Summary & Overview
Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC: Inpatient Reimbursement Overview
DRG 462 applies to bilateral or multiple major joint procedures of the lower extremity without Major Complication or Comorbidity. This Diagnosis-Related Group defines the inpatient clinical scope for reimbursement and determines a bundled Medicare payment that reflects expected resource use for these procedures.
DRG 462 Overview
DRG 462 covers bilateral or multiple major joint procedures of the lower extremity without Major Complication or Comorbidity. This includes procedures such as bilateral total hip or knee arthroplasties performed during the same inpatient stay when no Major Complication or Comorbidity is coded. It matters for Medicare payment because cases assigned to this Diagnosis-Related Group receive a specific inpatient reimbursement rate that reflects the expected resource use for multiple major lower-extremity joint surgeries without higher-severity complications.