MS-DRG - 487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
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 - 487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT Complication Comorbidity/Major Complication or 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 |
---|---|---|---|---|---|
487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | 08 | 1.6040 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. |
3.50 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. |
4.10 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. |
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