Diagnosis Codes in MS-DRG 486 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC

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 Diagnosis Codes in MS-DRG 486 - KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH Complication Comorbidity 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
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC 08 2.0083 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.
2.01 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.
5.00 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.

List of ICD-10-CM Codes in Diagnostic Related Group


  • A18.0
    • A18.02 Tuberculous arthritis of other joints
  • A54.4
  • M00.06
    • M00.061 Staphylococcal arthritis, right knee
    • M00.062 Staphylococcal arthritis, left knee
    • M00.069 Staphylococcal arthritis, unspecified knee
  • M00.16
    • M00.161 Pneumococcal arthritis, right knee
    • M00.162 Pneumococcal arthritis, left knee
    • M00.169 Pneumococcal arthritis, unspecified knee
  • M00.26
    • M00.261 Other streptococcal arthritis, right knee
    • M00.262 Other streptococcal arthritis, left knee
    • M00.269 Other streptococcal arthritis, unspecified knee
  • M00.86
    • M00.861 Arthritis due to other bacteria, right knee
    • M00.862 Arthritis due to other bacteria, left knee
    • M00.869 Arthritis due to other bacteria, unspecified knee
  • M00
    • M00.9 Pyogenic arthritis, unspecified
  • M01.X6
    • M01.X61 Direct infection of right knee in infectious and parasitic diseases classified elsewhere
    • M01.X62 Direct infection of left knee in infectious and parasitic diseases classified elsewhere
    • M01.X69 Direct infection of unspecified knee in infectious and parasitic diseases classified elsewhere
  • M71.06
    • M71.061 Abscess of bursa, right knee
    • M71.062 Abscess of bursa, left knee
    • M71.069 Abscess of bursa, unspecified knee
  • M71.16
    • M71.161 Other infective bursitis, right knee
    • M71.162 Other infective bursitis, left knee
    • M71.169 Other infective bursitis, unspecified knee
  • M86.06
    • M86.061 Acute hematogenous osteomyelitis, right tibia and fibula
    • M86.062 Acute hematogenous osteomyelitis, left tibia and fibula
    • M86.069 Acute hematogenous osteomyelitis, unspecified tibia and fibula
  • M86.16
    • M86.161 Other acute osteomyelitis, right tibia and fibula
    • M86.162 Other acute osteomyelitis, left tibia and fibula
    • M86.169 Other acute osteomyelitis, unspecified tibia and fibula
  • M86.26
    • M86.261 Subacute osteomyelitis, right tibia and fibula
    • M86.262 Subacute osteomyelitis, left tibia and fibula
    • M86.269 Subacute osteomyelitis, unspecified tibia and fibula
  • M86.36
    • M86.361 Chronic multifocal osteomyelitis, right tibia and fibula
    • M86.362 Chronic multifocal osteomyelitis, left tibia and fibula
    • M86.369 Chronic multifocal osteomyelitis, unspecified tibia and fibula
  • M86.46
    • M86.461 Chronic osteomyelitis with draining sinus, right tibia and fibula
    • M86.462 Chronic osteomyelitis with draining sinus, left tibia and fibula
    • M86.469 Chronic osteomyelitis with draining sinus, unspecified tibia and fibula
  • M86.56
    • M86.561 Other chronic hematogenous osteomyelitis, right tibia and fibula
    • M86.562 Other chronic hematogenous osteomyelitis, left tibia and fibula
    • M86.569 Other chronic hematogenous osteomyelitis, unspecified tibia and fibula
  • M86.66
    • M86.661 Other chronic osteomyelitis, right tibia and fibula
    • M86.662 Other chronic osteomyelitis, left tibia and fibula
    • M86.669 Other chronic osteomyelitis, unspecified tibia and fibula
  • M86.8X
    • M86.8X6 Other osteomyelitis, lower leg
  • T84.53
    • T84.53XA Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter
  • T84.54
    • T84.54XA Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter
  • T84.620
    • T84.620A Infection and inflammatory reaction due to internal fixation device of right femur, initial encounter
  • T84.621
    • T84.621A Infection and inflammatory reaction due to internal fixation device of left femur, initial encounter
  • T84.622
    • T84.622A Infection and inflammatory reaction due to internal fixation device of right tibia, initial encounter
  • T84.623
    • T84.623A Infection and inflammatory reaction due to internal fixation device of left tibia, initial encounter
  • T84.624
    • T84.624A Infection and inflammatory reaction due to internal fixation device of right fibula, initial encounter
  • T84.625
    • T84.625A Infection and inflammatory reaction due to internal fixation device of left fibula, initial encounter
  • T84.629
    • T84.629A Infection and inflammatory reaction due to internal fixation device of unspecified bone of leg, initial encounter
  • T84.7
    • T84.7XXA Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter