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MS-DRGSurgical

496

LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC

MS-DRG 496 groups Medicare inpatient hospital stays for: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC. 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 LevelCC
Relative Weight1.8039
Relative Weight (10% Cap Applied)1.8039
Geometric Mean Length of Stay2.8 days
Arithmetic Mean Length of Stay3.9 days
Post-Acute Transfer DRGYes
Special Pay Transfer DRGYes

Defining Codes (FY2026)

1,851 procedure codes appear in its surgical logic (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: 1,851): 0M500ZZ, 0M503ZZ, 0M504ZZ, 0M510ZZ, 0M513ZZ, 0M514ZZ, 0M520ZZ, 0M523ZZ, 0M524ZZ, 0M530ZZ, 0M533ZZ, 0M534ZZ and 1,839 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 496 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 (1851)

  • 0M500ZZ — Destruction of Head and Neck Bursa and Ligament, Open Approach [Grouper procedure]
  • 0M503ZZ — Destruction of Head and Neck Bursa and Ligament, Percutaneous Approach [Grouper procedure]
  • 0M504ZZ — Destruction of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach [Grouper procedure]
  • 0M510ZZ — Destruction of Right Shoulder Bursa and Ligament, Open Approach [Grouper procedure]
  • 0M513ZZ — Destruction of Right Shoulder Bursa and Ligament, Percutaneous Approach [Grouper procedure]
  • 0M514ZZ — Destruction of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach [Grouper procedure]
  • 0M520ZZ — Destruction of Left Shoulder Bursa and Ligament, Open Approach [Grouper procedure]
  • 0M523ZZ — Destruction of Left Shoulder Bursa and Ligament, Percutaneous Approach [Grouper procedure]
  • and 1843 more

DRG family

  • DRG 495 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC [DRG family]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — same CMS DRG family (495-497), split by severity.”
  • DRG 497 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC [DRG family]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — same CMS DRG family (495-497), split by severity.”