MS-DRG 511 – Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC
A Surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Inpatient cases group to DRG 511 when one of the 388 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.0794 with a geometric mean length of stay of 3.5 days.
Severity family
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), then applies the severity split from secondary diagnoses: with MCC → 510; with CC → 511; without CC/MCC → 512.
Procedure Codes 388 codes · 90 categories
0LQ1 Tendons, Repair3 codes
0LQ2 Tendons, Repair3 codes
0P8H Upper Bones, Division3 codes
0P8J Upper Bones, Division3 codes
0P8K Upper Bones, Division3 codes
0P8L Upper Bones, Division3 codes
0PBH Upper Bones, Excision3 codes
0PBJ Upper Bones, Excision3 codes
0PBK Upper Bones, Excision3 codes
0PBL Upper Bones, Excision3 codes
0PCH Upper Bones, Extirpation3 codes
0PCJ Upper Bones, Extirpation3 codes
0PCK Upper Bones, Extirpation3 codes
0PCL Upper Bones, Extirpation3 codes
0PHH Upper Bones, Insertion18 codes
- 0PHH04Z Insertion of Internal Fixation Device into Right Radius, Open Approach
- 0PHH05Z Insertion of External Fixation Device into Right Radius, Open Approach
- 0PHH06Z Insertion of Intramedullary Internal Fixation Device into Right Radius, Open Approach
- 0PHH0BZ Insertion of Monoplanar External Fixation Device into Right Radius, Open Approach
- 0PHH0CZ Insertion of Ring External Fixation Device into Right Radius, Open Approach
- 0PHH0DZ Insertion of Hybrid External Fixation Device into Right Radius, Open Approach
- 0PHH34Z Insertion of Internal Fixation Device into Right Radius, Percutaneous Approach
- 0PHH35Z Insertion of External Fixation Device into Right Radius, Percutaneous Approach
- 0PHH36Z Insertion of Intramedullary Internal Fixation Device into Right Radius, Percutaneous Approach
- 0PHH3BZ Insertion of Monoplanar External Fixation Device into Right Radius, Percutaneous Approach
- 0PHH3CZ Insertion of Ring External Fixation Device into Right Radius, Percutaneous Approach
- 0PHH3DZ Insertion of Hybrid External Fixation Device into Right Radius, Percutaneous Approach
- 0PHH44Z Insertion of Internal Fixation Device into Right Radius, Percutaneous Endoscopic Approach
- 0PHH45Z Insertion of External Fixation Device into Right Radius, Percutaneous Endoscopic Approach
- 0PHH46Z Insertion of Intramedullary Internal Fixation Device into Right Radius, Percutaneous Endoscopic Approach
- 0PHH4BZ Insertion of Monoplanar External Fixation Device into Right Radius, Percutaneous Endoscopic Approach
- 0PHH4CZ Insertion of Ring External Fixation Device into Right Radius, Percutaneous Endoscopic Approach
- 0PHH4DZ Insertion of Hybrid External Fixation Device into Right Radius, Percutaneous Endoscopic Approach
0PHJ Upper Bones, Insertion18 codes
- 0PHJ04Z Insertion of Internal Fixation Device into Left Radius, Open Approach
- 0PHJ05Z Insertion of External Fixation Device into Left Radius, Open Approach
- 0PHJ06Z Insertion of Intramedullary Internal Fixation Device into Left Radius, Open Approach
- 0PHJ0BZ Insertion of Monoplanar External Fixation Device into Left Radius, Open Approach
- 0PHJ0CZ Insertion of Ring External Fixation Device into Left Radius, Open Approach
- 0PHJ0DZ Insertion of Hybrid External Fixation Device into Left Radius, Open Approach
- 0PHJ34Z Insertion of Internal Fixation Device into Left Radius, Percutaneous Approach
- 0PHJ35Z Insertion of External Fixation Device into Left Radius, Percutaneous Approach
- 0PHJ36Z Insertion of Intramedullary Internal Fixation Device into Left Radius, Percutaneous Approach
- 0PHJ3BZ Insertion of Monoplanar External Fixation Device into Left Radius, Percutaneous Approach
- 0PHJ3CZ Insertion of Ring External Fixation Device into Left Radius, Percutaneous Approach
- 0PHJ3DZ Insertion of Hybrid External Fixation Device into Left Radius, Percutaneous Approach
- 0PHJ44Z Insertion of Internal Fixation Device into Left Radius, Percutaneous Endoscopic Approach
- 0PHJ45Z Insertion of External Fixation Device into Left Radius, Percutaneous Endoscopic Approach
- 0PHJ46Z Insertion of Intramedullary Internal Fixation Device into Left Radius, Percutaneous Endoscopic Approach
- 0PHJ4BZ Insertion of Monoplanar External Fixation Device into Left Radius, Percutaneous Endoscopic Approach
- 0PHJ4CZ Insertion of Ring External Fixation Device into Left Radius, Percutaneous Endoscopic Approach
- 0PHJ4DZ Insertion of Hybrid External Fixation Device into Left Radius, Percutaneous Endoscopic Approach
0PHK Upper Bones, Insertion18 codes
- 0PHK04Z Insertion of Internal Fixation Device into Right Ulna, Open Approach
- 0PHK05Z Insertion of External Fixation Device into Right Ulna, Open Approach
- 0PHK06Z Insertion of Intramedullary Internal Fixation Device into Right Ulna, Open Approach
- 0PHK0BZ Insertion of Monoplanar External Fixation Device into Right Ulna, Open Approach
- 0PHK0CZ Insertion of Ring External Fixation Device into Right Ulna, Open Approach
- 0PHK0DZ Insertion of Hybrid External Fixation Device into Right Ulna, Open Approach
- 0PHK34Z Insertion of Internal Fixation Device into Right Ulna, Percutaneous Approach
- 0PHK35Z Insertion of External Fixation Device into Right Ulna, Percutaneous Approach
- 0PHK36Z Insertion of Intramedullary Internal Fixation Device into Right Ulna, Percutaneous Approach
- 0PHK3BZ Insertion of Monoplanar External Fixation Device into Right Ulna, Percutaneous Approach
- 0PHK3CZ Insertion of Ring External Fixation Device into Right Ulna, Percutaneous Approach
- 0PHK3DZ Insertion of Hybrid External Fixation Device into Right Ulna, Percutaneous Approach
- 0PHK44Z Insertion of Internal Fixation Device into Right Ulna, Percutaneous Endoscopic Approach
- 0PHK45Z Insertion of External Fixation Device into Right Ulna, Percutaneous Endoscopic Approach
- 0PHK46Z Insertion of Intramedullary Internal Fixation Device into Right Ulna, Percutaneous Endoscopic Approach
- 0PHK4BZ Insertion of Monoplanar External Fixation Device into Right Ulna, Percutaneous Endoscopic Approach
- 0PHK4CZ Insertion of Ring External Fixation Device into Right Ulna, Percutaneous Endoscopic Approach
- 0PHK4DZ Insertion of Hybrid External Fixation Device into Right Ulna, Percutaneous Endoscopic Approach
0PHL Upper Bones, Insertion18 codes
- 0PHL04Z Insertion of Internal Fixation Device into Left Ulna, Open Approach
- 0PHL05Z Insertion of External Fixation Device into Left Ulna, Open Approach
- 0PHL06Z Insertion of Intramedullary Internal Fixation Device into Left Ulna, Open Approach
- 0PHL0BZ Insertion of Monoplanar External Fixation Device into Left Ulna, Open Approach
- 0PHL0CZ Insertion of Ring External Fixation Device into Left Ulna, Open Approach
- 0PHL0DZ Insertion of Hybrid External Fixation Device into Left Ulna, Open Approach
- 0PHL34Z Insertion of Internal Fixation Device into Left Ulna, Percutaneous Approach
- 0PHL35Z Insertion of External Fixation Device into Left Ulna, Percutaneous Approach
- 0PHL36Z Insertion of Intramedullary Internal Fixation Device into Left Ulna, Percutaneous Approach
- 0PHL3BZ Insertion of Monoplanar External Fixation Device into Left Ulna, Percutaneous Approach
- 0PHL3CZ Insertion of Ring External Fixation Device into Left Ulna, Percutaneous Approach
- 0PHL3DZ Insertion of Hybrid External Fixation Device into Left Ulna, Percutaneous Approach
- 0PHL44Z Insertion of Internal Fixation Device into Left Ulna, Percutaneous Endoscopic Approach
- 0PHL45Z Insertion of External Fixation Device into Left Ulna, Percutaneous Endoscopic Approach
- 0PHL46Z Insertion of Intramedullary Internal Fixation Device into Left Ulna, Percutaneous Endoscopic Approach
- 0PHL4BZ Insertion of Monoplanar External Fixation Device into Left Ulna, Percutaneous Endoscopic Approach
- 0PHL4CZ Insertion of Ring External Fixation Device into Left Ulna, Percutaneous Endoscopic Approach
- 0PHL4DZ Insertion of Hybrid External Fixation Device into Left Ulna, Percutaneous Endoscopic Approach
0PNH Upper Bones, Release3 codes
0PNJ Upper Bones, Release3 codes
0PNK Upper Bones, Release3 codes
0PNL Upper Bones, Release3 codes
0PQH Upper Bones, Repair3 codes
0PQJ Upper Bones, Repair3 codes
0PQK Upper Bones, Repair3 codes
0PQL Upper Bones, Repair3 codes
0PRH Upper Bones, Replacement9 codes
- 0PRH07Z Replacement of Right Radius with Autologous Tissue Substitute, Open Approach
- 0PRH0JZ Replacement of Right Radius with Synthetic Substitute, Open Approach
- 0PRH0KZ Replacement of Right Radius with Nonautologous Tissue Substitute, Open Approach
- 0PRH37Z Replacement of Right Radius with Autologous Tissue Substitute, Percutaneous Approach
- 0PRH3JZ Replacement of Right Radius with Synthetic Substitute, Percutaneous Approach
- 0PRH3KZ Replacement of Right Radius with Nonautologous Tissue Substitute, Percutaneous Approach
- 0PRH47Z Replacement of Right Radius with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0PRH4JZ Replacement of Right Radius with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0PRH4KZ Replacement of Right Radius with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0PRJ Upper Bones, Replacement9 codes
- 0PRJ07Z Replacement of Left Radius with Autologous Tissue Substitute, Open Approach
- 0PRJ0JZ Replacement of Left Radius with Synthetic Substitute, Open Approach
- 0PRJ0KZ Replacement of Left Radius with Nonautologous Tissue Substitute, Open Approach
- 0PRJ37Z Replacement of Left Radius with Autologous Tissue Substitute, Percutaneous Approach
- 0PRJ3JZ Replacement of Left Radius with Synthetic Substitute, Percutaneous Approach
- 0PRJ3KZ Replacement of Left Radius with Nonautologous Tissue Substitute, Percutaneous Approach
- 0PRJ47Z Replacement of Left Radius with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0PRJ4JZ Replacement of Left Radius with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0PRJ4KZ Replacement of Left Radius with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0PRK Upper Bones, Replacement9 codes
- 0PRK07Z Replacement of Right Ulna with Autologous Tissue Substitute, Open Approach
- 0PRK0JZ Replacement of Right Ulna with Synthetic Substitute, Open Approach
- 0PRK0KZ Replacement of Right Ulna with Nonautologous Tissue Substitute, Open Approach
- 0PRK37Z Replacement of Right Ulna with Autologous Tissue Substitute, Percutaneous Approach
- 0PRK3JZ Replacement of Right Ulna with Synthetic Substitute, Percutaneous Approach
- 0PRK3KZ Replacement of Right Ulna with Nonautologous Tissue Substitute, Percutaneous Approach
- 0PRK47Z Replacement of Right Ulna with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0PRK4JZ Replacement of Right Ulna with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0PRK4KZ Replacement of Right Ulna with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0PRL Upper Bones, Replacement9 codes
- 0PRL07Z Replacement of Left Ulna with Autologous Tissue Substitute, Open Approach
- 0PRL0JZ Replacement of Left Ulna with Synthetic Substitute, Open Approach
- 0PRL0KZ Replacement of Left Ulna with Nonautologous Tissue Substitute, Open Approach
- 0PRL37Z Replacement of Left Ulna with Autologous Tissue Substitute, Percutaneous Approach
- 0PRL3JZ Replacement of Left Ulna with Synthetic Substitute, Percutaneous Approach
- 0PRL3KZ Replacement of Left Ulna with Nonautologous Tissue Substitute, Percutaneous Approach
- 0PRL47Z Replacement of Left Ulna with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0PRL4JZ Replacement of Left Ulna with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0PRL4KZ Replacement of Left Ulna with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0PSH Upper Bones, Reposition19 codes
- 0PSH04Z Reposition Right Radius with Internal Fixation Device, Open Approach
- 0PSH05Z Reposition Right Radius with External Fixation Device, Open Approach
- 0PSH06Z Reposition Right Radius with Intramedullary Internal Fixation Device, Open Approach
- 0PSH0BZ Reposition Right Radius with Monoplanar External Fixation Device, Open Approach
- 0PSH0CZ Reposition Right Radius with Ring External Fixation Device, Open Approach
- 0PSH0DZ Reposition Right Radius with Hybrid External Fixation Device, Open Approach
- 0PSH0ZZ Reposition Right Radius, Open Approach
- 0PSH34Z Reposition Right Radius with Internal Fixation Device, Percutaneous Approach
- 0PSH35Z Reposition Right Radius with External Fixation Device, Percutaneous Approach
- 0PSH36Z Reposition Right Radius with Intramedullary Internal Fixation Device, Percutaneous Approach
- 0PSH3BZ Reposition Right Radius with Monoplanar External Fixation Device, Percutaneous Approach
- 0PSH3CZ Reposition Right Radius with Ring External Fixation Device, Percutaneous Approach
- 0PSH3DZ Reposition Right Radius with Hybrid External Fixation Device, Percutaneous Approach
- 0PSH44Z Reposition Right Radius with Internal Fixation Device, Percutaneous Endoscopic Approach
- 0PSH45Z Reposition Right Radius with External Fixation Device, Percutaneous Endoscopic Approach
- 0PSH46Z Reposition Right Radius with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach
- 0PSH4BZ Reposition Right Radius with Monoplanar External Fixation Device, Percutaneous Endoscopic Approach
- 0PSH4CZ Reposition Right Radius with Ring External Fixation Device, Percutaneous Endoscopic Approach
- 0PSH4DZ Reposition Right Radius with Hybrid External Fixation Device, Percutaneous Endoscopic Approach
0PSJ Upper Bones, Reposition19 codes
- 0PSJ04Z Reposition Left Radius with Internal Fixation Device, Open Approach
- 0PSJ05Z Reposition Left Radius with External Fixation Device, Open Approach
- 0PSJ06Z Reposition Left Radius with Intramedullary Internal Fixation Device, Open Approach
- 0PSJ0BZ Reposition Left Radius with Monoplanar External Fixation Device, Open Approach
- 0PSJ0CZ Reposition Left Radius with Ring External Fixation Device, Open Approach
- 0PSJ0DZ Reposition Left Radius with Hybrid External Fixation Device, Open Approach
- 0PSJ0ZZ Reposition Left Radius, Open Approach
- 0PSJ34Z Reposition Left Radius with Internal Fixation Device, Percutaneous Approach
- 0PSJ35Z Reposition Left Radius with External Fixation Device, Percutaneous Approach
- 0PSJ36Z Reposition Left Radius with Intramedullary Internal Fixation Device, Percutaneous Approach
- 0PSJ3BZ Reposition Left Radius with Monoplanar External Fixation Device, Percutaneous Approach
- 0PSJ3CZ Reposition Left Radius with Ring External Fixation Device, Percutaneous Approach
- 0PSJ3DZ Reposition Left Radius with Hybrid External Fixation Device, Percutaneous Approach
- 0PSJ44Z Reposition Left Radius with Internal Fixation Device, Percutaneous Endoscopic Approach
- 0PSJ45Z Reposition Left Radius with External Fixation Device, Percutaneous Endoscopic Approach
- 0PSJ46Z Reposition Left Radius with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach
- 0PSJ4BZ Reposition Left Radius with Monoplanar External Fixation Device, Percutaneous Endoscopic Approach
- 0PSJ4CZ Reposition Left Radius with Ring External Fixation Device, Percutaneous Endoscopic Approach
- 0PSJ4DZ Reposition Left Radius with Hybrid External Fixation Device, Percutaneous Endoscopic Approach
0PSK Upper Bones, Reposition19 codes
- 0PSK04Z Reposition Right Ulna with Internal Fixation Device, Open Approach
- 0PSK05Z Reposition Right Ulna with External Fixation Device, Open Approach
- 0PSK06Z Reposition Right Ulna with Intramedullary Internal Fixation Device, Open Approach
- 0PSK0BZ Reposition Right Ulna with Monoplanar External Fixation Device, Open Approach
- 0PSK0CZ Reposition Right Ulna with Ring External Fixation Device, Open Approach
- 0PSK0DZ Reposition Right Ulna with Hybrid External Fixation Device, Open Approach
- 0PSK0ZZ Reposition Right Ulna, Open Approach
- 0PSK34Z Reposition Right Ulna with Internal Fixation Device, Percutaneous Approach
- 0PSK35Z Reposition Right Ulna with External Fixation Device, Percutaneous Approach
- 0PSK36Z Reposition Right Ulna with Intramedullary Internal Fixation Device, Percutaneous Approach
- 0PSK3BZ Reposition Right Ulna with Monoplanar External Fixation Device, Percutaneous Approach
- 0PSK3CZ Reposition Right Ulna with Ring External Fixation Device, Percutaneous Approach
- 0PSK3DZ Reposition Right Ulna with Hybrid External Fixation Device, Percutaneous Approach
- 0PSK44Z Reposition Right Ulna with Internal Fixation Device, Percutaneous Endoscopic Approach
- 0PSK45Z Reposition Right Ulna with External Fixation Device, Percutaneous Endoscopic Approach
- 0PSK46Z Reposition Right Ulna with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach
- 0PSK4BZ Reposition Right Ulna with Monoplanar External Fixation Device, Percutaneous Endoscopic Approach
- 0PSK4CZ Reposition Right Ulna with Ring External Fixation Device, Percutaneous Endoscopic Approach
- 0PSK4DZ Reposition Right Ulna with Hybrid External Fixation Device, Percutaneous Endoscopic Approach
0PSL Upper Bones, Reposition19 codes
- 0PSL04Z Reposition Left Ulna with Internal Fixation Device, Open Approach
- 0PSL05Z Reposition Left Ulna with External Fixation Device, Open Approach
- 0PSL06Z Reposition Left Ulna with Intramedullary Internal Fixation Device, Open Approach
- 0PSL0BZ Reposition Left Ulna with Monoplanar External Fixation Device, Open Approach
- 0PSL0CZ Reposition Left Ulna with Ring External Fixation Device, Open Approach
- 0PSL0DZ Reposition Left Ulna with Hybrid External Fixation Device, Open Approach
- 0PSL0ZZ Reposition Left Ulna, Open Approach
- 0PSL34Z Reposition Left Ulna with Internal Fixation Device, Percutaneous Approach
- 0PSL35Z Reposition Left Ulna with External Fixation Device, Percutaneous Approach
- 0PSL36Z Reposition Left Ulna with Intramedullary Internal Fixation Device, Percutaneous Approach
- 0PSL3BZ Reposition Left Ulna with Monoplanar External Fixation Device, Percutaneous Approach
- 0PSL3CZ Reposition Left Ulna with Ring External Fixation Device, Percutaneous Approach
- 0PSL3DZ Reposition Left Ulna with Hybrid External Fixation Device, Percutaneous Approach
- 0PSL44Z Reposition Left Ulna with Internal Fixation Device, Percutaneous Endoscopic Approach
- 0PSL45Z Reposition Left Ulna with External Fixation Device, Percutaneous Endoscopic Approach
- 0PSL46Z Reposition Left Ulna with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach
- 0PSL4BZ Reposition Left Ulna with Monoplanar External Fixation Device, Percutaneous Endoscopic Approach
- 0PSL4CZ Reposition Left Ulna with Ring External Fixation Device, Percutaneous Endoscopic Approach
- 0PSL4DZ Reposition Left Ulna with Hybrid External Fixation Device, Percutaneous Endoscopic Approach
0PTH Upper Bones, Resection1 code
- 0PTH0ZZ Resection of Right Radius, Open Approach
0PTJ Upper Bones, Resection1 code
- 0PTJ0ZZ Resection of Left Radius, Open Approach
0PTK Upper Bones, Resection1 code
- 0PTK0ZZ Resection of Right Ulna, Open Approach
0PTL Upper Bones, Resection1 code
- 0PTL0ZZ Resection of Left Ulna, Open Approach
0PUH Upper Bones, Supplement9 codes
- 0PUH07Z Supplement Right Radius with Autologous Tissue Substitute, Open Approach
- 0PUH0JZ Supplement Right Radius with Synthetic Substitute, Open Approach
- 0PUH0KZ Supplement Right Radius with Nonautologous Tissue Substitute, Open Approach
- 0PUH37Z Supplement Right Radius with Autologous Tissue Substitute, Percutaneous Approach
- 0PUH3JZ Supplement Right Radius with Synthetic Substitute, Percutaneous Approach
- 0PUH3KZ Supplement Right Radius with Nonautologous Tissue Substitute, Percutaneous Approach
- 0PUH47Z Supplement Right Radius with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0PUH4JZ Supplement Right Radius with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0PUH4KZ Supplement Right Radius with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0PUJ Upper Bones, Supplement9 codes
- 0PUJ07Z Supplement Left Radius with Autologous Tissue Substitute, Open Approach
- 0PUJ0JZ Supplement Left Radius with Synthetic Substitute, Open Approach
- 0PUJ0KZ Supplement Left Radius with Nonautologous Tissue Substitute, Open Approach
- 0PUJ37Z Supplement Left Radius with Autologous Tissue Substitute, Percutaneous Approach
- 0PUJ3JZ Supplement Left Radius with Synthetic Substitute, Percutaneous Approach
- 0PUJ3KZ Supplement Left Radius with Nonautologous Tissue Substitute, Percutaneous Approach
- 0PUJ47Z Supplement Left Radius with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0PUJ4JZ Supplement Left Radius with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0PUJ4KZ Supplement Left Radius with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0PUK Upper Bones, Supplement9 codes
- 0PUK07Z Supplement Right Ulna with Autologous Tissue Substitute, Open Approach
- 0PUK0JZ Supplement Right Ulna with Synthetic Substitute, Open Approach
- 0PUK0KZ Supplement Right Ulna with Nonautologous Tissue Substitute, Open Approach
- 0PUK37Z Supplement Right Ulna with Autologous Tissue Substitute, Percutaneous Approach
- 0PUK3JZ Supplement Right Ulna with Synthetic Substitute, Percutaneous Approach
- 0PUK3KZ Supplement Right Ulna with Nonautologous Tissue Substitute, Percutaneous Approach
- 0PUK47Z Supplement Right Ulna with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0PUK4JZ Supplement Right Ulna with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0PUK4KZ Supplement Right Ulna with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0PUL Upper Bones, Supplement9 codes
- 0PUL07Z Supplement Left Ulna with Autologous Tissue Substitute, Open Approach
- 0PUL0JZ Supplement Left Ulna with Synthetic Substitute, Open Approach
- 0PUL0KZ Supplement Left Ulna with Nonautologous Tissue Substitute, Open Approach
- 0PUL37Z Supplement Left Ulna with Autologous Tissue Substitute, Percutaneous Approach
- 0PUL3JZ Supplement Left Ulna with Synthetic Substitute, Percutaneous Approach
- 0PUL3KZ Supplement Left Ulna with Nonautologous Tissue Substitute, Percutaneous Approach
- 0PUL47Z Supplement Left Ulna with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0PUL4JZ Supplement Left Ulna with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0PUL4KZ Supplement Left Ulna with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RBE Upper Joints, Excision3 codes
0RBF Upper Joints, Excision3 codes
0RBG Upper Joints, Excision3 codes
0RBH Upper Joints, Excision3 codes
0RBJ Upper Joints, Excision3 codes
0RBK Upper Joints, Excision3 codes
0RBL Upper Joints, Excision3 codes
0RBM Upper Joints, Excision3 codes
0RHJ Upper Joints, Insertion2 codes
0RHK Upper Joints, Insertion2 codes
0RJE Upper Joints, Inspection1 code
- 0RJE4ZZ Inspection of Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RJF Upper Joints, Inspection1 code
- 0RJF4ZZ Inspection of Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RJG Upper Joints, Inspection1 code
- 0RJG4ZZ Inspection of Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RJH Upper Joints, Inspection1 code
- 0RJH4ZZ Inspection of Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RJJ Upper Joints, Inspection1 code
- 0RJJ4ZZ Inspection of Right Shoulder Joint, Percutaneous Endoscopic Approach
0RJK Upper Joints, Inspection1 code
- 0RJK4ZZ Inspection of Left Shoulder Joint, Percutaneous Endoscopic Approach
0RJL Upper Joints, Inspection1 code
- 0RJL4ZZ Inspection of Right Elbow Joint, Percutaneous Endoscopic Approach
0RJM Upper Joints, Inspection1 code
- 0RJM4ZZ Inspection of Left Elbow Joint, Percutaneous Endoscopic Approach
0RNE Upper Joints, Release3 codes
0RNF Upper Joints, Release3 codes
0RNG Upper Joints, Release3 codes
0RNH Upper Joints, Release3 codes
0RNJ Upper Joints, Release3 codes
0RNK Upper Joints, Release3 codes
0RNL Upper Joints, Release3 codes
0RNM Upper Joints, Release3 codes
0RPJ Upper Joints, Removal2 codes
0RPK Upper Joints, Removal2 codes
0RSE Upper Joints, Reposition2 codes
0RSF Upper Joints, Reposition2 codes
0RSG Upper Joints, Reposition2 codes
0RSH Upper Joints, Reposition2 codes
0RSJ Upper Joints, Reposition2 codes
0RSK Upper Joints, Reposition2 codes
0RSL Upper Joints, Reposition3 codes
0RSM Upper Joints, Reposition3 codes
0RTE Upper Joints, Resection1 code
- 0RTE0ZZ Resection of Right Sternoclavicular Joint, Open Approach
0RTF Upper Joints, Resection1 code
- 0RTF0ZZ Resection of Left Sternoclavicular Joint, Open Approach
0RTG Upper Joints, Resection1 code
- 0RTG0ZZ Resection of Right Acromioclavicular Joint, Open Approach
0RTH Upper Joints, Resection1 code
- 0RTH0ZZ Resection of Left Acromioclavicular Joint, Open Approach
0RTJ Upper Joints, Resection1 code
- 0RTJ0ZZ Resection of Right Shoulder Joint, Open Approach
0RTK Upper Joints, Resection1 code
- 0RTK0ZZ Resection of Left Shoulder Joint, Open Approach
0RTL Upper Joints, Resection1 code
- 0RTL0ZZ Resection of Right Elbow Joint, Open Approach
0RTM Upper Joints, Resection1 code
- 0RTM0ZZ Resection of Left Elbow Joint, Open Approach
XNS6 New Technology, Bones, Reposition2 codes
XNS7 New Technology, Bones, Reposition2 codes
XNS8 New Technology, Bones, Reposition2 codes
XNS9 New Technology, Bones, Reposition2 codes
Qualifying Diagnosis Codes
Frequently Asked Questions
What is MS-DRG 511?
MS-DRG 511 (Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC) is a surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Its FY 2026 relative weight is 2.0794 with a geometric mean length of stay of 3.5 days.
What is the difference between DRG 510, 511, 512?
All 3 share the same base category; the severity of secondary diagnoses separates them: 510 (with MCC), 511 (with CC), 512 (without CC/MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.
How many procedure codes group to DRG 511?
388 ICD-10-PCS operating-room procedure codes group to this DRG.
What is the relative weight of DRG 511?
The FY 2026 relative weight of this DRG is 2.0794, meaning reimbursement of roughly 2.08 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
