All ICD10 Codes

DRG 278

Surgical DRG

Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC

TypeSurgicalMDC05

What is MS-DRG 278?

MS-DRG 278 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 5.5662 with a geometric mean length of stay of 7.2 days and an arithmetic mean of 10.4 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
105 procedure

FY 2026 Payment Data

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

Relative Weight
5.5662
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
7.2 days
Used for transfer payment calculations
Arithmetic Mean LOS
10.4 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
278Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCCThis page5.56627.2 days
279Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC3.60643.5 days

Linked ICD-10-PCS Procedure Mappings

  • 03F23Z0

    Fragmentation of Innominate Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03F23ZZ

    Fragmentation of Innominate Artery, Percutaneous Approach

    BillableSection 0
  • 03F33Z0

    Fragmentation of Right Subclavian Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03F33ZZ

    Fragmentation of Right Subclavian Artery, Percutaneous Approach

    BillableSection 0
  • 03F43Z0

    Fragmentation of Left Subclavian Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03F43ZZ

    Fragmentation of Left Subclavian Artery, Percutaneous Approach

    BillableSection 0
  • 03F53Z0

    Fragmentation of Right Axillary Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03F53ZZ

    Fragmentation of Right Axillary Artery, Percutaneous Approach

    BillableSection 0
  • 03F63Z0

    Fragmentation of Left Axillary Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03F63ZZ

    Fragmentation of Left Axillary Artery, Percutaneous Approach

    BillableSection 0
  • 03F73Z0

    Fragmentation of Right Brachial Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03F73ZZ

    Fragmentation of Right Brachial Artery, Percutaneous Approach

    BillableSection 0
  • 03F83Z0

    Fragmentation of Left Brachial Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03F83ZZ

    Fragmentation of Left Brachial Artery, Percutaneous Approach

    BillableSection 0
  • 03F93Z0

    Fragmentation of Right Ulnar Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03F93ZZ

    Fragmentation of Right Ulnar Artery, Percutaneous Approach

    BillableSection 0
  • 03FA3Z0

    Fragmentation of Left Ulnar Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03FA3ZZ

    Fragmentation of Left Ulnar Artery, Percutaneous Approach

    BillableSection 0
  • 03FB3Z0

    Fragmentation of Right Radial Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03FB3ZZ

    Fragmentation of Right Radial Artery, Percutaneous Approach

    BillableSection 0
  • 03FC3Z0

    Fragmentation of Left Radial Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 03FC3ZZ

    Fragmentation of Left Radial Artery, Percutaneous Approach

    BillableSection 0
  • 03FY3Z0

    Fragmentation of Upper Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FC3Z0

    Fragmentation of Right Common Iliac Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FC3ZZ

    Fragmentation of Right Common Iliac Artery, Percutaneous Approach

    BillableSection 0
  • 04FD3Z0

    Fragmentation of Left Common Iliac Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FD3ZZ

    Fragmentation of Left Common Iliac Artery, Percutaneous Approach

    BillableSection 0
  • 04FE3Z0

    Fragmentation of Right Internal Iliac Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FE3ZZ

    Fragmentation of Right Internal Iliac Artery, Percutaneous Approach

    BillableSection 0
  • 04FF3Z0

    Fragmentation of Left Internal Iliac Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FF3ZZ

    Fragmentation of Left Internal Iliac Artery, Percutaneous Approach

    BillableSection 0
  • 04FH3Z0

    Fragmentation of Right External Iliac Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FH3ZZ

    Fragmentation of Right External Iliac Artery, Percutaneous Approach

    BillableSection 0
  • 04FJ3Z0

    Fragmentation of Left External Iliac Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FJ3ZZ

    Fragmentation of Left External Iliac Artery, Percutaneous Approach

    BillableSection 0
  • 04FK3Z0

    Fragmentation of Right Femoral Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FK3ZZ

    Fragmentation of Right Femoral Artery, Percutaneous Approach

    BillableSection 0
  • 04FL3Z0

    Fragmentation of Left Femoral Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FL3ZZ

    Fragmentation of Left Femoral Artery, Percutaneous Approach

    BillableSection 0
  • 04FM3Z0

    Fragmentation of Right Popliteal Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FM3ZZ

    Fragmentation of Right Popliteal Artery, Percutaneous Approach

    BillableSection 0
  • 04FN3Z0

    Fragmentation of Left Popliteal Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FN3ZZ

    Fragmentation of Left Popliteal Artery, Percutaneous Approach

    BillableSection 0
  • 04FP3Z0

    Fragmentation of Right Anterior Tibial Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FP3ZZ

    Fragmentation of Right Anterior Tibial Artery, Percutaneous Approach

    BillableSection 0
  • 04FQ3Z0

    Fragmentation of Left Anterior Tibial Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FQ3ZZ

    Fragmentation of Left Anterior Tibial Artery, Percutaneous Approach

    BillableSection 0
  • 04FR3Z0

    Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FR3ZZ

    Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach

    BillableSection 0
  • 04FS3Z0

    Fragmentation of Left Posterior Tibial Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FS3ZZ

    Fragmentation of Left Posterior Tibial Artery, Percutaneous Approach

    BillableSection 0
  • 04FT3Z0

    Fragmentation of Right Peroneal Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FT3ZZ

    Fragmentation of Right Peroneal Artery, Percutaneous Approach

    BillableSection 0
  • 04FU3Z0

    Fragmentation of Left Peroneal Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FU3ZZ

    Fragmentation of Left Peroneal Artery, Percutaneous Approach

    BillableSection 0
  • 04FY3Z0

    Fragmentation of Lower Artery, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 04FY3ZZ

    Fragmentation of Lower Artery, Percutaneous Approach

    BillableSection 0
  • 05F33Z0

    Fragmentation of Right Innominate Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05F33ZZ

    Fragmentation of Right Innominate Vein, Percutaneous Approach

    BillableSection 0
  • 05F43Z0

    Fragmentation of Left Innominate Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05F43ZZ

    Fragmentation of Left Innominate Vein, Percutaneous Approach

    BillableSection 0
  • 05F53Z0

    Fragmentation of Right Subclavian Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05F53ZZ

    Fragmentation of Right Subclavian Vein, Percutaneous Approach

    BillableSection 0
  • 05F63Z0

    Fragmentation of Left Subclavian Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05F63ZZ

    Fragmentation of Left Subclavian Vein, Percutaneous Approach

    BillableSection 0
  • 05F73Z0

    Fragmentation of Right Axillary Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05F73ZZ

    Fragmentation of Right Axillary Vein, Percutaneous Approach

    BillableSection 0
  • 05F83Z0

    Fragmentation of Left Axillary Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05F83ZZ

    Fragmentation of Left Axillary Vein, Percutaneous Approach

    BillableSection 0
  • 05F93Z0

    Fragmentation of Right Brachial Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05F93ZZ

    Fragmentation of Right Brachial Vein, Percutaneous Approach

    BillableSection 0
  • 05FA3Z0

    Fragmentation of Left Brachial Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05FA3ZZ

    Fragmentation of Left Brachial Vein, Percutaneous Approach

    BillableSection 0
  • 05FB3Z0

    Fragmentation of Right Basilic Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05FB3ZZ

    Fragmentation of Right Basilic Vein, Percutaneous Approach

    BillableSection 0
  • 05FC3Z0

    Fragmentation of Left Basilic Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05FC3ZZ

    Fragmentation of Left Basilic Vein, Percutaneous Approach

    BillableSection 0
  • 05FD3Z0

    Fragmentation of Right Cephalic Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05FD3ZZ

    Fragmentation of Right Cephalic Vein, Percutaneous Approach

    BillableSection 0
  • 05FF3Z0

    Fragmentation of Left Cephalic Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05FF3ZZ

    Fragmentation of Left Cephalic Vein, Percutaneous Approach

    BillableSection 0
  • 05FY3Z0

    Fragmentation of Upper Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 05FY3ZZ

    Fragmentation of Upper Vein, Percutaneous Approach

    BillableSection 0
  • 06FC3Z0

    Fragmentation of Right Common Iliac Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FC3ZZ

    Fragmentation of Right Common Iliac Vein, Percutaneous Approach

    BillableSection 0
  • 06FD3Z0

    Fragmentation of Left Common Iliac Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FD3ZZ

    Fragmentation of Left Common Iliac Vein, Percutaneous Approach

    BillableSection 0
  • 06FF3Z0

    Fragmentation of Right External Iliac Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FF3ZZ

    Fragmentation of Right External Iliac Vein, Percutaneous Approach

    BillableSection 0
  • 06FG3Z0

    Fragmentation of Left External Iliac Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FG3ZZ

    Fragmentation of Left External Iliac Vein, Percutaneous Approach

    BillableSection 0
  • 06FH3Z0

    Fragmentation of Right Hypogastric Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FH3ZZ

    Fragmentation of Right Hypogastric Vein, Percutaneous Approach

    BillableSection 0
  • 06FJ3Z0

    Fragmentation of Left Hypogastric Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FJ3ZZ

    Fragmentation of Left Hypogastric Vein, Percutaneous Approach

    BillableSection 0
  • 06FM3Z0

    Fragmentation of Right Femoral Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FM3ZZ

    Fragmentation of Right Femoral Vein, Percutaneous Approach

    BillableSection 0
  • 06FN3Z0

    Fragmentation of Left Femoral Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FN3ZZ

    Fragmentation of Left Femoral Vein, Percutaneous Approach

    BillableSection 0
  • 06FP3Z0

    Fragmentation of Right Saphenous Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FP3ZZ

    Fragmentation of Right Saphenous Vein, Percutaneous Approach

    BillableSection 0
  • 06FQ3Z0

    Fragmentation of Left Saphenous Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FQ3ZZ

    Fragmentation of Left Saphenous Vein, Percutaneous Approach

    BillableSection 0
  • 06FY3Z0

    Fragmentation of Lower Vein, Percutaneous Approach, Ultrasonic

    BillableSection 0
  • 06FY3ZZ

    Fragmentation of Lower Vein, Percutaneous Approach

    BillableSection 0