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 MS-DRG - 486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH Complication Comorbidity diseases in version MS-DRG V40.0 applicable from 10/01/2022 through 09/30/2023.

MS-DRG	MS-DRG Title	MCD	Relative Weight	Geometric LOS	Arithmetic LOS
486	KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC	08	2.0860 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.	4.90 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.	5.70 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 Codes in Diagnostic Related Group

A18.02 - Tuberculous arthritis of other joints BILLABLE CODE
A54.42 - Gonococcal arthritis BILLABLE CODE
M00.061 - Staphylococcal arthritis, right knee BILLABLE CODE
M00.062 - Staphylococcal arthritis, left knee BILLABLE CODE
M00.069 - Staphylococcal arthritis, unspecified knee BILLABLE CODE
M00.161 - Pneumococcal arthritis, right knee BILLABLE CODE
M00.162 - Pneumococcal arthritis, left knee BILLABLE CODE
M00.169 - Pneumococcal arthritis, unspecified knee BILLABLE CODE
M00.261 - Other streptococcal arthritis, right knee BILLABLE CODE
M00.262 - Other streptococcal arthritis, left knee BILLABLE CODE
M00.269 - Other streptococcal arthritis, unspecified knee BILLABLE CODE
M00.861 - Arthritis due to other bacteria, right knee BILLABLE CODE
M00.862 - Arthritis due to other bacteria, left knee BILLABLE CODE
M00.869 - Arthritis due to other bacteria, unspecified knee BILLABLE CODE
M00.9 - Pyogenic arthritis, unspecified BILLABLE CODE
M01.X61 - Direct infection of right knee in infectious and parasitic diseases classified elsewhere BILLABLE CODE
M01.X62 - Direct infection of left knee in infectious and parasitic diseases classified elsewhere BILLABLE CODE
M01.X69 - Direct infection of unspecified knee in infectious and parasitic diseases classified elsewhere BILLABLE CODE
M71.061 - Abscess of bursa, right knee BILLABLE CODE
M71.062 - Abscess of bursa, left knee BILLABLE CODE
M71.069 - Abscess of bursa, unspecified knee BILLABLE CODE
M71.161 - Other infective bursitis, right knee BILLABLE CODE
M71.162 - Other infective bursitis, left knee BILLABLE CODE
M71.169 - Other infective bursitis, unspecified knee BILLABLE CODE
M86.061 - Acute hematogenous osteomyelitis, right tibia and fibula BILLABLE CODE
M86.062 - Acute hematogenous osteomyelitis, left tibia and fibula BILLABLE CODE
M86.069 - Acute hematogenous osteomyelitis, unspecified tibia and fibula BILLABLE CODE
M86.161 - Other acute osteomyelitis, right tibia and fibula BILLABLE CODE
M86.162 - Other acute osteomyelitis, left tibia and fibula BILLABLE CODE
M86.169 - Other acute osteomyelitis, unspecified tibia and fibula BILLABLE CODE
M86.261 - Subacute osteomyelitis, right tibia and fibula BILLABLE CODE
M86.262 - Subacute osteomyelitis, left tibia and fibula BILLABLE CODE
M86.269 - Subacute osteomyelitis, unspecified tibia and fibula BILLABLE CODE
M86.361 - Chronic multifocal osteomyelitis, right tibia and fibula BILLABLE CODE
M86.362 - Chronic multifocal osteomyelitis, left tibia and fibula BILLABLE CODE
M86.369 - Chronic multifocal osteomyelitis, unspecified tibia and fibula BILLABLE CODE
M86.461 - Chronic osteomyelitis with draining sinus, right tibia and fibula BILLABLE CODE
M86.462 - Chronic osteomyelitis with draining sinus, left tibia and fibula BILLABLE CODE
M86.469 - Chronic osteomyelitis with draining sinus, unspecified tibia and fibula BILLABLE CODE
M86.561 - Other chronic hematogenous osteomyelitis, right tibia and fibula BILLABLE CODE
M86.562 - Other chronic hematogenous osteomyelitis, left tibia and fibula BILLABLE CODE
M86.569 - Other chronic hematogenous osteomyelitis, unspecified tibia and fibula BILLABLE CODE
M86.661 - Other chronic osteomyelitis, right tibia and fibula BILLABLE CODE
M86.662 - Other chronic osteomyelitis, left tibia and fibula BILLABLE CODE
M86.669 - Other chronic osteomyelitis, unspecified tibia and fibula BILLABLE CODE
M86.8X6 - Other osteomyelitis, lower leg BILLABLE CODE
T84.53XA - Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter BILLABLE CODE
T84.54XA - Infection and inflammatory reaction due to internal left knee prosthesis, initial encounter BILLABLE CODE
T84.620A - Infection and inflammatory reaction due to internal fixation device of right femur, initial encounter BILLABLE CODE
T84.621A - Infection and inflammatory reaction due to internal fixation device of left femur, initial encounter BILLABLE CODE
T84.622A - Infection and inflammatory reaction due to internal fixation device of right tibia, initial encounter BILLABLE CODE
T84.623A - Infection and inflammatory reaction due to internal fixation device of left tibia, initial encounter BILLABLE CODE
T84.624A - Infection and inflammatory reaction due to internal fixation device of right fibula, initial encounter BILLABLE CODE
T84.625A - Infection and inflammatory reaction due to internal fixation device of left fibula, initial encounter BILLABLE CODE
T84.629A - Infection and inflammatory reaction due to internal fixation device of unspecified bone of leg, initial encounter BILLABLE CODE
T84.7XXA - Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter BILLABLE CODE