DRG 494 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC

Enhanced MS-DRG Definitions Manual

MS-DRG v40 (FY 2023) Definitions Manual • DRG 494 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC

DRG Information as of MS-DRG v40 (FY 2023)

MDC	MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue
MDC Subsection	Lower extremity and humerus procedures except hip, foot and femur
DRG Number	494
DRG Description	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
Surgical / Medical	Medical

Table 5 for FY 2023

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 and disorders of the musculoskeletal system and connective tissue Subsection Lower extremity and humerus procedures except hip, foot and femur)

This DRG is a member of the subsection Lower extremity and humerus procedures except hip, foot and femur. Patients who qualify for Lower extremity and humerus procedures except hip, foot and femur 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	492	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC	Medical
No	Yes	493	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	Medical
No	No	494	LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR 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.