MS-DRG · FY 2026 v43.0

MS-DRG 483 – Major Joint or Limb Reattachment Procedures of Upper Extremities

A Surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Inpatient cases group to DRG 483 when one of the 58 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.7719 with a geometric mean length of stay of 2.0 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset

2.7719

Relative Weight

2.0

Geometric Mean LOS (days)

2.8

Arithmetic Mean LOS (days)

Procedure Codes

How a case is assigned to DRG 483

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 58 codes · 28 categories

58 of 58 shown

0RRE Upper Joints, Replacement3 codes

0RRE07Z Replacement of Right Sternoclavicular Joint with Autologous Tissue Substitute, Open Approach
0RRE0JZ Replacement of Right Sternoclavicular Joint with Synthetic Substitute, Open Approach
0RRE0KZ Replacement of Right Sternoclavicular Joint with Nonautologous Tissue Substitute, Open Approach

0RRF Upper Joints, Replacement3 codes

0RRF07Z Replacement of Left Sternoclavicular Joint with Autologous Tissue Substitute, Open Approach
0RRF0JZ Replacement of Left Sternoclavicular Joint with Synthetic Substitute, Open Approach
0RRF0KZ Replacement of Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Open Approach

0RRG Upper Joints, Replacement3 codes

0RRG07Z Replacement of Right Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RRG0JZ Replacement of Right Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RRG0KZ Replacement of Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach

0RRH Upper Joints, Replacement3 codes

0RRH07Z Replacement of Left Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RRH0JZ Replacement of Left Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RRH0KZ Replacement of Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach

0RRJ Upper Joints, Replacement8 codes

0RRJ008 Replacement of Right Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Subscapularis-sparing Technique, Open Approach
0RRJ00Z Replacement of Right Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach
0RRJ07Z Replacement of Right Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RRJ0J6 Replacement of Right Shoulder Joint with Synthetic Substitute, Humeral Surface, Open Approach
0RRJ0J7 Replacement of Right Shoulder Joint with Synthetic Substitute, Glenoid Surface, Open Approach
0RRJ0J8 Replacement of Right Shoulder Joint with Synthetic Substitute, Subscapularis-sparing Technique, Open Approach
0RRJ0JZ Replacement of Right Shoulder Joint with Synthetic Substitute, Open Approach
0RRJ0KZ Replacement of Right Shoulder Joint with Nonautologous Tissue Substitute, Open Approach

0RRK Upper Joints, Replacement8 codes

0RRK008 Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Subscapularis-sparing Technique, Open Approach
0RRK00Z Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach
0RRK07Z Replacement of Left Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RRK0J6 Replacement of Left Shoulder Joint with Synthetic Substitute, Humeral Surface, Open Approach
0RRK0J7 Replacement of Left Shoulder Joint with Synthetic Substitute, Glenoid Surface, Open Approach
0RRK0J8 Replacement of Left Shoulder Joint with Synthetic Substitute, Subscapularis-sparing Technique, Open Approach
0RRK0JZ Replacement of Left Shoulder Joint with Synthetic Substitute, Open Approach
0RRK0KZ Replacement of Left Shoulder Joint with Nonautologous Tissue Substitute, Open Approach

0RRL Upper Joints, Replacement3 codes

0RRL07Z Replacement of Right Elbow Joint with Autologous Tissue Substitute, Open Approach
0RRL0JZ Replacement of Right Elbow Joint with Synthetic Substitute, Open Approach
0RRL0KZ Replacement of Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach

0RRM Upper Joints, Replacement3 codes

0RRM07Z Replacement of Left Elbow Joint with Autologous Tissue Substitute, Open Approach
0RRM0JZ Replacement of Left Elbow Joint with Synthetic Substitute, Open Approach
0RRM0KZ Replacement of Left Elbow Joint with Nonautologous Tissue Substitute, Open Approach

0RRN Upper Joints, Replacement3 codes

0RRN07Z Replacement of Right Wrist Joint with Autologous Tissue Substitute, Open Approach
0RRN0JZ Replacement of Right Wrist Joint with Synthetic Substitute, Open Approach
0RRN0KZ Replacement of Right Wrist Joint with Nonautologous Tissue Substitute, Open Approach

0RRP Upper Joints, Replacement3 codes

0RRP07Z Replacement of Left Wrist Joint with Autologous Tissue Substitute, Open Approach
0RRP0JZ Replacement of Left Wrist Joint with Synthetic Substitute, Open Approach
0RRP0KZ Replacement of Left Wrist Joint with Nonautologous Tissue Substitute, Open Approach

0XM0 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM00ZZ Reattachment of Right Forequarter, Open Approach

0XM1 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM10ZZ Reattachment of Left Forequarter, Open Approach

0XM2 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM20ZZ Reattachment of Right Shoulder Region, Open Approach

0XM3 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM30ZZ Reattachment of Left Shoulder Region, Open Approach

0XM4 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM40ZZ Reattachment of Right Axilla, Open Approach

0XM5 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM50ZZ Reattachment of Left Axilla, Open Approach

0XM6 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM60ZZ Reattachment of Right Upper Extremity, Open Approach

0XM7 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM70ZZ Reattachment of Left Upper Extremity, Open Approach

0XM8 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM80ZZ Reattachment of Right Upper Arm, Open Approach

0XM9 Anatomical Regions, Upper Extremities, Reattachment1 code

0XM90ZZ Reattachment of Left Upper Arm, Open Approach

0XMB Anatomical Regions, Upper Extremities, Reattachment1 code

0XMB0ZZ Reattachment of Right Elbow Region, Open Approach

0XMC Anatomical Regions, Upper Extremities, Reattachment1 code

0XMC0ZZ Reattachment of Left Elbow Region, Open Approach

0XMD Anatomical Regions, Upper Extremities, Reattachment1 code

0XMD0ZZ Reattachment of Right Lower Arm, Open Approach

0XMF Anatomical Regions, Upper Extremities, Reattachment1 code

0XMF0ZZ Reattachment of Left Lower Arm, Open Approach

0XMG Anatomical Regions, Upper Extremities, Reattachment1 code

0XMG0ZZ Reattachment of Right Wrist Region, Open Approach

0XMH Anatomical Regions, Upper Extremities, Reattachment1 code

0XMH0ZZ Reattachment of Left Wrist Region, Open Approach

0XMJ Anatomical Regions, Upper Extremities, Reattachment1 code

0XMJ0ZZ Reattachment of Right Hand, Open Approach

0XMK Anatomical Regions, Upper Extremities, Reattachment1 code

0XMK0ZZ Reattachment of Left Hand, Open Approach

ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 483?

MS-DRG 483 (Major Joint or Limb Reattachment Procedures of Upper Extremities) is a surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Its FY 2026 relative weight is 2.7719 with a geometric mean length of stay of 2.0 days.

How many procedure codes group to DRG 483?

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

What is the relative weight of DRG 483?

The FY 2026 relative weight of this DRG is 2.7719, meaning reimbursement of roughly 2.77 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 482 – Hip and Femur Procedures Except Major Joint without CC/MCC Next →DRG 485 – Knee Procedures with Principal Diagnosis of Infection with

Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.