MS-DRG - 536 FRACTURES OF HIP AND PELVIS WITHOUT MCC

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  3. MS-DRG - 536 FRACTURES OF HIP AND PELVIS WITHOUT 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 - 536 FRACTURES OF HIP AND PELVIS WITHOUT Major Complication or Comorbidity diseases in version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC 08 0.7716 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.		 2.90 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.		 3.30 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

  • S32.301A - Unspecified fracture of right ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.301B - Unspecified fracture of right ilium, initial encounter for open fracture BILLABLE CODE
  • S32.302A - Unspecified fracture of left ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.302B - Unspecified fracture of left ilium, initial encounter for open fracture BILLABLE CODE
  • S32.309A - Unspecified fracture of unspecified ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.309B - Unspecified fracture of unspecified ilium, initial encounter for open fracture BILLABLE CODE
  • S32.311A - Displaced avulsion fracture of right ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.311B - Displaced avulsion fracture of right ilium, initial encounter for open fracture BILLABLE CODE
  • S32.312A - Displaced avulsion fracture of left ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.312B - Displaced avulsion fracture of left ilium, initial encounter for open fracture BILLABLE CODE
  • S32.313A - Displaced avulsion fracture of unspecified ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.313B - Displaced avulsion fracture of unspecified ilium, initial encounter for open fracture BILLABLE CODE
  • S32.314A - Nondisplaced avulsion fracture of right ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.314B - Nondisplaced avulsion fracture of right ilium, initial encounter for open fracture BILLABLE CODE
  • S32.315A - Nondisplaced avulsion fracture of left ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.315B - Nondisplaced avulsion fracture of left ilium, initial encounter for open fracture BILLABLE CODE
  • S32.316A - Nondisplaced avulsion fracture of unspecified ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.316B - Nondisplaced avulsion fracture of unspecified ilium, initial encounter for open fracture BILLABLE CODE
  • S32.391A - Other fracture of right ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.391B - Other fracture of right ilium, initial encounter for open fracture BILLABLE CODE
  • S32.392A - Other fracture of left ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.392B - Other fracture of left ilium, initial encounter for open fracture BILLABLE CODE
  • S32.399A - Other fracture of unspecified ilium, initial encounter for closed fracture BILLABLE CODE
  • S32.399B - Other fracture of unspecified ilium, initial encounter for open fracture BILLABLE CODE
  • S32.501A - Unspecified fracture of right pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.501B - Unspecified fracture of right pubis, initial encounter for open fracture BILLABLE CODE
  • S32.502A - Unspecified fracture of left pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.502B - Unspecified fracture of left pubis, initial encounter for open fracture BILLABLE CODE
  • S32.509A - Unspecified fracture of unspecified pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.509B - Unspecified fracture of unspecified pubis, initial encounter for open fracture BILLABLE CODE
  • S32.511A - Fracture of superior rim of right pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.511B - Fracture of superior rim of right pubis, initial encounter for open fracture BILLABLE CODE
  • S32.512A - Fracture of superior rim of left pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.512B - Fracture of superior rim of left pubis, initial encounter for open fracture BILLABLE CODE
  • S32.519A - Fracture of superior rim of unspecified pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.519B - Fracture of superior rim of unspecified pubis, initial encounter for open fracture BILLABLE CODE
  • S32.591A - Other specified fracture of right pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.591B - Other specified fracture of right pubis, initial encounter for open fracture BILLABLE CODE
  • S32.592A - Other specified fracture of left pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.592B - Other specified fracture of left pubis, initial encounter for open fracture BILLABLE CODE
  • S32.599A - Other specified fracture of unspecified pubis, initial encounter for closed fracture BILLABLE CODE
  • S32.599B - Other specified fracture of unspecified pubis, initial encounter for open fracture BILLABLE CODE
  • S32.601A - Unspecified fracture of right ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.601B - Unspecified fracture of right ischium, initial encounter for open fracture BILLABLE CODE
  • S32.602A - Unspecified fracture of left ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.602B - Unspecified fracture of left ischium, initial encounter for open fracture BILLABLE CODE
  • S32.609A - Unspecified fracture of unspecified ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.609B - Unspecified fracture of unspecified ischium, initial encounter for open fracture BILLABLE CODE
  • S32.611A - Displaced avulsion fracture of right ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.611B - Displaced avulsion fracture of right ischium, initial encounter for open fracture BILLABLE CODE
  • S32.612A - Displaced avulsion fracture of left ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.612B - Displaced avulsion fracture of left ischium, initial encounter for open fracture BILLABLE CODE
  • S32.613A - Displaced avulsion fracture of unspecified ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.613B - Displaced avulsion fracture of unspecified ischium, initial encounter for open fracture BILLABLE CODE
  • S32.614A - Nondisplaced avulsion fracture of right ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.614B - Nondisplaced avulsion fracture of right ischium, initial encounter for open fracture BILLABLE CODE
  • S32.615A - Nondisplaced avulsion fracture of left ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.615B - Nondisplaced avulsion fracture of left ischium, initial encounter for open fracture BILLABLE CODE
  • S32.616A - Nondisplaced avulsion fracture of unspecified ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.616B - Nondisplaced avulsion fracture of unspecified ischium, initial encounter for open fracture BILLABLE CODE
  • S32.691A - Other specified fracture of right ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.691B - Other specified fracture of right ischium, initial encounter for open fracture BILLABLE CODE
  • S32.692A - Other specified fracture of left ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.692B - Other specified fracture of left ischium, initial encounter for open fracture BILLABLE CODE
  • S32.699A - Other specified fracture of unspecified ischium, initial encounter for closed fracture BILLABLE CODE
  • S32.699B - Other specified fracture of unspecified ischium, initial encounter for open fracture BILLABLE CODE
  • S32.810A - Multiple fractures of pelvis with stable disruption of pelvic ring, initial encounter for closed fracture BILLABLE CODE
  • S32.810B - Multiple fractures of pelvis with stable disruption of pelvic ring, initial encounter for open fracture BILLABLE CODE
  • S32.811A - Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for closed fracture BILLABLE CODE
  • S32.811B - Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for open fracture BILLABLE CODE
  • S32.82XA - Multiple fractures of pelvis without disruption of pelvic ring, initial encounter for closed fracture BILLABLE CODE
  • S32.82XB - Multiple fractures of pelvis without disruption of pelvic ring, initial encounter for open fracture BILLABLE CODE
  • S32.89XA - Fracture of other parts of pelvis, initial encounter for closed fracture BILLABLE CODE
  • S32.89XB - Fracture of other parts of pelvis, initial encounter for open fracture BILLABLE CODE
  • S32.9XXA - Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for closed fracture BILLABLE CODE
  • S32.9XXB - Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for open fracture BILLABLE CODE