Spacer in Left Knee Joint, Open Approach
0SWD09Z Revision of Liner in Left Knee Joint, Open Approach
0SWD0KZ Revision of Nonautologous Tissue Substitute in Left Knee Joint, Open Approach
0SWD30Z Revision of Drainage Device in Left Knee Joint, Percutaneous Approach
0SWD33Z Revision of Infusion Device in Left Knee Joint, Percutaneous Approach
0SWD34Z Revision of Internal Fixation Device in Left Knee Joint, Percutaneous Approach
0SWD38Z Revision of Spacer in Left Knee Joint, Percutaneous Approach
0SWD3KZ Revision of Nonautologous Tissue Substitute in Left Knee Joint, Percutaneous Approach
0SWD40Z Revision of Drainage Device in Left Knee Joint, Percutaneous Endoscopic Approach
0SWD43Z Revision of Infusion Device in Left Knee Joint, Percutaneous Endoscopic Approach
0SWD44Z Revision of Internal Fixation Device in Left Knee Joint, Percutaneous Endoscopic Approach
0SWD48Z Revision of Spacer in Left Knee Joint, Percutaneous Endoscopic Approach
0SWD4KZ Revision of Nonautologous Tissue Substitute in Left Knee Joint, Percutaneous Endoscopic Approach

0Y62 Anatomical Regions, Lower Extremities, Detachment1 code

0Y620ZZ Detachment at Right Hindquarter, Open Approach

0Y63 Anatomical Regions, Lower Extremities, Detachment1 code

0Y630ZZ Detachment at Left Hindquarter, Open Approach

0Y64 Anatomical Regions, Lower Extremities, Detachment1 code

0Y640ZZ Detachment at Bilateral Hindquarter, Open Approach

0Y67 Anatomical Regions, Lower Extremities, Detachment1 code

0Y670ZZ Detachment at Right Femoral Region, Open Approach

0Y68 Anatomical Regions, Lower Extremities, Detachment1 code

0Y680ZZ Detachment at Left Femoral Region, Open Approach

0Y6C Anatomical Regions, Lower Extremities, Detachment3 codes

0Y6C0Z1 Detachment at Right Upper Leg, High, Open Approach
0Y6C0Z2 Detachment at Right Upper Leg, Mid, Open Approach
0Y6C0Z3 Detachment at Right Upper Leg, Low, Open Approach

0Y6D Anatomical Regions, Lower Extremities, Detachment3 codes

0Y6D0Z1 Detachment at Left Upper Leg, High, Open Approach
0Y6D0Z2 Detachment at Left Upper Leg, Mid, Open Approach
0Y6D0Z3 Detachment at Left Upper Leg, Low, Open Approach

0Y6F Anatomical Regions, Lower Extremities, Detachment1 code

0Y6F0ZZ Detachment at Right Knee Region, Open Approach

0Y6G Anatomical Regions, Lower Extremities, Detachment1 code

0Y6G0ZZ Detachment at Left Knee Region, Open Approach

0Y6H Anatomical Regions, Lower Extremities, Detachment3 codes

0Y6H0Z1 Detachment at Right Lower Leg, High, Open Approach
0Y6H0Z2 Detachment at Right Lower Leg, Mid, Open Approach
0Y6H0Z3 Detachment at Right Lower Leg, Low, Open Approach

0Y6J Anatomical Regions, Lower Extremities, Detachment3 codes

0Y6J0Z1 Detachment at Left Lower Leg, High, Open Approach
0Y6J0Z2 Detachment at Left Lower Leg, Mid, Open Approach
0Y6J0Z3 Detachment at Left Lower Leg, Low, Open Approach

XW0V New Technology, Anatomical Regions, Introduction2 codes

XW0V0BC Introduction of Vancomycin-eluting Bone Void Filler into Bones, Open Approach, New Technology Group 12
XW0V0P7 Introduction of Gentamicin-eluting Bone Void Filler into Bones, Open Approach, New Technology Group 7

ICD-10-CM

Qualifying Diagnosis Codes 4 codes · 1 category

T84 Complications of internal orthopedic prosthetic devices, implants and grafts4 codes

T84.51XA Infection and inflammatory reaction due to internal right hip prosthesis, initial encounter
T84.52XA Infection and inflammatory reaction due to internal left hip prosthesis, initial encounter
T84.53XA Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter
T84.54XA Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter

Frequently Asked Questions

What is MS-DRG 404?

MS-DRG 404 (Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection without MCC) is a surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Its FY 2027 relative weight is 3.2521 with a geometric mean length of stay of 4.6 days.

How many procedure codes group to DRG 404?

305 ICD-10-PCS operating-room procedure codes group to this DRG.

What is the relative weight of DRG 404?

The FY 2027 relative weight of this DRG is 3.2521, meaning reimbursement of roughly 3.25 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 403 – Hip or Knee Procedures with Principal Diagnosis of Next →DRG 405 – Pancreas, Liver and Shunt Procedures with MCC

Source: CMS ICD-10 MS-DRG v44.0 Definitions Manual and the FY 2027 IPPS Final Rule (Table 5), effective October 1, 2026 through September 30, 2027. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.