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  3. Procedure Codes in MS-DRG 257 - Upper Limb And Toe Amputation For Circulatory System Disorders Without CC/MCC

Procedure Codes in MS-DRG 257 - Upper Limb And Toe Amputation For Circulatory System Disorders Without CC/MCC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the procedure codes included in MS-DRG V42.0: Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 257

MS-DRG Title: Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC

MCD: 05

Relative Weight: Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Geometric LOS: Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.

Arithmetic LOS: Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

  • 0X6 - Anatomical Regions, Upper Extremities, Detachment

    • 0X600ZZ - Detachment at Right Forequarter, Open Approach

    • 0X610ZZ - Detachment at Left Forequarter, Open Approach

    • 0X620ZZ - Detachment at Right Shoulder Region, Open Approach

    • 0X630ZZ - Detachment at Left Shoulder Region, Open Approach

    • 0X680Z1 - Detachment at Right Upper Arm, High, Open Approach

    • 0X680Z2 - Detachment at Right Upper Arm, Mid, Open Approach

    • 0X680Z3 - Detachment at Right Upper Arm, Low, Open Approach

    • 0X690Z1 - Detachment at Left Upper Arm, High, Open Approach

    • 0X690Z2 - Detachment at Left Upper Arm, Mid, Open Approach

    • 0X690Z3 - Detachment at Left Upper Arm, Low, Open Approach

    • 0X6B0ZZ - Detachment at Right Elbow Region, Open Approach

    • 0X6C0ZZ - Detachment at Left Elbow Region, Open Approach

    • 0X6D0Z1 - Detachment at Right Lower Arm, High, Open Approach

    • 0X6D0Z2 - Detachment at Right Lower Arm, Mid, Open Approach

    • 0X6D0Z3 - Detachment at Right Lower Arm, Low, Open Approach

    • 0X6F0Z1 - Detachment at Left Lower Arm, High, Open Approach

    • 0X6F0Z2 - Detachment at Left Lower Arm, Mid, Open Approach

    • 0X6F0Z3 - Detachment at Left Lower Arm, Low, Open Approach

    • 0X6J0Z0 - Detachment at Right Hand, Complete, Open Approach

    • 0X6J0Z4 - Detachment at Right Hand, Complete 1st Ray, Open Approach

    • 0X6J0Z5 - Detachment at Right Hand, Complete 2nd Ray, Open Approach

    • 0X6J0Z6 - Detachment at Right Hand, Complete 3rd Ray, Open Approach

    • 0X6J0Z7 - Detachment at Right Hand, Complete 4th Ray, Open Approach

    • 0X6J0Z8 - Detachment at Right Hand, Complete 5th Ray, Open Approach

    • 0X6J0Z9 - Detachment at Right Hand, Partial 1st Ray, Open Approach

    • 0X6J0ZB - Detachment at Right Hand, Partial 2nd Ray, Open Approach

    • 0X6J0ZC - Detachment at Right Hand, Partial 3rd Ray, Open Approach

    • 0X6J0ZD - Detachment at Right Hand, Partial 4th Ray, Open Approach

    • 0X6J0ZF - Detachment at Right Hand, Partial 5th Ray, Open Approach

    • 0X6K0Z0 - Detachment at Left Hand, Complete, Open Approach

    • 0X6K0Z4 - Detachment at Left Hand, Complete 1st Ray, Open Approach

    • 0X6K0Z5 - Detachment at Left Hand, Complete 2nd Ray, Open Approach

    • 0X6K0Z6 - Detachment at Left Hand, Complete 3rd Ray, Open Approach

    • 0X6K0Z7 - Detachment at Left Hand, Complete 4th Ray, Open Approach

    • 0X6K0Z8 - Detachment at Left Hand, Complete 5th Ray, Open Approach

    • 0X6K0Z9 - Detachment at Left Hand, Partial 1st Ray, Open Approach

    • 0X6K0ZB - Detachment at Left Hand, Partial 2nd Ray, Open Approach

    • 0X6K0ZC - Detachment at Left Hand, Partial 3rd Ray, Open Approach

    • 0X6K0ZD - Detachment at Left Hand, Partial 4th Ray, Open Approach

    • 0X6K0ZF - Detachment at Left Hand, Partial 5th Ray, Open Approach

    • 0X6L0Z0 - Detachment at Right Thumb, Complete, Open Approach

    • 0X6L0Z1 - Detachment at Right Thumb, High, Open Approach

    • 0X6L0Z3 - Detachment at Right Thumb, Low, Open Approach

    • 0X6M0Z0 - Detachment at Left Thumb, Complete, Open Approach

    • 0X6M0Z1 - Detachment at Left Thumb, High, Open Approach

    • 0X6M0Z3 - Detachment at Left Thumb, Low, Open Approach

    • 0X6N0Z0 - Detachment at Right Index Finger, Complete, Open Approach

    • 0X6N0Z1 - Detachment at Right Index Finger, High, Open Approach

    • 0X6N0Z2 - Detachment at Right Index Finger, Mid, Open Approach

    • 0X6N0Z3 - Detachment at Right Index Finger, Low, Open Approach

    • 0X6P0Z0 - Detachment at Left Index Finger, Complete, Open Approach

    • 0X6P0Z1 - Detachment at Left Index Finger, High, Open Approach

    • 0X6P0Z2 - Detachment at Left Index Finger, Mid, Open Approach

    • 0X6P0Z3 - Detachment at Left Index Finger, Low, Open Approach

    • 0X6Q0Z0 - Detachment at Right Middle Finger, Complete, Open Approach

    • 0X6Q0Z1 - Detachment at Right Middle Finger, High, Open Approach

    • 0X6Q0Z2 - Detachment at Right Middle Finger, Mid, Open Approach

    • 0X6Q0Z3 - Detachment at Right Middle Finger, Low, Open Approach

    • 0X6R0Z0 - Detachment at Left Middle Finger, Complete, Open Approach

    • 0X6R0Z1 - Detachment at Left Middle Finger, High, Open Approach

    • 0X6R0Z2 - Detachment at Left Middle Finger, Mid, Open Approach

    • 0X6R0Z3 - Detachment at Left Middle Finger, Low, Open Approach

    • 0X6S0Z0 - Detachment at Right Ring Finger, Complete, Open Approach

    • 0X6S0Z1 - Detachment at Right Ring Finger, High, Open Approach

    • 0X6S0Z2 - Detachment at Right Ring Finger, Mid, Open Approach

    • 0X6S0Z3 - Detachment at Right Ring Finger, Low, Open Approach

    • 0X6T0Z0 - Detachment at Left Ring Finger, Complete, Open Approach

    • 0X6T0Z1 - Detachment at Left Ring Finger, High, Open Approach

    • 0X6T0Z2 - Detachment at Left Ring Finger, Mid, Open Approach

    • 0X6T0Z3 - Detachment at Left Ring Finger, Low, Open Approach

    • 0X6V0Z0 - Detachment at Right Little Finger, Complete, Open Approach

    • 0X6V0Z1 - Detachment at Right Little Finger, High, Open Approach

    • 0X6V0Z2 - Detachment at Right Little Finger, Mid, Open Approach

    • 0X6V0Z3 - Detachment at Right Little Finger, Low, Open Approach

    • 0X6W0Z0 - Detachment at Left Little Finger, Complete, Open Approach

    • 0X6W0Z1 - Detachment at Left Little Finger, High, Open Approach

    • 0X6W0Z2 - Detachment at Left Little Finger, Mid, Open Approach

    • 0X6W0Z3 - Detachment at Left Little Finger, Low, Open Approach

  • 0Y6 - Anatomical Regions, Lower Extremities, Detachment

    • 0Y6P0Z0 - Detachment at Right 1st Toe, Complete, Open Approach

    • 0Y6P0Z1 - Detachment at Right 1st Toe, High, Open Approach

    • 0Y6P0Z3 - Detachment at Right 1st Toe, Low, Open Approach

    • 0Y6Q0Z0 - Detachment at Left 1st Toe, Complete, Open Approach

    • 0Y6Q0Z1 - Detachment at Left 1st Toe, High, Open Approach

    • 0Y6Q0Z3 - Detachment at Left 1st Toe, Low, Open Approach

    • 0Y6R0Z0 - Detachment at Right 2nd Toe, Complete, Open Approach

    • 0Y6R0Z1 - Detachment at Right 2nd Toe, High, Open Approach

    • 0Y6R0Z2 - Detachment at Right 2nd Toe, Mid, Open Approach

    • 0Y6R0Z3 - Detachment at Right 2nd Toe, Low, Open Approach

    • 0Y6S0Z0 - Detachment at Left 2nd Toe, Complete, Open Approach

    • 0Y6S0Z1 - Detachment at Left 2nd Toe, High, Open Approach

    • 0Y6S0Z2 - Detachment at Left 2nd Toe, Mid, Open Approach

    • 0Y6S0Z3 - Detachment at Left 2nd Toe, Low, Open Approach

    • 0Y6T0Z0 - Detachment at Right 3rd Toe, Complete, Open Approach

    • 0Y6T0Z1 - Detachment at Right 3rd Toe, High, Open Approach

    • 0Y6T0Z2 - Detachment at Right 3rd Toe, Mid, Open Approach

    • 0Y6T0Z3 - Detachment at Right 3rd Toe, Low, Open Approach

    • 0Y6U0Z0 - Detachment at Left 3rd Toe, Complete, Open Approach

    • 0Y6U0Z1 - Detachment at Left 3rd Toe, High, Open Approach

    • 0Y6U0Z2 - Detachment at Left 3rd Toe, Mid, Open Approach

    • 0Y6U0Z3 - Detachment at Left 3rd Toe, Low, Open Approach

    • 0Y6V0Z0 - Detachment at Right 4th Toe, Complete, Open Approach

    • 0Y6V0Z1 - Detachment at Right 4th Toe, High, Open Approach

    • 0Y6V0Z2 - Detachment at Right 4th Toe, Mid, Open Approach

    • 0Y6V0Z3 - Detachment at Right 4th Toe, Low, Open Approach

    • 0Y6W0Z0 - Detachment at Left 4th Toe, Complete, Open Approach

    • 0Y6W0Z1 - Detachment at Left 4th Toe, High, Open Approach

    • 0Y6W0Z2 - Detachment at Left 4th Toe, Mid, Open Approach

    • 0Y6W0Z3 - Detachment at Left 4th Toe, Low, Open Approach

    • 0Y6X0Z0 - Detachment at Right 5th Toe, Complete, Open Approach

    • 0Y6X0Z1 - Detachment at Right 5th Toe, High, Open Approach

    • 0Y6X0Z2 - Detachment at Right 5th Toe, Mid, Open Approach

    • 0Y6X0Z3 - Detachment at Right 5th Toe, Low, Open Approach

    • 0Y6Y0Z0 - Detachment at Left 5th Toe, Complete, Open Approach

    • 0Y6Y0Z1 - Detachment at Left 5th Toe, High, Open Approach

    • 0Y6Y0Z2 - Detachment at Left 5th Toe, Mid, Open Approach

    • 0Y6Y0Z3 - Detachment at Left 5th Toe, Low, Open Approach