MS-DRG · FY 2026 v43.0

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.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.0794
Relative Weight
3.5
Geometric Mean LOS (days)
4.4
Arithmetic Mean LOS (days)
388
Procedure Codes

Severity family

DRG 510with MCCWeight 3.0205 · GMLOS 5.3 daysDRG 511with CCWeight 2.0794 · GMLOS 3.5 daysDRG 512without CC/MCCWeight 1.6554 · GMLOS 2.3 days
How a case is assigned to DRG 511

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.

ICD-10-PCS

Procedure Codes 388 codes · 90 categories

388 of 388 shown
0LQ1 Tendons, Repair3 codes
  • 0LQ10ZZ Repair Right Shoulder Tendon, Open Approach
  • 0LQ13ZZ Repair Right Shoulder Tendon, Percutaneous Approach
  • 0LQ14ZZ Repair Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LQ2 Tendons, Repair3 codes
  • 0LQ20ZZ Repair Left Shoulder Tendon, Open Approach
  • 0LQ23ZZ Repair Left Shoulder Tendon, Percutaneous Approach
  • 0LQ24ZZ Repair Left Shoulder Tendon, Percutaneous Endoscopic Approach
0P8H Upper Bones, Division3 codes
  • 0P8H0ZZ Division of Right Radius, Open Approach
  • 0P8H3ZZ Division of Right Radius, Percutaneous Approach
  • 0P8H4ZZ Division of Right Radius, Percutaneous Endoscopic Approach
0P8J Upper Bones, Division3 codes
  • 0P8J0ZZ Division of Left Radius, Open Approach
  • 0P8J3ZZ Division of Left Radius, Percutaneous Approach
  • 0P8J4ZZ Division of Left Radius, Percutaneous Endoscopic Approach
0P8K Upper Bones, Division3 codes
  • 0P8K0ZZ Division of Right Ulna, Open Approach
  • 0P8K3ZZ Division of Right Ulna, Percutaneous Approach
  • 0P8K4ZZ Division of Right Ulna, Percutaneous Endoscopic Approach
0P8L Upper Bones, Division3 codes
  • 0P8L0ZZ Division of Left Ulna, Open Approach
  • 0P8L3ZZ Division of Left Ulna, Percutaneous Approach
  • 0P8L4ZZ Division of Left Ulna, Percutaneous Endoscopic Approach
0PBH Upper Bones, Excision3 codes
  • 0PBH0ZZ Excision of Right Radius, Open Approach
  • 0PBH3ZZ Excision of Right Radius, Percutaneous Approach
  • 0PBH4ZZ Excision of Right Radius, Percutaneous Endoscopic Approach
0PBJ Upper Bones, Excision3 codes
  • 0PBJ0ZZ Excision of Left Radius, Open Approach
  • 0PBJ3ZZ Excision of Left Radius, Percutaneous Approach
  • 0PBJ4ZZ Excision of Left Radius, Percutaneous Endoscopic Approach
0PBK Upper Bones, Excision3 codes
  • 0PBK0ZZ Excision of Right Ulna, Open Approach
  • 0PBK3ZZ Excision of Right Ulna, Percutaneous Approach
  • 0PBK4ZZ Excision of Right Ulna, Percutaneous Endoscopic Approach
0PBL Upper Bones, Excision3 codes
  • 0PBL0ZZ Excision of Left Ulna, Open Approach
  • 0PBL3ZZ Excision of Left Ulna, Percutaneous Approach
  • 0PBL4ZZ Excision of Left Ulna, Percutaneous Endoscopic Approach
0PCH Upper Bones, Extirpation3 codes
  • 0PCH0ZZ Extirpation of Matter from Right Radius, Open Approach
  • 0PCH3ZZ Extirpation of Matter from Right Radius, Percutaneous Approach
  • 0PCH4ZZ Extirpation of Matter from Right Radius, Percutaneous Endoscopic Approach
0PCJ Upper Bones, Extirpation3 codes
  • 0PCJ0ZZ Extirpation of Matter from Left Radius, Open Approach
  • 0PCJ3ZZ Extirpation of Matter from Left Radius, Percutaneous Approach
  • 0PCJ4ZZ Extirpation of Matter from Left Radius, Percutaneous Endoscopic Approach
0PCK Upper Bones, Extirpation3 codes
  • 0PCK0ZZ Extirpation of Matter from Right Ulna, Open Approach
  • 0PCK3ZZ Extirpation of Matter from Right Ulna, Percutaneous Approach
  • 0PCK4ZZ Extirpation of Matter from Right Ulna, Percutaneous Endoscopic Approach
0PCL Upper Bones, Extirpation3 codes
  • 0PCL0ZZ Extirpation of Matter from Left Ulna, Open Approach
  • 0PCL3ZZ Extirpation of Matter from Left Ulna, Percutaneous Approach
  • 0PCL4ZZ Extirpation of Matter from Left Ulna, Percutaneous Endoscopic Approach
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
  • 0PNH0ZZ Release Right Radius, Open Approach
  • 0PNH3ZZ Release Right Radius, Percutaneous Approach
  • 0PNH4ZZ Release Right Radius, Percutaneous Endoscopic Approach
0PNJ Upper Bones, Release3 codes
  • 0PNJ0ZZ Release Left Radius, Open Approach
  • 0PNJ3ZZ Release Left Radius, Percutaneous Approach
  • 0PNJ4ZZ Release Left Radius, Percutaneous Endoscopic Approach
0PNK Upper Bones, Release3 codes
  • 0PNK0ZZ Release Right Ulna, Open Approach
  • 0PNK3ZZ Release Right Ulna, Percutaneous Approach
  • 0PNK4ZZ Release Right Ulna, Percutaneous Endoscopic Approach
0PNL Upper Bones, Release3 codes
  • 0PNL0ZZ Release Left Ulna, Open Approach
  • 0PNL3ZZ Release Left Ulna, Percutaneous Approach
  • 0PNL4ZZ Release Left Ulna, Percutaneous Endoscopic Approach
0PQH Upper Bones, Repair3 codes
  • 0PQH0ZZ Repair Right Radius, Open Approach
  • 0PQH3ZZ Repair Right Radius, Percutaneous Approach
  • 0PQH4ZZ Repair Right Radius, Percutaneous Endoscopic Approach
0PQJ Upper Bones, Repair3 codes
  • 0PQJ0ZZ Repair Left Radius, Open Approach
  • 0PQJ3ZZ Repair Left Radius, Percutaneous Approach
  • 0PQJ4ZZ Repair Left Radius, Percutaneous Endoscopic Approach
0PQK Upper Bones, Repair3 codes
  • 0PQK0ZZ Repair Right Ulna, Open Approach
  • 0PQK3ZZ Repair Right Ulna, Percutaneous Approach
  • 0PQK4ZZ Repair Right Ulna, Percutaneous Endoscopic Approach
0PQL Upper Bones, Repair3 codes
  • 0PQL0ZZ Repair Left Ulna, Open Approach
  • 0PQL3ZZ Repair Left Ulna, Percutaneous Approach
  • 0PQL4ZZ Repair Left Ulna, Percutaneous Endoscopic Approach
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
  • 0RBE0ZZ Excision of Right Sternoclavicular Joint, Open Approach
  • 0RBE3ZZ Excision of Right Sternoclavicular Joint, Percutaneous Approach
  • 0RBE4ZZ Excision of Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RBF Upper Joints, Excision3 codes
  • 0RBF0ZZ Excision of Left Sternoclavicular Joint, Open Approach
  • 0RBF3ZZ Excision of Left Sternoclavicular Joint, Percutaneous Approach
  • 0RBF4ZZ Excision of Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RBG Upper Joints, Excision3 codes
  • 0RBG0ZZ Excision of Right Acromioclavicular Joint, Open Approach
  • 0RBG3ZZ Excision of Right Acromioclavicular Joint, Percutaneous Approach
  • 0RBG4ZZ Excision of Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RBH Upper Joints, Excision3 codes
  • 0RBH0ZZ Excision of Left Acromioclavicular Joint, Open Approach
  • 0RBH3ZZ Excision of Left Acromioclavicular Joint, Percutaneous Approach
  • 0RBH4ZZ Excision of Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RBJ Upper Joints, Excision3 codes
  • 0RBJ0ZZ Excision of Right Shoulder Joint, Open Approach
  • 0RBJ3ZZ Excision of Right Shoulder Joint, Percutaneous Approach
  • 0RBJ4ZZ Excision of Right Shoulder Joint, Percutaneous Endoscopic Approach
0RBK Upper Joints, Excision3 codes
  • 0RBK0ZZ Excision of Left Shoulder Joint, Open Approach
  • 0RBK3ZZ Excision of Left Shoulder Joint, Percutaneous Approach
  • 0RBK4ZZ Excision of Left Shoulder Joint, Percutaneous Endoscopic Approach
0RBL Upper Joints, Excision3 codes
  • 0RBL0ZZ Excision of Right Elbow Joint, Open Approach
  • 0RBL3ZZ Excision of Right Elbow Joint, Percutaneous Approach
  • 0RBL4ZZ Excision of Right Elbow Joint, Percutaneous Endoscopic Approach
0RBM Upper Joints, Excision3 codes
  • 0RBM0ZZ Excision of Left Elbow Joint, Open Approach
  • 0RBM3ZZ Excision of Left Elbow Joint, Percutaneous Approach
  • 0RBM4ZZ Excision of Left Elbow Joint, Percutaneous Endoscopic Approach
0RHJ Upper Joints, Insertion2 codes
  • 0RHJ08Z Insertion of Spacer into Right Shoulder Joint, Open Approach
  • 0RHJ48Z Insertion of Spacer into Right Shoulder Joint, Percutaneous Endoscopic Approach
0RHK Upper Joints, Insertion2 codes
  • 0RHK08Z Insertion of Spacer into Left Shoulder Joint, Open Approach
  • 0RHK48Z Insertion of Spacer into Left Shoulder Joint, Percutaneous Endoscopic Approach
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
  • 0RNE0ZZ Release Right Sternoclavicular Joint, Open Approach
  • 0RNE3ZZ Release Right Sternoclavicular Joint, Percutaneous Approach
  • 0RNE4ZZ Release Right Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RNF Upper Joints, Release3 codes
  • 0RNF0ZZ Release Left Sternoclavicular Joint, Open Approach
  • 0RNF3ZZ Release Left Sternoclavicular Joint, Percutaneous Approach
  • 0RNF4ZZ Release Left Sternoclavicular Joint, Percutaneous Endoscopic Approach
0RNG Upper Joints, Release3 codes
  • 0RNG0ZZ Release Right Acromioclavicular Joint, Open Approach
  • 0RNG3ZZ Release Right Acromioclavicular Joint, Percutaneous Approach
  • 0RNG4ZZ Release Right Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RNH Upper Joints, Release3 codes
  • 0RNH0ZZ Release Left Acromioclavicular Joint, Open Approach
  • 0RNH3ZZ Release Left Acromioclavicular Joint, Percutaneous Approach
  • 0RNH4ZZ Release Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
0RNJ Upper Joints, Release3 codes
  • 0RNJ0ZZ Release Right Shoulder Joint, Open Approach
  • 0RNJ3ZZ Release Right Shoulder Joint, Percutaneous Approach
  • 0RNJ4ZZ Release Right Shoulder Joint, Percutaneous Endoscopic Approach
0RNK Upper Joints, Release3 codes
  • 0RNK0ZZ Release Left Shoulder Joint, Open Approach
  • 0RNK3ZZ Release Left Shoulder Joint, Percutaneous Approach
  • 0RNK4ZZ Release Left Shoulder Joint, Percutaneous Endoscopic Approach
0RNL Upper Joints, Release3 codes
  • 0RNL0ZZ Release Right Elbow Joint, Open Approach
  • 0RNL3ZZ Release Right Elbow Joint, Percutaneous Approach
  • 0RNL4ZZ Release Right Elbow Joint, Percutaneous Endoscopic Approach
0RNM Upper Joints, Release3 codes
  • 0RNM0ZZ Release Left Elbow Joint, Open Approach
  • 0RNM3ZZ Release Left Elbow Joint, Percutaneous Approach
  • 0RNM4ZZ Release Left Elbow Joint, Percutaneous Endoscopic Approach
0RPJ Upper Joints, Removal2 codes
  • 0RPJ08Z Removal of Spacer from Right Shoulder Joint, Open Approach
  • 0RPJ48Z Removal of Spacer from Right Shoulder Joint, Percutaneous Endoscopic Approach
0RPK Upper Joints, Removal2 codes
  • 0RPK08Z Removal of Spacer from Left Shoulder Joint, Open Approach
  • 0RPK48Z Removal of Spacer from Left Shoulder Joint, Percutaneous Endoscopic Approach
0RSE Upper Joints, Reposition2 codes
  • 0RSE04Z Reposition Right Sternoclavicular Joint with Internal Fixation Device, Open Approach
  • 0RSE0ZZ Reposition Right Sternoclavicular Joint, Open Approach
0RSF Upper Joints, Reposition2 codes
  • 0RSF04Z Reposition Left Sternoclavicular Joint with Internal Fixation Device, Open Approach
  • 0RSF0ZZ Reposition Left Sternoclavicular Joint, Open Approach
0RSG Upper Joints, Reposition2 codes
  • 0RSG04Z Reposition Right Acromioclavicular Joint with Internal Fixation Device, Open Approach
  • 0RSG0ZZ Reposition Right Acromioclavicular Joint, Open Approach
0RSH Upper Joints, Reposition2 codes
  • 0RSH04Z Reposition Left Acromioclavicular Joint with Internal Fixation Device, Open Approach
  • 0RSH0ZZ Reposition Left Acromioclavicular Joint, Open Approach
0RSJ Upper Joints, Reposition2 codes
  • 0RSJ04Z Reposition Right Shoulder Joint with Internal Fixation Device, Open Approach
  • 0RSJ0ZZ Reposition Right Shoulder Joint, Open Approach
0RSK Upper Joints, Reposition2 codes
  • 0RSK04Z Reposition Left Shoulder Joint with Internal Fixation Device, Open Approach
  • 0RSK0ZZ Reposition Left Shoulder Joint, Open Approach
0RSL Upper Joints, Reposition3 codes
  • 0RSL04Z Reposition Right Elbow Joint with Internal Fixation Device, Open Approach
  • 0RSL05Z Reposition Right Elbow Joint with External Fixation Device, Open Approach
  • 0RSL0ZZ Reposition Right Elbow Joint, Open Approach
0RSM Upper Joints, Reposition3 codes
  • 0RSM04Z Reposition Left Elbow Joint with Internal Fixation Device, Open Approach
  • 0RSM05Z Reposition Left Elbow Joint with External Fixation Device, Open Approach
  • 0RSM0ZZ Reposition Left Elbow Joint, Open Approach
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
  • XNS60GA Reposition Right Radius with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS63GA Reposition Right Radius with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
XNS7 New Technology, Bones, Reposition2 codes
  • XNS70GA Reposition Left Radius with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS73GA Reposition Left Radius with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
XNS8 New Technology, Bones, Reposition2 codes
  • XNS80GA Reposition Right Ulna with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS83GA Reposition Right Ulna with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
XNS9 New Technology, Bones, Reposition2 codes
  • XNS90GA Reposition Left Ulna with Ring External Fixation Device with Automated Strut Adjustment, Open Approach, New Technology Group 10
  • XNS93GA Reposition Left Ulna with Ring External Fixation Device with Automated Strut Adjustment, Percutaneous Approach, New Technology Group 10
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 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.

← PreviousDRG 510 – Shoulder, Elbow or Forearm Procedures, Except Major Joint
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.