Skip to main content
MS-DRGSurgical

498

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

MS-DRG 498 groups Medicare inpatient hospital stays for: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH 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 LevelCC/MCC
Relative Weight3.0168
Relative Weight (10% Cap Applied)3.0168
Geometric Mean Length of Stay4.4 days
Arithmetic Mean Length of Stay5.9 days
Post-Acute Transfer DRGNo
Special Pay Transfer DRGNo

Defining Codes (FY2026)

252 procedure codes appear in its surgical logic (Local Excision and Removal of Internal Fixation Devices of Hip and Femur: 252): 0M5L0ZZ, 0M5L3ZZ, 0M5L4ZZ, 0M5M0ZZ, 0M5M3ZZ, 0M5M4ZZ, 0Q560ZZ, 0Q563ZZ, 0Q564ZZ, 0Q570ZZ, 0Q573ZZ, 0Q574ZZ and 240 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 498 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 (252)

  • 0M5L0ZZ — Destruction of Right Hip Bursa and Ligament, Open Approach [Grouper procedure]
  • 0M5L3ZZ — Destruction of Right Hip Bursa and Ligament, Percutaneous Approach [Grouper procedure]
  • 0M5L4ZZ — Destruction of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach [Grouper procedure]
  • 0M5M0ZZ — Destruction of Left Hip Bursa and Ligament, Open Approach [Grouper procedure]
  • 0M5M3ZZ — Destruction of Left Hip Bursa and Ligament, Percutaneous Approach [Grouper procedure]
  • 0M5M4ZZ — Destruction of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach [Grouper procedure]
  • 0Q560ZZ — Destruction of Right Upper Femur, Open Approach [Grouper procedure]
  • 0Q563ZZ — Destruction of Right Upper Femur, Percutaneous Approach [Grouper procedure]
  • and 244 more

DRG family

  • DRG 499 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC [DRG family]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC — same CMS DRG family (498-499), split by severity.”