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MS-DRG v44.0 · MDC 08: Diseases and Disorders of the Musculoskeletal System and Connective Tissue

533 — Fractures of Femur with MCC

This DRG is subject to the post-acute care transfer policy. Source: CMS MS-DRG v44.0 and FY2027 IPPS final rule. Page updated September 29, 2026.
Relative weight
1.4649
Geometric mean LOS
4.2 days
Arithmetic mean LOS
5.4 days
Type
Medical

About MS-DRG 533

MS-DRG 533, Fractures of Femur with MCC, is a medical DRG in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.

Its FY2027 relative weight is 1.4649, so Medicare's base payment for this DRG is about 1.46 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 4.2 days and the arithmetic mean is 5.4 days.

It belongs to a 2-level severity family: DRG 533 (with MCC, weight 1.4649) and DRG 534 (without MCC, weight 0.8403). The highest-severity level carries 1.7 times the weight of the lowest, which is why documenting CC and MCC conditions matters.

It is subject to Medicare's post-acute care transfer policy, so payment can be reduced when a patient with a shorter-than-average stay is discharged to a skilled nursing facility, home health or another post-acute setting.

273 ICD-10-CM diagnosis codes are part of this DRG's grouping logic; they are listed below.

ICD-10-CM codes that group to DRG 533 (273)

Chapter 19: Injury, poisoning and certain other consequences of external causes

Common questions about DRG 533

What is the relative weight of DRG 533?

1.4649 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 533?

The geometric mean length of stay is 4.2 days; the arithmetic mean is 5.4 days.

Is DRG 533 medical or surgical?

DRG 533 is a medical DRG.