MS-DRG 492 — Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC

MDC 08 · Musculoskeletal & Connective Tissue · Surgical DRG · FY2026

FY2026 relative weight	3.6716
Geometric mean LOS	6.6 days
Arithmetic mean LOS	8.4 days
Severity tier	with MCC
Post-acute transfer policy	Yes — per-diem reduction applies to qualifying transfers
Special payment provision	Yes

Price DRG 492 at a specific hospital →

Severity family — documentation moves the weight 1.83×

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
492	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC	3.6716	6.6
493	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC	2.5361	4.2
494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC	2.0065	2.8