MS-DRG 243Surgical
Permanent Cardiac Pacemaker Implant with CC
Major Diagnostic Category 05·Grouped by procedure·FY 2027
MS-DRG 243 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) with a Complication or Comorbidity (CC). For FY 2027 it carries a relative weight of 2.1079 with a geometric mean length of stay of 2.8 days and an arithmetic mean of 3.4 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
Advertisements
FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 2.1079 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.8 days (used for transfer payments)
- Average stay:
- 3.4 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
Same condition, other severity levels
CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.
Procedure codes (22)
ICD-10-PCS procedures that can group a stay to DRG 243.
- 02HM3JZInsertion of Pacemaker Lead into Ventricular Septum, Percutaneous Approach
- 02HM3MZInsertion of Cardiac Lead into Ventricular Septum, Percutaneous Approach
- 0JH604ZInsertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach
- 0JH605ZInsertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Open Approach
- 0JH606ZInsertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach
- 0JH607ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
- 0JH60PZInsertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach
- 0JH634ZInsertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH635ZInsertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH636ZInsertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH637ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH63PZInsertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH804ZInsertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach
- 0JH805ZInsertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Open Approach
- 0JH806ZInsertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach
- 0JH807ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
- 0JH80PZInsertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach
- 0JH834ZInsertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH835ZInsertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH836ZInsertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH837ZInsertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
- 0JH83PZInsertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach