Question 1

What is MS-DRG 512?

Accepted Answer

MS-DRG 512 is a Medicare Severity Diagnosis Related Group for "SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC". DRGs are used by Medicare to classify hospital cases into groups for payment purposes. Each DRG has a payment weight based on the average resources used to treat patients in that group.

Question 2

How many hospitalizations were there for SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC in 2023?

Accepted Answer

There were 1,379 Medicare hospitalizations classified under MS-DRG 512 in 2023. This represents a +4.2% change from 2022.

Question 3

What is the average cost for SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC?

Accepted Answer

The average hospital charges for MS-DRG 512 were $80,955 in 2023. Note that charges represent what hospitals bill, which is typically higher than what Medicare actually pays.

Question 4

How have hospitalizations for this DRG changed over time?

Accepted Answer

Medicare hospitalization data for MS-DRG 512 is available from 2013 to 2023. The charts above show the historical trends in hospitalizations and average charges over this period.