DRG 469 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC

Enhanced MS-DRG Definitions Manual

MS-DRG v34 (FY 2017) Definitions Manual • DRG 469 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC

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

MDC	MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
MDC Subsection	Major Joint Replacement or Reattachment of Lower Extremity
DRG Number	469
DRG Description	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH 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 Major Joint Replacement or Reattachment of Lower Extremity)

This DRG is a member of the subsection Major Joint Replacement or Reattachment of Lower Extremity. Patients who qualify for Major Joint Replacement or Reattachment of Lower Extremity will be grouped this DRG or one of the related DRGs according to the logic below.

View the requirements to qualify.

MCC	DRG	Name	Type
Yes	469	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC	Medical
No	470	MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT 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.