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

559 — Aftercare, Musculoskeletal System and Connective Tissue with MCC

This DRG is subject to the post-acute care transfer policy. Source: CMS MS-DRG v44.0 and FY2027 IPPS final rule. Page updated September 29, 2026.
Relative weight
1.8088
Geometric mean LOS
4.9 days
Arithmetic mean LOS
6.6 days
Type
Medical

About MS-DRG 559

MS-DRG 559, Aftercare, Musculoskeletal System and Connective Tissue with MCC, is a medical 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 1.8088, so Medicare's base payment for this DRG is about 1.81 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 4.9 days and the arithmetic mean is 6.6 days.

It belongs to a 3-level severity family: DRG 559 (with MCC, weight 1.8088), DRG 560 (with CC, weight 1.1238) and DRG 561 (without CC/MCC, weight 0.8258). The highest-severity level carries 2.2 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.

7,892 ICD-10-CM diagnosis codes are part of this DRG's grouping logic; they are listed below.

ICD-10-CM codes that group to DRG 559 (7,892)

Chapter 13: Diseases of the musculoskeletal system and connective tissue

Chapter 19: Injury, poisoning and certain other consequences of external causes

+ 5686 more

Chapter 21: Factors influencing health status and contact with health services

Common questions about DRG 559

What is the relative weight of DRG 559?

1.8088 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 559?

The geometric mean length of stay is 4.9 days; the arithmetic mean is 6.6 days.

Is DRG 559 medical or surgical?

DRG 559 is a medical DRG.