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MS-DRG

461

Bilateral or Multiple Major Joint Procedures of Lower Extremity with MCC

Relative weight
4.9707
V44.0
In effect · V44.0 MDC 08 Surgical
Severity family
461 462

Same base procedure, split by complication and comorbidity level.

MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue

Relative weight by grouper version

CMS publishes classification in the Definitions Manual and weights in Table 5 of the IPPS rule, one spreadsheet per year. These are the 9 versions this grouper supports.

Version Fiscal year Effective Relative weight
V44.0 FY 2027 2026-10-01 4.9707
V43.1 FY 2026 (Apr-Sep) 2026-04-01 5.5230
V43.0 FY 2026 (Oct-Mar) 2025-10-01 5.5230
V42.1 FY 2025 (Apr-Sep) 2025-04-01 6.1367
V42.0 FY 2025 (Oct-Mar) 2024-10-01 6.1367
V41.1 FY 2024 (Apr-Sep) 2024-04-01 6.8185
V41.0 FY 2024 (Oct-Mar) 2023-10-01 6.8185
V40.1 FY 2023 (Apr-Sep) 2023-04-01 6.4152
V40.0 FY 2023 (Oct-Mar) 2022-10-01 6.4152

Range 4.9707 to 6.8185. A dash means the DRG did not exist in that version.

Codes that reach this DRG

172 ICD-10-PCS procedures. Each maps here on its own; procedure clusters can also reach this DRG through combinations, listed separately below.

Procedures

Combinations that reach this DRG

1528 procedure clusters across 184 codes. A cluster groups differently from its member codes, so none of these appear in the list above.

Check a real claim

Relative weight is not payment: actual reimbursement also applies wage index, capital, DSH and IME adjustments, and outliers. Group an encounter to see which DRG it actually lands in.

Open the MS-DRG grouper