ICD-10-CM/PCS MS-DRG v37.1 R1 Definitions Manual

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MDC 05 Diseases & Disorders of the Circulatory System

MDC 05 Assignment of Diagnosis Codes

Surgical DRGs. O.R.Procedure of ...

Other Heart Assist System Implant
DRG
215

Cardiac Valve and Other Major Cardiothoracic Procedures
Cardiac Catherization MCC CC DRG
Yes Yes n/a 216
Yes No Yes 217
Yes No No 218
No Yes n/a 219
No No Yes 220
No No No 221

Endovascular Cardiac Valve Procedures
Endovascular Cardiac Valve Procedures MCC CC DRG
Yes Yes n/a 266
Yes No Yes 267
Yes No No 267

Cardiac Defibrillator Implant
AMI/HF/Shock Cardiac Catheterization MCC DRG
Yes Yes Yes 222
Yes Yes No 223
No Yes Yes 224
No Yes No 225
No Yes 226
No No 227

Other Cardiothoracic Procedures
MCC CC DRG
Yes n/a 228
No Yes 229

Coronary Bypass
PTCA Cardiac Catheterization MCC DRG
Yes Yes 231
Yes No 232
No Yes Yes 233
No Yes No 234
No No Yes 235
No No No 236

Aortic and Heart Assist Procedures
MCC DRG
Yes 268
n/a 269

Other Endovascular Cardiac Valve Procedures
MCC CC DRG
Yes n/a 319
No n/a 320

Other Major Cardiovascular Procedures
MCC CC DRG
Yes n/a 270
No Yes 271
No No 272

Amputation for Circulatory System Disorders Except Upper Limb and Toe
MCC CC DRG
Yes n/a 239
No Yes 240
No No 241

Permanent Cardiac Pacemaker Implant
MCC CC DRG
Yes n/a 242
No Yes 243
No No 244

AICD Generator Procedures
DRG
245

AICD Lead Procedures
DRG
265

Percutaneous Intracardiac Procedures
MCC DRG
Yes 273
n/a 274

Percutaneous Cardiovascular Procedures with Coronary Artery/Stent
Drug-Eluting Stent Non-Drug-Eluting Stent MCC 4+ Arteries/Stents DRG
Yes Yes n/a 246
Yes No Yes 246
Yes No No 247
No Yes Yes No 248
No Yes No Yes 248
No Yes No No 249

Percutaneous Cardiovascular Procedures without Coronary Artery Stent
MCC DRG
Yes 250
No 251

Other Vascular Procedures
MCC CC DRG
Yes n/a 252
No Yes 253
No No 254

Upper Limb and Toe Amputation for Circulatory System Disorders
MCC CC DRG
Yes n/a 255
No Yes 256
No No 257

Cardiac Pacemaker Device Replacement
MCC DRG
Yes 258
No 259

Cardiac Pacemaker Revision Except Device Replacement
MCC CC DRG
Yes n/a 260
No Yes 261
No No 262

Vein Ligation and Stripping
DRG
263

Other Circulatory O.R. Procedures
DRG
264

Medical DRGs. Principal Diagnosis of ...


Acute Myocardial Infarction
Discharged Alive MCC CC DRG
Yes Yes n/a 280
Yes No Yes 281
Yes No No 282
No Yes n/a 283
No No Yes 284
No No No 285

Circulatory Disorders Except AMI with Cardiac Catheterization
MCC DRG
Yes 286
No 287

Acute and Subacute Endocarditis
MCC CC DRG
Yes n/a 288
No Yes 289
No No 290

Heart Failure and Shock
MCC CC DRG
Yes n/a 291
No Yes 292
No No 293

Deep Vein Thrombophlebitis
CC or MCC DRG
Yes 294
No 295

Cardiac Arrest, Unexplained
MCC CC DRG
Yes n/a 296
No Yes 297
No No 298

Peripheral Vascular Disorders
MCC CC DRG
Yes n/a 299
No Yes 300
No No 301

Atherosclerosis
MCC DRG
Yes 302
No 303

Hypertension
MCC DRG
Yes 304
No 305

Cardiac Congenital and Valvular Disorders
MCC DRG
Yes 306
No 307

Cardiac Arrhythmia and Conduction Disorders
MCC CC DRG
Yes n/a 308
No Yes 309
No No 310

Angina Pectoris
DRG
311

Syncope and Collapse
DRG
312

Chest Pain
DRG
313

Other Circulatory System Diagnoses
MCC CC DRG
Yes n/a 314
No Yes 315
No No 316



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
23 Mar 2020 12:40:01
CMS, code-revision=249, description-revision=1272