DRG 265

Surgical DRG

AICD Lead Procedures

TypeSurgicalMDC05

What is MS-DRG 265?

MS-DRG 265 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05). For FY 2026 it carries a relative weight of 3.6182 with a geometric mean length of stay of 4.4 days and an arithmetic mean of 6.3 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
Linked Codes
0 diagnosis
36 procedure

FY 2026 Payment Data

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

Relative Weight
3.6182
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
4.4 days
Used for transfer payment calculations
Arithmetic Mean LOS
6.3 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Linked ICD-10-PCS Procedure Mappings

  • 02H40KZ

    Insertion of Defibrillator Lead into Coronary Vein, Open Approach

    BillableSection 0
  • 02H43KZ

    Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach

    BillableSection 0
  • 02H44KZ

    Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02H60KZ

    Insertion of Defibrillator Lead into Right Atrium, Open Approach

    BillableSection 0
  • 02H63KZ

    Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach

    BillableSection 0
  • 02H64KZ

    Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02H70KZ

    Insertion of Defibrillator Lead into Left Atrium, Open Approach

    BillableSection 0
  • 02H73KZ

    Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach

    BillableSection 0
  • 02H74KZ

    Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02HK0KZ

    Insertion of Defibrillator Lead into Right Ventricle, Open Approach

    BillableSection 0
  • 02HK3KZ

    Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach

    BillableSection 0
  • 02HK4KZ

    Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02HL0KZ

    Insertion of Defibrillator Lead into Left Ventricle, Open Approach

    BillableSection 0
  • 02HL3KZ

    Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach

    BillableSection 0
  • 02HL4KZ

    Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02HM3KZ

    Insertion of Defibrillator Lead into Ventricular Septum, Percutaneous Approach

    BillableSection 0
  • 02HN0KZ

    Insertion of Defibrillator Lead into Pericardium, Open Approach

    BillableSection 0
  • 02HN3KZ

    Insertion of Defibrillator Lead into Pericardium, Percutaneous Approach

    BillableSection 0
  • 02HN4KZ

    Insertion of Defibrillator Lead into Pericardium, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0JH60FZ

    Insertion of Subcutaneous Defibrillator Lead into Chest Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH63FZ

    Insertion of Subcutaneous Defibrillator Lead into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JPT0FZ

    Removal of Subcutaneous Defibrillator Lead from Trunk Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JPT3FZ

    Removal of Subcutaneous Defibrillator Lead from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JWT0FZ

    Revision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JWT3FZ

    Revision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0WHC0GZ

    Insertion of Defibrillator Lead into Mediastinum, Open Approach

    BillableSection 0
  • 0WHC3GZ

    Insertion of Defibrillator Lead into Mediastinum, Percutaneous Approach

    BillableSection 0
  • 0WHC4GZ

    Insertion of Defibrillator Lead into Mediastinum, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0WPC0GZ

    Removal of Defibrillator Lead from Mediastinum, Open Approach

    BillableSection 0
  • 0WPC3GZ

    Removal of Defibrillator Lead from Mediastinum, Percutaneous Approach

    BillableSection 0
  • 0WPC4GZ

    Removal of Defibrillator Lead from Mediastinum, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0WWC0GZ

    Revision of Defibrillator Lead in Mediastinum, Open Approach

    BillableSection 0
  • 0WWC3GZ

    Revision of Defibrillator Lead in Mediastinum, Percutaneous Approach

    BillableSection 0
  • 0WWC4GZ

    Revision of Defibrillator Lead in Mediastinum, Percutaneous Endoscopic Approach

    BillableSection 0
  • X2HM3GB

    Insertion of Lumenless Small-diameter Defibrillator Lead into Ventricular Septum, Percutaneous Approach, New Technology Group 11

    BillableSection X
  • X2HV3GB

    Insertion of Lumenless Small-diameter Defibrillator Lead into Right Ventricle, Percutaneous Approach, New Technology Group 11

    BillableSection X