MS-DRG 468 — Revision of Hip or Knee Replacement without CC/MCC
MDC 08 · Musculoskeletal & Connective Tissue · Surgical DRG · FY2026
| FY2026 relative weight | 2.7480 |
|---|---|
| Geometric mean LOS | 1.5 days |
| Arithmetic mean LOS | 1.8 days |
| Severity tier | without CC/MCC |
| Post-acute transfer policy | Yes — per-diem reduction applies to qualifying transfers |
| Special payment provision | No |
Severity family — documentation moves the weight 1.89×
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 |
|---|---|---|---|
| 466 | Revision of Hip or Knee Replacement with MCC | 5.2054 | 7.1 |
| 467 | Revision of Hip or Knee Replacement with CC | 3.5266 | 3.1 |
| 468 | Revision of Hip or Knee Replacement without CC/MCC | 2.7480 | 1.5 |
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.