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MS-DRG/MDC 05/261
MS-DRGSurgical

261

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC

MS-DRG 261 groups Medicare inpatient hospital stays for: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT 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 current fiscal year's IPPS Final Rule.

Major Diagnostic CategoryMDC 05 — Diseases and Disorders of the Circulatory System
DRG TypeSurgical
Severity LevelCC
Relative Weight1.8905
Relative Weight (10% Cap Applied)1.8905
Geometric Mean Length of Stay2.8 days
Arithmetic Mean Length of Stay3.6 days
Post-Acute Transfer DRGNo
Special Pay Transfer DRGNo

Defining Codes (FY2026)

63 procedure codes appear in its surgical logic (Cardiac Pacemaker Revision Except Device Replacement: 63): 02H40JZ, 02H40MZ, 02H43JZ, 02H43MZ, 02H44JZ, 02H44MZ, 02H60JZ, 02H60MZ, 02H63JZ, 02H63MZ, 02H64JZ, 02H64MZ and 51 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.

Contextual Map

Every relationship of 261 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

  • MDC 05 — Diseases and Disorders of the Circulatory System [MDC]

Defining procedures (63)

  • 02H40JZ — Insertion of Pacemaker Lead into Coronary Vein, Open Approach [Grouper procedure]
  • 02H40MZ — Insertion of Cardiac Lead into Coronary Vein, Open Approach [Grouper procedure]
  • 02H43JZ — Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach [Grouper procedure]
  • 02H43MZ — Insertion of Cardiac Lead into Coronary Vein, Percutaneous Approach [Grouper procedure]
  • 02H44JZ — Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach [Grouper procedure]
  • 02H44MZ — Insertion of Cardiac Lead into Coronary Vein, Percutaneous Endoscopic Approach [Grouper procedure]
  • 02H60JZ — Insertion of Pacemaker Lead into Right Atrium, Open Approach [Grouper procedure]
  • 02H60MZ — Insertion of Cardiac Lead into Right Atrium, Open Approach [Grouper procedure]
  • and 55 more

DRG family

  • DRG 260 — CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC [DRG family]: “CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — same CMS DRG family (260-262), split by severity.”
  • DRG 262 — CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC [DRG family]: “CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC — same CMS DRG family (260-262), split by severity.”