DRG 468 - REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC

Enhanced MS-DRG Definitions Manual

MS-DRG v34 (FY 2017) Definitions Manual • DRG 468 - REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC

DRG Information as of MS-DRG v34 (FY 2017)

MDC	MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
MDC Subsection	Revision of Hip or Knee Replacement
DRG Number	468
DRG Description	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
Surgical / Medical	Medical

Table 5 for FY 2017

Weights	None
Length of Stay (Geometric Mean)	None
Length of Stay (Arithmetic Mean)	None
Special Pay DRG	No
Post-Acute DRG	No

DRG Assignment Logic (From MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue Subsection Revision of Hip or Knee Replacement)

This DRG is a member of the subsection Revision of Hip or Knee Replacement. Patients who qualify for Revision of Hip or Knee Replacement will be grouped this DRG or one of the related DRGs according to the logic below.

View the requirements to qualify.

MCC	CC	DRG	Name	Type
Yes	n/a	466	REVISION OF HIP OR KNEE REPLACEMENT WITH MCC	Medical
No	Yes	467	REVISION OF HIP OR KNEE REPLACEMENT WITH CC	Medical
No	No	468	REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC	Medical

About the Turquoise Health MS-DRG Manual Browser

We build tools and machine learning systems that simplify healthcare revenue cycle operations. We were frustrated with the formatting of the MS-DRG rules, so we built our own solution.

MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.

We have converted the MS-DRG logic into fully structured, machine-readable data. If you need structured data versions of the MS-DRG manuals, we would love to talk with you.