Clinical Category - Orthopedic Care


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The "Orthopedic Care" clinical category includes medical conditions such as fractures of the hip, sprains, and osteomyelitis as well as non-major surgeries such as biopsies of musculoskeletal system, knee procedures, shoulder procedures and hand or wrist procedures treated/performed in the inpatient setting. Orthopedic Care includes the following MS-DRGs:

Medical Conditions

  • 533: Fractures of Femur w MCC
  • 534: Fractures of Femur w/o MCC
  • 535: Fractures of Hip & Pelvis w MCC
  • 536: Fractures of Hip & Pelvis w/o MCC
  • 537: Sprains, Strains, & Dislocations of Hip, Pelvis & Thigh w CC/MCC
  • 538: Sprains, Strains, & Dislocations of Hip, Pelvis & Thigh w/o CC/MCC
  • 539: Osteomyelitis w MCC
  • 540: Osteomyelitis w CC
  • 541: Osteomyelitis w/o CC/MCC
  • 557: Tendonitis, Myositis & Bursitis w MCC
  • 558: Tendonitis, Myositis & Bursitis w/o MCC
  • 559: Aftercare, Musculoskeletal System & Connective Tissue w MCC
  • 560: Aftercare, Musculoskeletal System & Connective Tissue w CC
  • 561: Aftercare, Musculoskeletal System & Connective Tissue w/o CC/MCC
  • 562: Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh w MCC
  • 563: Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh w/o MCC
  • 564: Other Musculoskeletal System & Connective Tissue Diagnoses w MCC
  • 565: Other Musculoskeletal System & Connective Tissue Diagnoses w CC
  • 566: Other Musculoskeletal System & Connective Tissue Diagnoses w/o CC/MCC

Non-Major Surgeries

  • 477: Biopsies of Musculoskeletal System & Connective Tissue w MCC
  • 478: Biopsies of Musculoskeletal System & Connective Tissue w CC
  • 479: Biopsies of Musculoskeletal System & Connective Tissue w/o CC/MCC
  • 480: Hip & Femur Procedures Except Major Joint w MCC
  • 481: Hip & Femur Procedures Except Major Joint w CC
  • 482: Hip & Femur Procedures Except Major Joint w/o CC/MCC
  • 485: Knee Procedures w/ Principal Diagnosis of Infection w MCC
  • 486: Knee Procedures w/ Principal Diagnosis of Infection w CC
  • 487: Knee Procedures w/ Principal Diagnosis of Infection w/o CC/MCC
  • 488: Knee Procedures w/o Principal Diagnosis of Infection w CC/MCC
  • 489: Knee Procedures w/o Principal Diagnosis of Infection w/o CC/MCC
  • 492: Lower Extrem & Humer Proc Except Hip, Foot, Femur w MCC
  • 493: Lowerxtrem & Humer Proc Except Hip, Foot, Femur w CC
  • 494: Lower Extrem & Humer Proc Except Hip, Foot, Femur w/o CC/MCC
  • 495: Local Excision & Removal of Internal Fixation Devices Except Hip & Femur w MCC
  • 496: Local Excision & Removal of Internal Fixation Devices Except Hip & Femur w CC
  • 497: Local Excision & Removal of Internal Fixation Devices Except Hip & Femur w/o CC/MCC
  • 498: Local Excision & Removal of Int Fix Devices of Hip & Femur w CC/MCC
  • 499: Local Excision & Removal of Int Fix Devices of Hip & Femur w/o CC/MCC
  • 500: Soft Tissue Procedures w MCC
  • 501: Soft Tissue Procedures w CC
  • 502: Soft Tissue Procedures w/o CC/MCC
  • 503: Foot Procedures w MCC
  • 504: Foot Procedures w CC
  • 505: Foot Procedures w/o CC/MCC
  • 509: Arthroscopy
  • 510: Shoulder, Elbow or Forearm Proc, Exc Major Joint Proc w MCC
  • 511: Shoulder, Elbow or Forearm Proc, Exc Major Joint Proc w CC
  • 512: Shoulder, Elbow or Forearm Proc, Exc Major Joint Proc w/o CC/MCC
  • 513: Hand or Wrist Proc, Except Major Thumb or Joint Proc, w CC/MCC
  • 514: Hand or Wrist Proc, Except Major Thumb or Joint Proc, w/o CC/MCC
  • 515: Other Musculoskelet Sys & ConnTiss O.R. Proc w MCC
  • 516: Other Musculoskelet Sys & ConnTiss O.R. Proc w CC
  • 517: Other Musculoskelet Sys & ConnTiss O.R. Proc w/o CC/MCC

CC = complication or comorbidity; MCC = major complication or comorbidity