286 MS-DRG: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
MS-DRG 286 groups Medicare inpatient hospital stays for: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC. This is a medical 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 Category | MDC 05 — Diseases and Disorders of the Circulatory System |
| DRG Type | Medical |
| Severity Level | MCC |
| Relative Weight | 2.2173 |
| Relative Weight (10% Cap Applied) | 2.2173 |
| Geometric Mean Length of Stay | 5.4 days |
| Arithmetic Mean Length of Stay | 7.2 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
72 procedure codes appear in its surgical logic (Circulatory Disorders Except AMI, with Cardiac Catheterization: 72): 4A020N6, 4A020N7, 4A020N8, 4A023N6, 4A023N7, 4A023N8, 4A027N6, 4A027N7, 4A027N8, 4A028N6, 4A028N7, 4A028N8 and 60 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 286 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]— CMS MS-DRG Definitions Manual · FY2027
Defining procedures (72)
- 4A020N6 — Measurement of Cardiac Sampling and Pressure, Right Heart, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 4A020N7 — Measurement of Cardiac Sampling and Pressure, Left Heart, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 4A020N8 — Measurement of Cardiac Sampling and Pressure, Bilateral, Open Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 4A023N6 — Measurement of Cardiac Sampling and Pressure, Right Heart, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 4A023N7 — Measurement of Cardiac Sampling and Pressure, Left Heart, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 4A023N8 — Measurement of Cardiac Sampling and Pressure, Bilateral, Percutaneous Approach[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 4A027N6 — Measurement of Cardiac Sampling and Pressure, Right Heart, Via Natural or Artificial Opening[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 4A027N7 — Measurement of Cardiac Sampling and Pressure, Left Heart, Via Natural or Artificial Opening[Grouper procedure]— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 64 more
DRG family
- DRG 287 — CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC[DRG family]: “CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC — same CMS DRG family (286-287), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 286-287) · FY2027
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 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources