Covered Procedures

Acute Care Episode Demonstration Shared Savings Computation For Discharges starting September 30, 2009
MS-DRGMS-DRG DescriptionBeneficiary Incentive Payment
461Bilateral or multiple major joint procedures of lower extremity with major complications or co-morbidities (excludes ankle replacement)$699
462Bilateral or multiple major joint procedures of lower extremity without major complications or co-morbidities (excludes ankle replacement)$445
466Revision of hip or knee replacement with major complications or co-morbidities$635
467Revision of hip or knee replacement with complications or co-morbidities$412
468Revision of hip or knee replacement without complications/major complications or co-morbidities$332
469Major joint replacement of lower extremity with major complications or co-morbidities$469
470Major joint replacement of lower extremity without major complications or co-morbidities$281
488Knee procedures not due to infection with complications/major complications or co-morbidities$233
489Knee procedures not due to infection without complications/major complications or co-morbidities$171