ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual

MDC 05 Diseases and disorders of the circulatory system

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

DRG
215

Cardiac valve and other major cardiothoracic procedures

Cardiac Catheterization	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 replacement and supplement 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 except pulsation balloon

MCC	DRG
Yes	268
n/a	269

Other endovascular cardiac valve procedures

MCC	DRG
Yes	319
No	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 drug-eluting stent

Drug-Eluting Stent	MCC	4+ Arteries/Stents	DRG
Yes	Yes	n/a	246
Yes		Yes	246
Yes	No	No	247

Percutaneous cardiovascular procedures with non-drug-eluting stent

Non-Drug-Eluting Stent	MCC	4+ Arteries/Stents	DRG
Yes	Yes	n/a	248
Yes		Yes	248
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 system 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
17 Sep 2020 09:49:17
CMS, code-revision=275, description-revision=1286

Cardiac Catheterization	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

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

Cardiac Catheterization	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

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

Cardiac Catheterization	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

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