All ICD10 Codes

DRG 209

Surgical DRG

Complex Aortic Arch Procedures

TypeSurgicalMDC05

What is MS-DRG 209?

MS-DRG 209 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05). For FY 2026 it carries a relative weight of 11.3188 with a geometric mean length of stay of 6.7 days and an arithmetic mean of 10.6 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
MDC
Major Diagnostic Category 05
Linked Codes
0 diagnosis
67 procedure

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
11.3188
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
6.7 days
Used for transfer payment calculations
Arithmetic Mean LOS
10.6 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Linked ICD-10-PCS Procedure Mappings

  • 02RX07Z

    Replacement of Thoracic Aorta, Ascending/Arch with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 02RX08Z

    Replacement of Thoracic Aorta, Ascending/Arch with Zooplastic Tissue, Open Approach

    BillableSection 0
  • 02RX0JZ

    Replacement of Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Open Approach

    BillableSection 0
  • 02RX0KZ

    Replacement of Thoracic Aorta, Ascending/Arch with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 02RX47Z

    Replacement of Thoracic Aorta, Ascending/Arch with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02RX48Z

    Replacement of Thoracic Aorta, Ascending/Arch with Zooplastic Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02RX4JZ

    Replacement of Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02RX4KZ

    Replacement of Thoracic Aorta, Ascending/Arch with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02VX3EZ

    Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach

    BillableSection 0
  • 031209K

    Bypass Innominate Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 031209Y

    Bypass Innominate Artery to Upper Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 03120AK

    Bypass Innominate Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 03120AY

    Bypass Innominate Artery to Upper Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 03120JK

    Bypass Innominate Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 03120JY

    Bypass Innominate Artery to Upper Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 03120KK

    Bypass Innominate Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 03120KY

    Bypass Innominate Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 03120ZK

    Bypass Innominate Artery to Left Extracranial Artery, Open Approach

    BillableSection 0
  • 03120ZY

    Bypass Innominate Artery to Upper Artery, Open Approach

    BillableSection 0
  • 031409J

    Bypass Left Subclavian Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 031409K

    Bypass Left Subclavian Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 03140AJ

    Bypass Left Subclavian Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 03140AK

    Bypass Left Subclavian Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 03140JJ

    Bypass Left Subclavian Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 03140JK

    Bypass Left Subclavian Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 03140KJ

    Bypass Left Subclavian Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 03140KK

    Bypass Left Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 03140ZJ

    Bypass Left Subclavian Artery to Right Extracranial Artery, Open Approach

    BillableSection 0
  • 03140ZK

    Bypass Left Subclavian Artery to Left Extracranial Artery, Open Approach

    BillableSection 0
  • 031J09J

    Bypass Left Common Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 031J09K

    Bypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 031J09Y

    Bypass Left Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 031J0AJ

    Bypass Left Common Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 031J0AK

    Bypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 031J0AY

    Bypass Left Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 031J0JJ

    Bypass Left Common Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 031J0JK

    Bypass Left Common Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 031J0JY

    Bypass Left Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 031J0KJ

    Bypass Left Common Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 031J0KK

    Bypass Left Common Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 031J0KY

    Bypass Left Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 031J0ZJ

    Bypass Left Common Carotid Artery to Right Extracranial Artery, Open Approach

    BillableSection 0
  • 031J0ZK

    Bypass Left Common Carotid Artery to Left Extracranial Artery, Open Approach

    BillableSection 0
  • 031J0ZY

    Bypass Left Common Carotid Artery to Upper Artery, Open Approach

    BillableSection 0
  • 03L40CZ

    Occlusion of Left Subclavian Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03L40DZ

    Occlusion of Left Subclavian Artery with Intraluminal Device, Open Approach

    BillableSection 0
  • 03L40ZZ

    Occlusion of Left Subclavian Artery, Open Approach

    BillableSection 0
  • 03L43CZ

    Occlusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03L43DZ

    Occlusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03L43ZZ

    Occlusion of Left Subclavian Artery, Percutaneous Approach

    BillableSection 0
  • 03L44CZ

    Occlusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03L44DZ

    Occlusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03L44ZZ

    Occlusion of Left Subclavian Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LJ0BZ

    Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Open Approach

    BillableSection 0
  • 03LJ0CZ

    Occlusion of Left Common Carotid Artery with Extraluminal Device, Open Approach

    BillableSection 0
  • 03LJ0DZ

    Occlusion of Left Common Carotid Artery with Intraluminal Device, Open Approach

    BillableSection 0
  • 03LJ0ZZ

    Occlusion of Left Common Carotid Artery, Open Approach

    BillableSection 0
  • 03LJ3BZ

    Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LJ3CZ

    Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LJ3DZ

    Occlusion of Left Common Carotid Artery with Intraluminal Device, Percutaneous Approach

    BillableSection 0
  • 03LJ3ZZ

    Occlusion of Left Common Carotid Artery, Percutaneous Approach

    BillableSection 0
  • 03LJ4BZ

    Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LJ4CZ

    Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LJ4DZ

    Occlusion of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 03LJ4ZZ

    Occlusion of Left Common Carotid Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • X2RX0N7

    Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7

    BillableSection X
  • X2VY06B

    Restriction of Thoracic Aortic Arch and Descending Thoracic Aorta using Uncovered Intraluminal Device with Support Cuff, Open Approach, New Technology Group 11

    BillableSection X