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MS-DRGSurgical

479

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

MS-DRG 479 groups Medicare inpatient hospital stays for: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC. This is a surgical MS-DRG. It falls under MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue).

Payment & Classification Data

Official CMS values from the current fiscal year's IPPS Final Rule.

Major Diagnostic CategoryMDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue
DRG TypeSurgical
Severity LevelNone
Relative Weight1.8589
Relative Weight (10% Cap Applied)1.8589
Geometric Mean Length of Stay3.3 days
Arithmetic Mean Length of Stay4.1 days
Post-Acute Transfer DRGYes
Special Pay Transfer DRGYes

Defining Codes (FY2026)

431 procedure codes appear in its surgical logic (Biopsies of Musculoskeletal System and Connective Tissue: 431): 0MJX0ZZ, 0MJX4ZZ, 0MJY0ZZ, 0MJY4ZZ, 0N900ZX, 0N903ZX, 0N904ZX, 0N910ZX, 0N913ZX, 0N914ZX, 0N930ZX, 0N933ZX and 419 more.

From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.

Contextual Map

Every relationship of 479 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Major Diagnostic Category

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

Defining procedures (431)

  • 0MJX0ZZ — Inspection of Upper Bursa and Ligament, Open Approach [Grouper procedure]
  • 0MJX4ZZ — Inspection of Upper Bursa and Ligament, Percutaneous Endoscopic Approach [Grouper procedure]
  • 0MJY0ZZ — Inspection of Lower Bursa and Ligament, Open Approach [Grouper procedure]
  • 0MJY4ZZ — Inspection of Lower Bursa and Ligament, Percutaneous Endoscopic Approach [Grouper procedure]
  • 0N900ZX — Drainage of Skull, Open Approach, Diagnostic [Grouper procedure]
  • 0N903ZX — Drainage of Skull, Percutaneous Approach, Diagnostic [Grouper procedure]
  • 0N904ZX — Drainage of Skull, Percutaneous Endoscopic Approach, Diagnostic [Grouper procedure]
  • 0N910ZX — Drainage of Frontal Bone, Open Approach, Diagnostic [Grouper procedure]
  • and 423 more

DRG family

  • DRG 477 — BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [DRG family]: “BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — same CMS DRG family (477-479), split by severity.”
  • DRG 478 — BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [DRG family]: “BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC — same CMS DRG family (477-479), split by severity.”