562 MS-DRG: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
MS-DRG 562 groups Medicare inpatient hospital stays for: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC. This is a medical 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 FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue |
| DRG Type | Medical |
| Severity Level | MCC |
| Relative Weight | 1.398 |
| Relative Weight (10% Cap Applied) | 1.398 |
| Geometric Mean Length of Stay | 4.1 days |
| Arithmetic Mean Length of Stay | 5.1 days |
| Post-Acute Transfer DRG | Yes |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
4,649 diagnosis codes can drive assignment here: M22.00, M22.01, M22.02, M22.10, M22.11, M22.12, M22.2X1, M22.2X2, M22.2X9, M22.3X1, M22.3X2, M22.3X9 and 4,637 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 562 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]— CMS MS-DRG Definitions Manual · FY2027
Defining diagnoses (4649)
- M22.00 — Recurrent dislocation of patella, unspecified knee[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- M22.01 — Recurrent dislocation of patella, right knee[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- M22.02 — Recurrent dislocation of patella, left knee[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- M22.10 — Recurrent subluxation of patella, unspecified knee[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- M22.11 — Recurrent subluxation of patella, right knee[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- M22.12 — Recurrent subluxation of patella, left knee[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- M22.2X1 — Patellofemoral disorders, right knee[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- M22.2X2 — Patellofemoral disorders, left knee[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 4641 more
DRG family
- DRG 563 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC[DRG family]: “FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC — same CMS DRG family (562-563), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 562-563) · FY2027
Read from: CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44. All data sources · How to read the labels