DRG 511 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC

Enhanced MS-DRG Definitions Manual

MS-DRG v41 (FY 2024) Definitions Manual • DRG 511 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC

DRG Information as of MS-DRG v41 (FY 2024)

MDC	MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue
MDC Subsection	Shoulder, elbow or forearm procedures, except major joint procedures
DRG Number	511
DRG Description	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC
Surgical / Medical	Medical

Table 5 for FY 2024

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 Shoulder, elbow or forearm procedures, except major joint procedures)

This DRG is a member of the subsection Shoulder, elbow or forearm procedures, except major joint procedures. Patients who qualify for Shoulder, elbow or forearm procedures, except major joint procedures 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	510	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC	Medical
No	Yes	511	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC	Medical
No	No	512	SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES 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.