All ICD10 Codes

DRG 242

Surgical DRG

Permanent Cardiac Pacemaker Implant with MCC

TypeSurgicalMDC05

What is MS-DRG 242?

MS-DRG 242 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) with a Major Complication or Comorbidity (MCC). For FY 2026 it carries a relative weight of 3.1928 with a geometric mean length of stay of 4.8 days and an arithmetic mean of 6.2 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
23 procedure

FY 2026 Payment Data

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

Relative Weight
3.1928
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
4.8 days
Used for transfer payment calculations
Arithmetic Mean LOS
6.2 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
242Permanent Cardiac Pacemaker Implant with MCCThis page3.19284.8 days
243Permanent Cardiac Pacemaker Implant with CC2.13092.8 days
244Permanent Cardiac Pacemaker Implant without CC/MCC1.80752.1 days

Linked ICD-10-PCS Procedure Mappings

  • 02HM3JZ

    Insertion of Pacemaker Lead into Ventricular Septum, Percutaneous Approach

    BillableSection 0
  • 02HM3MZ

    Insertion of Cardiac Lead into Ventricular Septum, Percutaneous Approach

    BillableSection 0
  • 0JH604Z

    Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH605Z

    Insertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH606Z

    Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH607Z

    Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH60PZ

    Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH634Z

    Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH635Z

    Insertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH636Z

    Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH637Z

    Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH63PZ

    Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH804Z

    Insertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH805Z

    Insertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH806Z

    Insertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH807Z

    Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH80PZ

    Insertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH834Z

    Insertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH835Z

    Insertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH836Z

    Insertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH837Z

    Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH83PZ

    Insertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • X2HN37B

    Insertion of Endocardiac Pacing Electrode into Left Ventricle, Percutaneous Approach, New Technology Group 11

    BillableSection X