MS-DRG 256 — Upper Limb and Toe Amputation for Circulatory System Disorders with CC
MDC 05 · Circulatory System · Surgical DRG · FY2026
| FY2026 relative weight | 1.6979 |
|---|---|
| Geometric mean LOS | 5.0 days |
| Arithmetic mean LOS | 6.1 days |
| Severity tier | with CC |
| Post-acute transfer policy | Yes — per-diem reduction applies to qualifying transfers |
| Special payment provision | No |
Severity family — documentation moves the weight 2.47×
The same base condition splits by coded severity (CC/MCC). Weight deltas here are exactly what one documented comorbidity is worth:
| DRG | Title | FY2026 weight | GMLOS |
|---|---|---|---|
| 255 | Upper Limb and Toe Amputation for Circulatory System Disorders with MCC | 2.6974 | 6.8 |
| 256 | Upper Limb and Toe Amputation for Circulatory System Disorders with CC | 1.6979 | 5.0 |
| 257 | Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC | 1.0922 | 3.1 |
Figures come from the official FY2026 IPPS tables and are payment inputs, not adjudicated amounts. DRG Calculator prices full claims — hospital-specific operating, capital, IME, DSH, uncompensated care and outlier math — and verifies results against the official pricer.