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  3. Procedure Codes in MS-DRG 469 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

Procedure Codes in MS-DRG 469 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for Procedure Codes in MS-DRG 469 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH Major Complication or Comorbidity OR TOTAL ANKLE REPLACEMENT diseases in version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT 08 3.3298 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.		 3.33 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.		 3.50 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.

ICD-10-PCS Codes in Diagnostic Related Group


  • 0SR9
    • 0SR907Z Replacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach
    • 0SR90KZ Replacement of Right Hip Joint with Nonautologous Tissue Substitute, Open Approach
  • 0SRA
    • 0SRA07Z Replacement of Right Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
    • 0SRA0KZ Replacement of Right Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
  • 0SRB
    • 0SRB07Z Replacement of Left Hip Joint with Autologous Tissue Substitute, Open Approach
    • 0SRB0KZ Replacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach
  • 0SRC
    • 0SRC07Z Replacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach
    • 0SRC0KZ Replacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach
  • 0SRD
    • 0SRD07Z Replacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach
    • 0SRD0KZ Replacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach
  • 0SRE
    • 0SRE07Z Replacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
    • 0SRE0KZ Replacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
  • 0SRF
    • 0SRF07Z Replacement of Right Ankle Joint with Autologous Tissue Substitute, Open Approach
    • 0SRF0J9 Replacement of Right Ankle Joint with Synthetic Substitute, Cemented, Open Approach
    • 0SRF0JA Replacement of Right Ankle Joint with Synthetic Substitute, Uncemented, Open Approach
    • 0SRF0JZ Replacement of Right Ankle Joint with Synthetic Substitute, Open Approach
    • 0SRF0KZ Replacement of Right Ankle Joint with Nonautologous Tissue Substitute, Open Approach
  • 0SRG
    • 0SRG07Z Replacement of Left Ankle Joint with Autologous Tissue Substitute, Open Approach
    • 0SRG0J9 Replacement of Left Ankle Joint with Synthetic Substitute, Cemented, Open Approach
    • 0SRG0JA Replacement of Left Ankle Joint with Synthetic Substitute, Uncemented, Open Approach
    • 0SRG0JZ Replacement of Left Ankle Joint with Synthetic Substitute, Open Approach
    • 0SRG0KZ Replacement of Left Ankle Joint with Nonautologous Tissue Substitute, Open Approach
  • 0SRR
    • 0SRR07Z Replacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
    • 0SRR0KZ Replacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
  • 0SRS
    • 0SRS07Z Replacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
    • 0SRS0KZ Replacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
  • 0SRT
    • 0SRT07Z Replacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
    • 0SRT0KZ Replacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
  • 0SRU
    • 0SRU07Z Replacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
    • 0SRU0KZ Replacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
  • 0SRV
    • 0SRV07Z Replacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach
    • 0SRV0KZ Replacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach
  • 0SRW
    • 0SRW07Z Replacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach
    • 0SRW0KZ Replacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach
  • 0SU9
    • 0SU90BZ Supplement Right Hip Joint with Resurfacing Device, Open Approach
  • 0SUA
    • 0SUA0BZ Supplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
  • 0SUB
    • 0SUB0BZ Supplement Left Hip Joint with Resurfacing Device, Open Approach
  • 0SUE
    • 0SUE0BZ Supplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
  • 0SUR
    • 0SUR0BZ Supplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach
  • 0SUS
    • 0SUS0BZ Supplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach
  • 0YM7
    • 0YM70ZZ Reattachment of Right Femoral Region, Open Approach
  • 0YM8
    • 0YM80ZZ Reattachment of Left Femoral Region, Open Approach
  • 0YMC
    • 0YMC0ZZ Reattachment of Right Upper Leg, Open Approach
  • 0YMD
    • 0YMD0ZZ Reattachment of Left Upper Leg, Open Approach
  • 0YMF
    • 0YMF0ZZ Reattachment of Right Knee Region, Open Approach
  • 0YMG
    • 0YMG0ZZ Reattachment of Left Knee Region, Open Approach
  • 0YMH
    • 0YMH0ZZ Reattachment of Right Lower Leg, Open Approach
  • 0YMJ
    • 0YMJ0ZZ Reattachment of Left Lower Leg, Open Approach
  • 0YMK
    • 0YMK0ZZ Reattachment of Right Ankle Region, Open Approach
  • 0YML
    • 0YML0ZZ Reattachment of Left Ankle Region, Open Approach
  • 0YMM
    • 0YMM0ZZ Reattachment of Right Foot, Open Approach
  • 0YMN
    • 0YMN0ZZ Reattachment of Left Foot, Open Approach