MS-DRG 268Surgical
Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC
Major Diagnostic Category 05·Grouped by procedure·FY 2027
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 2027 it carries a relative weight of 7.1688 with a geometric mean length of stay of 6.2 days and an arithmetic mean of 9.5 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 7.1688 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 6.2 days (used for transfer payments)
- Average stay:
- 9.5 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
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.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 268 | Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC (this page) | 7.1688 | 6.2 days |
| 269 | Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC | 4.2601 | 1.5 days |
Procedure codes (133)
ICD-10-PCS procedures that can group a stay to DRG 268.
- 02BW0ZZExcision of Thoracic Aorta, Descending, Open Approach
- 02BW4ZZExcision of Thoracic Aorta, Descending, Percutaneous Endoscopic Approach
- 02BX0ZZExcision of Thoracic Aorta, Ascending/Arch, Open Approach
- 02BX4ZZExcision of Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach
- 02CW0ZZExtirpation of Matter from Thoracic Aorta, Descending, Open Approach
- 02CW3ZZExtirpation of Matter from Thoracic Aorta, Descending, Percutaneous Approach
- 02CW4ZZExtirpation of Matter from Thoracic Aorta, Descending, Percutaneous Endoscopic Approach
- 02CX0ZZExtirpation of Matter from Thoracic Aorta, Ascending/Arch, Open Approach
- 02CX3ZZExtirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Approach
- 02CX4ZZExtirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach
- 02PA0QZRemoval of Implantable Heart Assist System from Heart, Open Approach
- 02PA0RSRemoval of Biventricular Short-term External Heart Assist System from Heart, Open Approach
- 02PA0RZRemoval of Short-term External Heart Assist System from Heart, Open Approach
- 02PA3QZRemoval of Implantable Heart Assist System from Heart, Percutaneous Approach
- 02PA3RSRemoval of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Approach
- 02PA3RZRemoval of Short-term External Heart Assist System from Heart, Percutaneous Approach
- 02PA4QZRemoval of Implantable Heart Assist System from Heart, Percutaneous Endoscopic Approach
- 02PA4RSRemoval of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach
- 02PA4RZRemoval of Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach
- 02PW3RZRemoval of Short-term External Heart Assist System from Thoracic Aorta, Descending, Percutaneous Approach
- 02QW0ZZRepair Thoracic Aorta, Descending, Open Approach
- 02QW3ZZRepair Thoracic Aorta, Descending, Percutaneous Approach
- 02QW4ZZRepair Thoracic Aorta, Descending, Percutaneous Endoscopic Approach
- 02QX0ZZRepair Thoracic Aorta, Ascending/Arch, Open Approach
- 02QX3ZZRepair Thoracic Aorta, Ascending/Arch, Percutaneous Approach
- 02QX4ZZRepair Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach
- 02U00JZSupplement Coronary Artery, One Artery with Synthetic Substitute, Open Approach
- 02U04JZSupplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 02U10JZSupplement Coronary Artery, Two Arteries with Synthetic Substitute, Open Approach
- 02U14JZSupplement Coronary Artery, Two Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
- 02U20JZSupplement Coronary Artery, Three Arteries with Synthetic Substitute, Open Approach
- 02U24JZSupplement Coronary Artery, Three Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
- 02U30JZSupplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Open Approach
- 02U34JZSupplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
- 02UA0JZSupplement Heart with Synthetic Substitute, Open Approach
- 02UA3JZSupplement Heart with Synthetic Substitute, Percutaneous Approach
- 02UA4JZSupplement Heart with Synthetic Substitute, Percutaneous Endoscopic Approach
- 0410093Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach
- 0410094Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach
- 0410095Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach
- 04100A3Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach
- 04100A4Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach
- 04100A5Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach
- 04100J3Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach
- 04100J4Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach
- 04100J5Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach
- 04100K3Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04100K4Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04100K5Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04100Z3Bypass Abdominal Aorta to Right Renal Artery, Open Approach
- 04100Z4Bypass Abdominal Aorta to Left Renal Artery, Open Approach
- 04100Z5Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach
- 0410493Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 0410494Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 0410495Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 04104A3Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04104A4Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04104A5Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04104J3Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04104J4Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04104J5Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04104K3Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04104K4Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04104K5Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04104Z3Bypass Abdominal Aorta to Right Renal Artery, Percutaneous Endoscopic Approach
- 04104Z4Bypass Abdominal Aorta to Left Renal Artery, Percutaneous Endoscopic Approach
- 04104Z5Bypass Abdominal Aorta to Bilateral Renal Artery, Percutaneous Endoscopic Approach
- 0413093Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach
- 0413094Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach
- 0413095Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach
- 04130A3Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach
- 04130A4Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach
- 04130A5Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach
- 04130J3Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Open Approach
- 04130J4Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach
- 04130J5Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach
- 04130K3Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04130K4Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04130K5Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04130Z3Bypass Hepatic Artery to Right Renal Artery, Open Approach
- 04130Z4Bypass Hepatic Artery to Left Renal Artery, Open Approach
- 04130Z5Bypass Hepatic Artery to Bilateral Renal Artery, Open Approach
- 0413493Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 0413494Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 0413495Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 04134A3Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04134A4Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04134A5Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04134J3Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04134J4Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04134J5Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04134K3Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04134K4Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04134K5Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04134Z3Bypass Hepatic Artery to Right Renal Artery, Percutaneous Endoscopic Approach
- 04134Z4Bypass Hepatic Artery to Left Renal Artery, Percutaneous Endoscopic Approach
- 04134Z5Bypass Hepatic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach
- 04500ZZDestruction of Abdominal Aorta, Open Approach
- 04503ZZDestruction of Abdominal Aorta, Percutaneous Approach
- 04504ZZDestruction of Abdominal Aorta, Percutaneous Endoscopic Approach
- 04B00ZZExcision of Abdominal Aorta, Open Approach
- 04B03ZZExcision of Abdominal Aorta, Percutaneous Approach
- 04B04ZZExcision of Abdominal Aorta, Percutaneous Endoscopic Approach
- 04C00ZZExtirpation of Matter from Abdominal Aorta, Open Approach
- 04C03ZZExtirpation of Matter from Abdominal Aorta, Percutaneous Approach
- 04C04ZZExtirpation of Matter from Abdominal Aorta, Percutaneous Endoscopic Approach
- 04L00CZOcclusion of Abdominal Aorta with Extraluminal Device, Open Approach
- 04L00DJOcclusion of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach
- 04L00DZOcclusion of Abdominal Aorta with Intraluminal Device, Open Approach
- 04L00ZZOcclusion of Abdominal Aorta, Open Approach
- 04L03CZOcclusion of Abdominal Aorta with Extraluminal Device, Percutaneous Approach
- 04L03DJOcclusion of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach
- 04L03DZOcclusion of Abdominal Aorta with Intraluminal Device, Percutaneous Approach
- 04L03ZZOcclusion of Abdominal Aorta, Percutaneous Approach
- 04L04CZOcclusion of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach
- 04L04DZOcclusion of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach
- 04L04ZZOcclusion of Abdominal Aorta, Percutaneous Endoscopic Approach
- 04R007ZReplacement of Abdominal Aorta with Autologous Tissue Substitute, Open Approach
- 04R00JZReplacement of Abdominal Aorta with Synthetic Substitute, Open Approach
- 04R00KZReplacement of Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach
- 04R047ZReplacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04R04JZReplacement of Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04R04KZReplacement of Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04U03JZSupplement Abdominal Aorta with Synthetic Substitute, Percutaneous Approach
- 04U03LZSupplement Abdominal Aorta with Intraluminal Device, Endovascular Anchors, Percutaneous Approach
- 04U04JZSupplement Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04V03DZRestriction of Abdominal Aorta with Intraluminal Device, Percutaneous Approach
- 04V03EZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
- 04V03FZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
- 04V04DZRestriction of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach
- 04V04EZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
- 04V04FZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach
- X2CP3T7Extirpation of Matter from Abdominal Aorta using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7