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

515 — Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC

This DRG is subject to the post-acute care transfer policy.
Relative weight
3.1873
Geometric mean LOS
6.7 days
Arithmetic mean LOS
8.4 days
Type
Surgical

About MS-DRG 515

MS-DRG 515, Other Musculoskeletal System and Connective Tissue O.R. Procedures with 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 3.1873, so Medicare's base payment for this DRG is about 3.19 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 6.7 days and the arithmetic mean is 8.4 days.

It belongs to a 3-level severity family: DRG 515 (with MCC, weight 3.1873), DRG 516 (with CC, weight 2.1181) and DRG 517 (without CC/MCC, weight 1.5727). The highest-severity level carries 2.0 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 515 (0)

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

Common questions about DRG 515

What is the relative weight of DRG 515?

3.1873 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 515?

The geometric mean length of stay is 6.7 days; the arithmetic mean is 8.4 days.

Is DRG 515 medical or surgical?

DRG 515 is a surgical DRG.