MS-DRG 463
WOUND DEBRIDEMENT AND SKIN
Relative Weight
5.6995
Geometric Mean LOS
10.6 Days
Arithmetic Mean LOS
14.3 Days
National Average Medicare Payments (FY 2024)
| Discharges | Avg Submitted Covered Charge | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| 816 | $338,190.38 | $65,389.15 | $52,359.25 |
State Average Medicare Payments (FY 2024)
| State | Discharges | Avg Total Payment | Avg Medicare Payment |
|---|---|---|---|
| AK | 12 | $60,457.50 | $56,053.33 |
| AL | 17 | $61,880.88 | $44,041.82 |
| AR | 11 | $45,829.55 | $37,094.91 |
| AZ | 20 | $79,147.05 | $62,102.20 |
| CA | 47 | $98,254.75 | $87,668.11 |
| DC | 29 | $90,558.97 | $72,077.22 |
| FL | 47 | $43,981.28 | $38,560.27 |
| GA | 12 | $158,821.33 | $30,773.00 |
| IA | 13 | $56,295.77 | $36,741.85 |
| IL | 35 | $73,221.02 | $54,193.21 |
| IN | 18 | $47,473.39 | $41,260.22 |
| KY | 15 | $40,720.33 | $39,350.00 |
| MA | 50 | $71,625.54 | $63,491.71 |
| MD | 12 | $107,653.67 | $107,112.33 |
| MN | 30 | $89,345.03 | $73,598.73 |
| MO | 30 | $57,376.15 | $40,856.28 |
| NC | 16 | $51,787.50 | $41,815.31 |
| NE | 12 | $37,197.92 | $36,149.92 |
| NJ | 49 | $63,579.79 | $56,067.49 |
| NY | 71 | $95,980.15 | $76,448.67 |
| OH | 44 | $48,954.18 | $43,677.34 |
| OK | 14 | $62,372.43 | $56,858.93 |
| PA | 49 | $74,117.72 | $57,390.42 |
| SC | 15 | $63,674.27 | $47,513.60 |
| SD | 13 | $38,542.85 | $35,142.15 |
| TN | 30 | $46,766.81 | $34,702.18 |
| TX | 94 | $44,931.83 | $37,519.27 |
| VA | 11 | $46,710.91 | $41,514.09 |
Historical DRG Logic
| Effective Date | Weight | GMLOS | Post Acute Care |
|---|---|---|---|
| 2025-10-01 | 5.6995 | 10.6 | Yes |
| 2024-10-01 | 5.4010 | 10.5 | Yes |
| 2023-10-01 | 5.6637 | 11.1 | Yes |
| 2022-10-01 | 5.2416 | 10.1 | Yes |
| 2021-10-01 | 5.3703 | 9.9 | Yes |
| 2020-10-01 | 5.3654 | 9.9 | Yes |
| 2019-10-01 | 5.2278 | 9.7 | Yes |
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