All ICD10 Codes

DRG 277

Surgical DRG

Cardiac Defibrillator Implant without MCC

TypeSurgicalMDC05

What is MS-DRG 277?

MS-DRG 277 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) without a significant Complication or Comorbidity. For FY 2026 it carries a relative weight of 4.6185 with a geometric mean length of stay of 3.3 days and an arithmetic mean of 4.1 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
33 procedure

FY 2026 Payment Data

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

Relative Weight
4.6185
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.3 days
Used for transfer payment calculations
Arithmetic Mean LOS
4.1 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care transfer policy

Linked ICD-10-PCS Procedure Mappings

  • 02H40KZ

    Insertion of Defibrillator Lead into Coronary Vein, Open Approach

    BillableSection 0
  • 02H43JZ

    Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach

    BillableSection 0
  • 02H43KZ

    Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach

    BillableSection 0
  • 02H43MZ

    Insertion of Cardiac 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
  • 02HN0JZ

    Insertion of Pacemaker Lead into Pericardium, Open Approach

    BillableSection 0
  • 02HN0KZ

    Insertion of Defibrillator Lead into Pericardium, Open Approach

    BillableSection 0
  • 02HN0MZ

    Insertion of Cardiac Lead into Pericardium, Open Approach

    BillableSection 0
  • 02HN3JZ

    Insertion of Pacemaker Lead into Pericardium, Percutaneous Approach

    BillableSection 0
  • 02HN3KZ

    Insertion of Defibrillator Lead into Pericardium, Percutaneous Approach

    BillableSection 0
  • 02HN3MZ

    Insertion of Cardiac Lead into Pericardium, Percutaneous Approach

    BillableSection 0
  • 02HN4JZ

    Insertion of Pacemaker Lead into Pericardium, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02HN4KZ

    Insertion of Defibrillator Lead into Pericardium, Percutaneous Endoscopic Approach

    BillableSection 0
  • 02HN4MZ

    Insertion of Cardiac Lead into Pericardium, Percutaneous Endoscopic Approach

    BillableSection 0
  • 0JH608Z

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

    BillableSection 0
  • 0JH609Z

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

    BillableSection 0
  • 0JH60AZ

    Insertion of Contractility Modulation Device into Chest Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH60MZ

    Insertion of Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH638Z

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

    BillableSection 0
  • 0JH639Z

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

    BillableSection 0
  • 0JH63AZ

    Insertion of Contractility Modulation Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH808Z

    Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH809Z

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

    BillableSection 0
  • 0JH80AZ

    Insertion of Contractility Modulation Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach

    BillableSection 0
  • 0JH838Z

    Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0
  • 0JH839Z

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

    BillableSection 0
  • 0JH83AZ

    Insertion of Contractility Modulation Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

    BillableSection 0