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MS-DRG v44.0 · MDC 08: Diseases and Disorders of the Musculoskeletal System and Connective Tissue

511 — Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC

This DRG is subject to the post-acute care transfer policy.
Relative weight
2.1181
Geometric mean LOS
3.5 days
Arithmetic mean LOS
4.3 days
Type
Surgical

About MS-DRG 511

MS-DRG 511, Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC, is a surgical DRG in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.

Its FY2027 relative weight is 2.1181, so Medicare's base payment for this DRG is about 2.12 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 3.5 days and the arithmetic mean is 4.3 days.

It belongs to a 3-level severity family: DRG 510 (with MCC, weight 3.1294), DRG 511 (with CC, weight 2.1181) and DRG 512 (without CC/MCC, weight 1.7025). The highest-severity level carries 1.8 times the weight of the lowest, which is why documenting CC and MCC conditions matters.

It is subject to Medicare's post-acute care transfer policy, so payment can be reduced when a patient with a shorter-than-average stay is discharged to a skilled nursing facility, home health or another post-acute setting.

ICD-10-CM codes that group to DRG 511 (0)

This DRG is assigned by procedure, not by a diagnosis list.

Common questions about DRG 511

What is the relative weight of DRG 511?

2.1181 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 511?

The geometric mean length of stay is 3.5 days; the arithmetic mean is 4.3 days.

Is DRG 511 medical or surgical?

DRG 511 is a surgical DRG.