NEVVI Medicare utilization intelligence
CMS MS-DRG · Major Diagnostic Category

MDC 08 — Diseases and disorders of the musculoskeletal system and connective tissue — Medicare DRGs

111 DRGs · 757,955 discharges · FY2024 (Oct–Sep) Medicare fee-for-service Part A

481 · HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC 66,798 discharges › 470 · MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC 64,419 discharges › 552 · MEDICAL BACK PROBLEMS WITHOUT MCC 49,460 discharges › 522 · HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC 42,552 discharges › 480 · HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC 28,008 discharges › 563 · FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC 22,971 discharges › 460 · SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC 22,238 discharges › 467 · REVISION OF HIP OR KNEE REPLACEMENT WITH CC 19,510 discharges › 536 · FRACTURES OF HIP AND PELVIS WITHOUT MCC 18,597 discharges › 454 · COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC 17,266 discharges › 493 · LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC 16,774 discharges › 472 · CERVICAL SPINAL FUSION WITH CC 15,373 discharges › 543 · PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC 15,259 discharges › 521 · HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC 15,258 discharges › 551 · MEDICAL BACK PROBLEMS WITH MCC 15,219 discharges › 482 · HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC 14,682 discharges › 455 · COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC 14,432 discharges › 483 · MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES 14,370 discharges › 468 · REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC 14,300 discharges › 516 · OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC 11,361 discharges › 554 · BONE DISEASES AND ARTHROPATHIES WITHOUT MCC 9,573 discharges › 542 · PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC 8,720 discharges › 556 · SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC 8,604 discharges › 565 · OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC 7,519 discharges › 519 · BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC 7,489 discharges › 558 · TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC 7,456 discharges › 494 · LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC 7,345 discharges › 535 · FRACTURES OF HIP AND PELVIS WITH MCC 7,267 discharges › 562 · FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC 6,860 discharges › 517 · OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC 6,423 discharges › 464 · WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D 6,342 discharges › 473 · CERVICAL SPINAL FUSION WITHOUT CC/MCC 6,286 discharges › 492 · LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC 5,717 discharges › 564 · OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC 5,600 discharges › 478 · BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC 5,543 discharges › 469 · MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA 5,530 discharges › 560 · AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC 5,129 discharges › 557 · TENDONITIS, MYOSITIS AND BURSITIS WITH MCC 5,028 discharges › 466 · REVISION OF HIP OR KNEE REPLACEMENT WITH MCC 4,635 discharges › 515 · OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC 4,525 discharges › 402 · SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL 4,457 discharges › 463 · WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D 4,363 discharges › 501 · SOFT TISSUE PROCEDURES WITH CC 4,329 discharges › 457 · SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE 3,980 discharges › 448 · MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC 3,839 discharges › 520 · BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC 3,832 discharges › 427 · MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC 3,618 discharges › 451 · SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC 3,535 discharges › 544 · PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/M 3,420 discharges › 545 · CONNECTIVE TISSUE DISORDERS WITH MCC 3,396 discharges › 453 · COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC 3,340 discharges › 471 · CERVICAL SPINAL FUSION WITH MCC 3,300 discharges › 477 · BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC 3,238 discharges › 546 · CONNECTIVE TISSUE DISORDERS WITH CC 3,072 discharges › 539 · OSTEOMYELITIS WITH MCC 2,982 discharges › 475 · AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC 2,952 discharges › 486 · KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC 2,921 discharges › 559 · AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC 2,897 discharges › 511 · SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC 2,896 discharges › 540 · OSTEOMYELITIS WITH CC 2,762 discharges › 459 · SPINAL FUSION EXCEPT CERVICAL WITH MCC 2,694 discharges › 474 · AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC 2,652 discharges › 489 · KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC 2,474 discharges › 518 · BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR 2,324 discharges › 488 · KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC 2,320 discharges › 428 · MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/ 2,307 discharges › 504 · FOOT PROCEDURES WITH CC 2,292 discharges › 553 · BONE DISEASES AND ARTHROPATHIES WITH MCC 2,262 discharges › 534 · FRACTURES OF FEMUR WITHOUT MCC 2,225 discharges › 555 · SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC 2,194 discharges › 500 · SOFT TISSUE PROCEDURES WITH MCC 1,945 discharges › 496 · LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC 1,848 discharges › 561 · AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC 1,825 discharges › 456 · SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE 1,702 discharges › 502 · SOFT TISSUE PROCEDURES WITHOUT CC/MCC 1,657 discharges › 465 · WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D 1,618 discharges › 462 · BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC 1,467 discharges › 513 · HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC 1,431 discharges › 485 · KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC 1,424 discharges › 512 · SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC 1,359 discharges › 566 · OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC 1,357 discharges › 458 · SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE 1,147 discharges › 497 · LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/ 1,140 discharges › 549 · SEPTIC ARTHRITIS WITH CC 1,128 discharges › 510 · SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC 992 discharges › 479 · BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC 978 discharges › 537 · SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC 894 discharges › 533 · FRACTURES OF FEMUR WITH MCC 846 discharges › 426 · MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR 823 discharges › 498 · LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC 799 discharges › 503 · FOOT PROCEDURES WITH MCC 790 discharges › 505 · FOOT PROCEDURES WITHOUT CC/MCC 751 discharges › 547 · CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC 741 discharges › 487 · KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC 703 discharges › 447 · MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGN 612 discharges › 430 · COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC 541 discharges › 548 · SEPTIC ARTHRITIS WITH MCC 525 discharges › 495 · LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC 469 discharges › 506 · MAJOR THUMB OR JOINT PROCEDURES 378 discharges › 507 · MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC 371 discharges › 541 · OSTEOMYELITIS WITHOUT CC/MCC 370 discharges › 476 · AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC 361 discharges › 514 · HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC 343 discharges › 538 · SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC 290 discharges › 450 · SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED 280 discharges › 550 · SEPTIC ARTHRITIS WITHOUT CC/MCC 256 discharges › 499 · LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC 134 discharges › 429 · COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC 133 discharges › 461 · BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC 120 discharges › 508 · MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC 75 discharges › 509 · ARTHROSCOPY 21 discharges ›
Each row opens that DRG's national market — discharges, state breakdown, and (for a subscriber) charge and payment figures. Discharges are counted stays reported to Medicare fee-for-service Part A (no Medicare Advantage), Maryland waiver-priced.