All ICD10 Codes

DRG 268

Surgical DRG

Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC

TypeSurgicalMDC05

What is MS-DRG 268?

MS-DRG 268 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 6.8779 with a geometric mean length of stay of 6.1 days and an arithmetic mean of 9.2 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
133 procedure

FY 2026 Payment Data

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

Relative Weight
6.8779
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
6.1 days
Used for transfer payment calculations
Arithmetic Mean LOS
9.2 days
Average length of stay
Post-Acute Transfer
No
Not subject to the 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
268Aortic and Heart Assist Procedures Except Pulsation Balloon with MCCThis page6.87796.1 days
269Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC4.22321.5 days

Linked ICD-10-PCS Procedure Mappings

  • 02BW0ZZ

    Excision of Thoracic Aorta, Descending, Open Approach

    BillableSection 0
  • 02BW4ZZ

    Excision of Thoracic Aorta, Descending, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02BX0ZZ

    Excision of Thoracic Aorta, Ascending/Arch, Open Approach

    BillableSection 0
  • 02BX4ZZ

    Excision of Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02CW0ZZ

    Extirpation of Matter from Thoracic Aorta, Descending, Open Approach

    BillableSection 0
  • 02CW3ZZ

    Extirpation of Matter from Thoracic Aorta, Descending, Percutaneous Approach

    BillableSection 0
  • 02CW4ZZ

    Extirpation of Matter from Thoracic Aorta, Descending, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02CX0ZZ

    Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Open Approach

    BillableSection 0
  • 02CX3ZZ

    Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Approach

    BillableSection 0
  • 02CX4ZZ

    Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02PA0QZ

    Removal of Implantable Heart Assist System from Heart, Open Approach

    BillableSection 0
  • 02PA0RS

    Removal of Biventricular Short-term External Heart Assist System from Heart, Open Approach

    BillableSection 0
  • 02PA0RZ

    Removal of Short-term External Heart Assist System from Heart, Open Approach

    BillableSection 0
  • 02PA3QZ

    Removal of Implantable Heart Assist System from Heart, Percutaneous Approach

    BillableSection 0
  • 02PA3RS

    Removal of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Approach

    BillableSection 0
  • 02PA3RZ

    Removal of Short-term External Heart Assist System from Heart, Percutaneous Approach

    BillableSection 0
  • 02PA4QZ

    Removal of Implantable Heart Assist System from Heart, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02PA4RS

    Removal of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02PA4RZ

    Removal of Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02PW3RZ

    Removal of Short-term External Heart Assist System from Thoracic Aorta, Descending, Percutaneous Approach

    BillableSection 0
  • 02QW0ZZ

    Repair Thoracic Aorta, Descending, Open Approach

    BillableSection 0
  • 02QW3ZZ

    Repair Thoracic Aorta, Descending, Percutaneous Approach

    BillableSection 0
  • 02QW4ZZ

    Repair Thoracic Aorta, Descending, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02QX0ZZ

    Repair Thoracic Aorta, Ascending/Arch, Open Approach

    BillableSection 0
  • 02QX3ZZ

    Repair Thoracic Aorta, Ascending/Arch, Percutaneous Approach

    BillableSection 0
  • 02QX4ZZ

    Repair Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02U00JZ

    Supplement Coronary Artery, One Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 02U04JZ

    Supplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02U10JZ

    Supplement Coronary Artery, Two Arteries with Synthetic Substitute, Open Approach

    BillableSection 0
  • 02U14JZ

    Supplement Coronary Artery, Two Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02U20JZ

    Supplement Coronary Artery, Three Arteries with Synthetic Substitute, Open Approach

    BillableSection 0
  • 02U24JZ

    Supplement Coronary Artery, Three Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02U30JZ

    Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Open Approach

    BillableSection 0
  • 02U34JZ

    Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02UA0JZ

    Supplement Heart with Synthetic Substitute, Open Approach

    BillableSection 0
  • 02UA3JZ

    Supplement Heart with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 02UA4JZ

    Supplement Heart with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0410093

    Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 0410094

    Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 0410095

    Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 04100A3

    Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 04100A4

    Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 04100A5

    Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 04100J3

    Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 04100J4

    Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 04100J5

    Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 04100K3

    Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 04100K4

    Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 04100K5

    Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 04100Z3

    Bypass Abdominal Aorta to Right Renal Artery, Open Approach

    BillableSection 0
  • 04100Z4

    Bypass Abdominal Aorta to Left Renal Artery, Open Approach

    BillableSection 0
  • 04100Z5

    Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach

    BillableSection 0
  • 0410493

    Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0410494

    Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0410495

    Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104A3

    Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104A4

    Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104A5

    Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104J3

    Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104J4

    Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104J5

    Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104K3

    Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104K4

    Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104K5

    Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104Z3

    Bypass Abdominal Aorta to Right Renal Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104Z4

    Bypass Abdominal Aorta to Left Renal Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04104Z5

    Bypass Abdominal Aorta to Bilateral Renal Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0413093

    Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 0413094

    Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 0413095

    Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach

    BillableSection 0
  • 04130A3

    Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 04130A4

    Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 04130A5

    Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach

    BillableSection 0
  • 04130J3

    Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 04130J4

    Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 04130J5

    Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach

    BillableSection 0
  • 04130K3

    Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 04130K4

    Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 04130K5

    Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 04130Z3

    Bypass Hepatic Artery to Right Renal Artery, Open Approach

    BillableSection 0
  • 04130Z4

    Bypass Hepatic Artery to Left Renal Artery, Open Approach

    BillableSection 0
  • 04130Z5

    Bypass Hepatic Artery to Bilateral Renal Artery, Open Approach

    BillableSection 0
  • 0413493

    Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0413494

    Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0413495

    Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134A3

    Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134A4

    Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134A5

    Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134J3

    Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134J4

    Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134J5

    Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134K3

    Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134K4

    Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134K5

    Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134Z3

    Bypass Hepatic Artery to Right Renal Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134Z4

    Bypass Hepatic Artery to Left Renal Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04134Z5

    Bypass Hepatic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04500ZZ

    Destruction of Abdominal Aorta, Open Approach

    BillableSection 0
  • 04503ZZ

    Destruction of Abdominal Aorta, Percutaneous Approach

    BillableSection 0
  • 04504ZZ

    Destruction of Abdominal Aorta, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04B00ZZ

    Excision of Abdominal Aorta, Open Approach

    BillableSection 0
  • 04B03ZZ

    Excision of Abdominal Aorta, Percutaneous Approach

    BillableSection 0
  • 04B04ZZ

    Excision of Abdominal Aorta, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04C00ZZ

    Extirpation of Matter from Abdominal Aorta, Open Approach

    BillableSection 0
  • 04C03ZZ

    Extirpation of Matter from Abdominal Aorta, Percutaneous Approach

    BillableSection 0
  • 04C04ZZ

    Extirpation of Matter from Abdominal Aorta, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04L00CZ

    Occlusion of Abdominal Aorta with Extraluminal Device, Open Approach

    BillableSection 0
  • 04L00DJ

    Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach

    BillableSection 0
  • 04L00DZ

    Occlusion of Abdominal Aorta with Intraluminal Device, Open Approach

    BillableSection 0
  • 04L00ZZ

    Occlusion of Abdominal Aorta, Open Approach

    BillableSection 0
  • 04L03CZ

    Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Approach

    BillableSection 0
  • 04L03DJ

    Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach

    BillableSection 0
  • 04L03DZ

    Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Approach

    BillableSection 0
  • 04L03ZZ

    Occlusion of Abdominal Aorta, Percutaneous Approach

    BillableSection 0
  • 04L04CZ

    Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04L04DZ

    Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04L04ZZ

    Occlusion of Abdominal Aorta, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04R007Z

    Replacement of Abdominal Aorta with Autologous Tissue Substitute, Open Approach

    BillableSection 0
  • 04R00JZ

    Replacement of Abdominal Aorta with Synthetic Substitute, Open Approach

    BillableSection 0
  • 04R00KZ

    Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach

    BillableSection 0
  • 04R047Z

    Replacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04R04JZ

    Replacement of Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04R04KZ

    Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04U03JZ

    Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Approach

    BillableSection 0
  • 04U03LZ

    Supplement Abdominal Aorta with Intraluminal Device, Endovascular Anchors, Percutaneous Approach

    BillableSection 0
  • 04U04JZ

    Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04V03DZ

    Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Approach

    BillableSection 0
  • 04V03EZ

    Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach

    BillableSection 0
  • 04V03FZ

    Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach

    BillableSection 0
  • 04V04DZ

    Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04V04EZ

    Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach

    BillableSection 0
  • 04V04FZ

    Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach

    BillableSection 0
  • X2CP3T7

    Extirpation of Matter from Abdominal Aorta using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7

    BillableSection X