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

513 — Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC

Source: CMS MS-DRG v44.0 and FY2027 IPPS final rule. Page updated September 29, 2026.
Relative weight
1.5215
Geometric mean LOS
3.8 days
Arithmetic mean LOS
4.9 days
Type
Surgical

About MS-DRG 513

MS-DRG 513, Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC, 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 1.5215, so Medicare's base payment for this DRG is about 1.52 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 3.8 days and the arithmetic mean is 4.9 days.

It belongs to a 2-level severity family: DRG 513 (with CC/MCC, weight 1.5215) and DRG 514 (without CC/MCC, weight 1.0202). The highest-severity level carries 1.5 times the weight of the lowest, which is why documenting CC and MCC conditions matters.

ICD-10-CM codes that group to DRG 513 (0)

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

Common questions about DRG 513

What is the relative weight of DRG 513?

1.5215 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 513?

The geometric mean length of stay is 3.8 days; the arithmetic mean is 4.9 days.

Is DRG 513 medical or surgical?

DRG 513 is a surgical DRG.