Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC

DRG 469 is a Medicare Severity Diagnosis Related Group for inpatient stays involving major hip or knee joint replacement procedures, or reattachment of the lower extremity, when the patient has at least one major complication or comorbidity (MCC). Cases in this category typically incur higher resource use and receive higher reimbursement rates due to the increased clinical complexity.