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  3. Procedure Codes in MS-DRG 467 - Revision Of Hip Or Knee Replacement With CC

Procedure Codes in MS-DRG 467 - Revision Of Hip Or Knee Replacement With CC

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 V43.0: Revision of Hip or Knee Replacement with CC from October 1, 2025, through September 30, 2026.

MS-DRG: 467

MS-DRG Title: Revision of Hip or Knee Replacement with CC

MCD: 08

Relative Weight: 3.5266 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: 3.53 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: 3.10 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.

  • 0SP - Lower Joints, Removal

    • 0SPA0JZ - Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Open Approach

    • 0SPA4JZ - Removal of Synthetic Substitute from Right Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach

    • 0SPC0JC - Removal of Synthetic Substitute from Right Knee Joint, Patellar Surface, Open Approach

    • 0SPC4JC - Removal of Synthetic Substitute from Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach

    • 0SPD0JC - Removal of Synthetic Substitute from Left Knee Joint, Patellar Surface, Open Approach

    • 0SPD4JC - Removal of Synthetic Substitute from Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach

    • 0SPE0JZ - Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Open Approach

    • 0SPE4JZ - Removal of Synthetic Substitute from Left Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach

    • 0SPR0JZ - Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Open Approach

    • 0SPR4JZ - Removal of Synthetic Substitute from Right Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach

    • 0SPS0JZ - Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Open Approach

    • 0SPS4JZ - Removal of Synthetic Substitute from Left Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach

    • 0SPT0JZ - Removal of Synthetic Substitute from Right Knee Joint, Femoral Surface, Open Approach

    • 0SPT4JZ - Removal of Synthetic Substitute from Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach

    • 0SPU0JZ - Removal of Synthetic Substitute from Left Knee Joint, Femoral Surface, Open Approach

    • 0SPU4JZ - Removal of Synthetic Substitute from Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach

    • 0SPV0JZ - Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Open Approach

    • 0SPV4JZ - Removal of Synthetic Substitute from Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach

    • 0SPW0JZ - Removal of Synthetic Substitute from Left Knee Joint, Tibial Surface, Open Approach

    • 0SPW4JZ - Removal of Synthetic Substitute from Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach

  • 0SW - Lower Joints, Revision

    • 0SW90JZ - Revision of Synthetic Substitute in Right Hip Joint, Open Approach

    • 0SW93JZ - Revision of Synthetic Substitute in Right Hip Joint, Percutaneous Approach

    • 0SW94JZ - Revision of Synthetic Substitute in Right Hip Joint, Percutaneous Endoscopic Approach

    • 0SWA0JZ - Revision of Synthetic Substitute in Right Hip Joint, Acetabular Surface, Open Approach

    • 0SWA3JZ - Revision of Synthetic Substitute in Right Hip Joint, Acetabular Surface, Percutaneous Approach

    • 0SWA4JZ - Revision of Synthetic Substitute in Right Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach

    • 0SWB0JZ - Revision of Synthetic Substitute in Left Hip Joint, Open Approach

    • 0SWB3JZ - Revision of Synthetic Substitute in Left Hip Joint, Percutaneous Approach

    • 0SWB4JZ - Revision of Synthetic Substitute in Left Hip Joint, Percutaneous Endoscopic Approach

    • 0SWC0JC - Revision of Synthetic Substitute in Right Knee Joint, Patellar Surface, Open Approach

    • 0SWC0JZ - Revision of Synthetic Substitute in Right Knee Joint, Open Approach

    • 0SWC3JC - Revision of Synthetic Substitute in Right Knee Joint, Patellar Surface, Percutaneous Approach

    • 0SWC3JZ - Revision of Synthetic Substitute in Right Knee Joint, Percutaneous Approach

    • 0SWC4JC - Revision of Synthetic Substitute in Right Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach

    • 0SWC4JZ - Revision of Synthetic Substitute in Right Knee Joint, Percutaneous Endoscopic Approach

    • 0SWD0JC - Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Open Approach

    • 0SWD0JZ - Revision of Synthetic Substitute in Left Knee Joint, Open Approach

    • 0SWD3JC - Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Percutaneous Approach

    • 0SWD3JZ - Revision of Synthetic Substitute in Left Knee Joint, Percutaneous Approach

    • 0SWD4JC - Revision of Synthetic Substitute in Left Knee Joint, Patellar Surface, Percutaneous Endoscopic Approach

    • 0SWD4JZ - Revision of Synthetic Substitute in Left Knee Joint, Percutaneous Endoscopic Approach

    • 0SWE0JZ - Revision of Synthetic Substitute in Left Hip Joint, Acetabular Surface, Open Approach

    • 0SWE3JZ - Revision of Synthetic Substitute in Left Hip Joint, Acetabular Surface, Percutaneous Approach

    • 0SWE4JZ - Revision of Synthetic Substitute in Left Hip Joint, Acetabular Surface, Percutaneous Endoscopic Approach

    • 0SWR0JZ - Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, Open Approach

    • 0SWR3JZ - Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, Percutaneous Approach

    • 0SWR4JZ - Revision of Synthetic Substitute in Right Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach

    • 0SWS0JZ - Revision of Synthetic Substitute in Left Hip Joint, Femoral Surface, Open Approach

    • 0SWS3JZ - Revision of Synthetic Substitute in Left Hip Joint, Femoral Surface, Percutaneous Approach

    • 0SWS4JZ - Revision of Synthetic Substitute in Left Hip Joint, Femoral Surface, Percutaneous Endoscopic Approach

    • 0SWT0JZ - Revision of Synthetic Substitute in Right Knee Joint, Femoral Surface, Open Approach

    • 0SWT3JZ - Revision of Synthetic Substitute in Right Knee Joint, Femoral Surface, Percutaneous Approach

    • 0SWT4JZ - Revision of Synthetic Substitute in Right Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach

    • 0SWU0JZ - Revision of Synthetic Substitute in Left Knee Joint, Femoral Surface, Open Approach

    • 0SWU3JZ - Revision of Synthetic Substitute in Left Knee Joint, Femoral Surface, Percutaneous Approach

    • 0SWU4JZ - Revision of Synthetic Substitute in Left Knee Joint, Femoral Surface, Percutaneous Endoscopic Approach

    • 0SWV0JZ - Revision of Synthetic Substitute in Right Knee Joint, Tibial Surface, Open Approach

    • 0SWV3JZ - Revision of Synthetic Substitute in Right Knee Joint, Tibial Surface, Percutaneous Approach

    • 0SWV4JZ - Revision of Synthetic Substitute in Right Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach

    • 0SWW0JZ - Revision of Synthetic Substitute in Left Knee Joint, Tibial Surface, Open Approach

    • 0SWW3JZ - Revision of Synthetic Substitute in Left Knee Joint, Tibial Surface, Percutaneous Approach

    • 0SWW4JZ - Revision of Synthetic Substitute in Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach