DRG 470 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

Enhanced MS-DRG Definitions Manual

MS-DRG v38 (FY 2021) Definitions Manual • DRG 470 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

DRG Information as of MS-DRG v38 (FY 2021)

MDC	MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
MDC Subsection	Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity
DRG Number	470
DRG Description	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
Surgical / Medical	Medical

Table 5 for FY 2021

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 Hip and Knee Joint Replacement or Reattachment of Lower Extremity)

This DRG is a member of the subsection Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity. Patients who qualify for Major Hip and Knee 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	Total Ankle Replacement	DRG	Name	Type
Yes	n/a	469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	Medical
n/a	Yes	469	MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT	Medical
No	No	470	MAJOR HIP AND KNEE 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.