Key facts for DRG 470
- FY2027 relative weight
- 1.9560
- Higher than 61% of all MS-DRGs
- Change vs FY2026
- +1.4%
- FY2026 weight 1.9290
- Geometric mean LOS
- 2.0 days
- Arithmetic mean 2.3 days
- MDC
- 08
- Diseases and Disorders of the Musculoskeletal System and Connective Tissue
- Severity level
- without MCC
- Transfer policy
- Post-acute transfer DRG
TL;DR
MS-DRG 470 is a surgical group in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue) at the base severity level of its family. CMS assigns it a FY2027 relative weight of 1.9560 with a geometric mean length of stay of 2.0 days and an arithmetic mean of 2.3. Its weight moved up 1.4% from FY2026 (1.9290). That weight is higher than 61% of all surgical and medical MS-DRGs. Its CC/MCC family (DRG 469) spans weights 1.9560 to 3.1080. The v44 Definitions Manual assigns it through 178 operating room procedures codes and 6 total ankle replacement codes.
What changed from FY2026 to FY2027
CMS recalibrates every MS-DRG weight annually from the prior year's MedPAR claims. For DRG 470 the FY2027 relative weight is 1.9560 against 1.9290 in FY2026, a rise of 1.40%.
| Metric | FY2026 | FY2027 | Change |
|---|---|---|---|
| Relative weight | 1.9290 | 1.9560 | +0.0270 |
| Geometric mean LOS (days) | 1.9 | 2.0 | +0.1 |
| Arithmetic mean LOS (days) | 2.2 | 2.3 | +0.1 |
CC and MCC family
DRG 470 shares its base definition with 1 other MS-DRG split by severity. The family's weights span 1.9560 to 3.1080, a 1.59× spread, which is the payment effect of documenting qualifying complications and comorbidities.
| DRG | Title | FY2027 weight | GMLOS |
|---|---|---|---|
| 469 | Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement | 3.1080 | 3.3 |
| 470 | Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC | 1.9560 | 2.0 |
Grouper logic (v44 Definitions Manual)
Operating Room Procedures: 178 ICD-10 codes drive assignment to this group; the first 12 are shown.
| ICD-10 code | Description |
|---|---|
| 0SR9019 | Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach |
| 0SR901A | Replacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach |
| 0SR901Z | Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach |
| 0SR9029 | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR902A | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR902Z | Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach |
| 0SR9039 | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach |
| 0SR903A | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach |
| 0SR903Z | Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach |
| 0SR9049 | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach |
| 0SR904A | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach |
| 0SR904Z | Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach |
Total Ankle Replacement: 6 ICD-10 codes drive assignment to this group.
| ICD-10 code | Description |
|---|---|
| 0SRF0J9 | Replacement of Right Ankle Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRF0JA | Replacement of Right Ankle Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRF0JZ | Replacement of Right Ankle Joint with Synthetic Substitute, Open Approach |
| 0SRG0J9 | Replacement of Left Ankle Joint with Synthetic Substitute, Cemented, Open Approach |
| 0SRG0JA | Replacement of Left Ankle Joint with Synthetic Substitute, Uncemented, Open Approach |
| 0SRG0JZ | Replacement of Left Ankle Joint with Synthetic Substitute, Open Approach |
Documentation and denial exposure
As a surgical DRG, assignment depends on a qualifying operating-room procedure being coded from the operative report; a missing or non-OR procedure code drops the stay into a medical DRG in MDC 08 with a lower weight. Because this family splits by severity, auditors target CC and MCC capture: each secondary diagnosis must be documented as present, monitored, evaluated or treated during the stay to survive a DRG-validation review. Typical inpatient denial codes for this group: CARC 16 (claim lacks information needed to group the stay), CARC 50 (the admission or procedure is judged not medically necessary), CARC 97 (a service is bundled into the DRG payment).
How QuickIntell uses DRG 470 data
QuickCode groups inpatient encounters against the current v44 logic, flags CC and MCC candidates that lack supporting documentation, and shows the weight difference across the family before the claim drops. QuickScribe captures the attending's language that supports severity, and QuickRCM works DRG-validation denials with the grouper evidence attached.
Frequently asked questions — DRG 470
What is MS-DRG 470?
MS-DRG 470 is "Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC", a surgical Medicare Severity Diagnosis-Related Group in MDC 08, Diseases and Disorders of the Musculoskeletal System and Connective Tissue. Medicare pays inpatient stays grouped here at the hospital's base rate multiplied by the DRG relative weight.
What is the FY2027 relative weight for DRG 470?
The FY2027 relative weight is 1.9560 (IPPS final rule Table 5, effective October 1, 2026). In FY2026 it was 1.9290, a change of +1.4%.
What is the average length of stay for DRG 470?
CMS reports a geometric mean length of stay of 2.0 days and an arithmetic mean of 2.3 days for FY2027. The geometric mean is used for transfer-payment calculations.
Which DRGs are in the same CC/MCC family as 470?
DRG 469 (Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement, weight 3.1080). The family's weights range from 1.9560 to 3.1080, so documented complications and comorbidities change payment materially.
What documentation supports the severity level of DRG 470?
DRG 470 is the base-severity assignment: no secondary diagnosis on the CC or MCC lists was coded, or the only ones present are excluded for this principal diagnosis. Revenue-integrity review here looks for undercapture, meaning conditions treated during the stay (electrolyte disorders, specified anemia, acute blood loss, pressure injuries present on admission) that were never documented to the specificity the lists require. A compliant query to the attending, not a coder assumption, is the only way to move a stay to the CC or MCC sibling.
Which codes group to DRG 470?
The v44 Definitions Manual lists 178 operating room procedures codes and 6 total ankle replacement codes for this group. Examples from the operating room procedures list: 0SR9019 (Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach); 0SR901A (Replacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach); 0SR901Z (Replacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach); 0SR9029 (Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach).
Is DRG 470 a post-acute transfer DRG?
Yes. CMS flags DRG 470 under the post-acute care transfer policy, so a discharge to a qualifying post-acute setting before the geometric mean length of stay is paid a per-diem amount rather than the full DRG payment.
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-01. Verify against the primary file before billing or contracting decisions.
- IPPS FY2027 Final Rule Table 5 (CMS-1849-F)Version v44 FY2027 · effective 2026-10-01 · file CMS-1849-F Table 5.txtSHA-256 01003dd571c1e2f5…
- IPPS FY2026 Final Rule Table 5 (CMS-1833-F)Version v43 FY2026 · effective 2025-10-01 · file CMS-1833-F Table 5.txtSHA-256 bf8c390d14b3cd3e…
- ICD-10 MS-DRG Definitions Manual v44 (text)Version v44 · effective 2026-10-01 · file fy2027-fr-icd10-ms-drg-definitions-manual-files-v44.zipSHA-256 ae4f6c11727fe91f…
Disclaimer
This page is an operational reference compiled from the CMS IPPS FY2027 final rule (Table 5) and the v44 ICD-10 MS-DRG Definitions Manual. Relative weights are national factors; actual payment depends on each hospital's wage-adjusted base rate, add-ons, outliers and transfer adjustments. Nothing here is legal, clinical or billing advice; verify grouping against your encoder and the published CMS files.