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MS-DRGSurgical

240 MS-DRG: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC

MS-DRG 240 groups Medicare inpatient hospital stays for: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC. This is a surgical MS-DRG. It falls under MDC 05 (Diseases and Disorders of the Circulatory System).

Payment & Classification Data

Official CMS values from the FY2027 IPPS Final Rule Table 5.

Major Diagnostic CategoryMDC 05 — Diseases and Disorders of the Circulatory System
DRG TypeSurgical
Severity LevelCC
Relative Weight2.9446
Relative Weight (10% Cap Applied)2.9446
Geometric Mean Length of Stay7.3 days
Arithmetic Mean Length of Stay8.9 days
Post-Acute Transfer DRGYes
Special Pay Transfer DRGNo

Defining Codes (FY2027)

41 procedure codes appear in its surgical logic (Amputation for Circulatory System Disorders Except Upper Limb and Toe: 41): 0Y620ZZ, 0Y630ZZ, 0Y640ZZ, 0Y670ZZ, 0Y680ZZ, 0Y6C0Z1, 0Y6C0Z2, 0Y6C0Z3, 0Y6D0Z1, 0Y6D0Z2, 0Y6D0Z3, 0Y6F0ZZ and 29 more.

From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.

Surgical Precedence (FY2027)

Within MDC 05, this DRG ranks 21 of 34 in CMS's surgical-class precedence order. When a claim qualifies for more than one surgical DRG in this MDC, the highest-ranked class applies.

  • 1. Complex Aortic Arch Procedures (DRGs 209)
  • 2. Concomitant Aortic and Mitral Valve Procedures (DRGs 212)
  • 3. Other Heart Assist System Implant (DRGs 215)
  • 4. Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization (DRGs 216-218)
  • 5. Coronary Bypass with PTCA (DRGs 231-232)
  • 6. Cardiac Defibrillator Implant with Cardiac Catheterization (DRGs 275)
  • 7. Concomitant Left Atrial Appendage Closure and Cardiac Ablation (DRGs 317)
  • 8. Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization (DRGs 219-221)
  • 9. Coronary Bypass with Cardiac Catheterization or Open Ablation (DRGs 233-234)
  • 10. Endovascular Abdominal Aorta with Iliac Branch Procedures (DRGs 213)
  • 11. Cardiac Defibrillator Implant (DRGs 276-277)
  • 12. Endovascular Cardiac Valve Replacement and Supplement Procedures (DRGs 266-267)
  • 13. Aortic and Heart Assist Procedures Except Pulsation Balloon (DRGs 268-269)
  • 14. Coronary Bypass without Cardiac Catheterization (DRGs 235-236)
  • 15. AICD Generator Procedures (DRGs 245)
  • 16. Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures (DRGs 278-279)
  • 17. Other Major Cardiovascular Procedures (DRGs 270-272)
  • 18. Other Cardiothoracic Procedures (DRGs 228-229)
  • 19. Coronary Intravascular Lithotripsy with Intraluminal Device (DRGs 323-324)
  • 20. Other Endovascular Cardiac Valve Procedures (DRGs 319-320)
  • 21. Amputation for Circulatory System Disorders Except Upper Limb and Toe (DRGs 239-241) — this DRG
  • 22. Percutaneous and Other Intracardiac Procedures (DRGs 273-274)
  • 23. Coronary Intravascular Lithotripsy without Intraluminal Device (DRGs 325)
  • 24. Vein Ligation and Stripping (DRGs 263)
  • 25. AICD Lead Procedures (DRGs 265)
  • 26. Other Vascular Procedures (DRGs 252-254)
  • 27. Percutaneous Coronary Atherectomy with Intraluminal Device (DRGs 359-360)
  • 28. Percutaneous Coronary Atherectomy without Intraluminal Device (DRGs 318)
  • 29. Permanent Cardiac Pacemaker Implant (DRGs 242-244)
  • 30. Cardiac Pacemaker Revision or Device Replacement (DRGs 210-211)
  • 31. Percutaneous Cardiovascular Procedures with Intraluminal Device (DRGs 321-322)
  • 32. Upper Limb and Toe Amputation for Circulatory System Disorders (DRGs 255-257)
  • 33. Percutaneous Cardiovascular Procedures without Intraluminal Device (DRGs 250-251)
  • 34. Other Circulatory System O.R. Procedures (DRGs 361-362)

From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 240 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Major Diagnostic Category

Defining procedures (41)

DRG family

Read from: CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44. All data sources · How to read the labels · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources