MS-DRG · FY 2027 v44.0

MS-DRG 211 – Cardiac Pacemaker Revision or Device Replacement without MCC

A Surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Inpatient cases group to DRG 211 when one of the 87 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2027 relative weight is 1.8096 with a geometric mean length of stay of 2.6 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v44.0 dataset
1.8096
Relative Weight
2.6
Geometric Mean LOS (days)
3.3
Arithmetic Mean LOS (days)
87
Procedure Codes

Severity family

DRG 210with MCCWeight 3.2657 · GMLOS 5.4 daysDRG 211without MCCWeight 1.8096 · GMLOS 2.6 days
How a case is assigned to DRG 211

The grouper first assigns the case to MDC 05 from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG), then applies the severity split from secondary diagnoses: with MCC → 210; without MCC → 211.

ICD-10-PCS

Procedure Codes 87 codes · 14 categories

87 of 87 shown
02H4 Heart and Great Vessels, Insertion6 codes
  • 02H40JZ Insertion of Pacemaker Lead into Coronary Vein, Open Approach
  • 02H40MZ Insertion of Cardiac Lead into Coronary Vein, Open Approach
  • 02H43JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach
  • 02H43MZ Insertion of Cardiac Lead into Coronary Vein, Percutaneous Approach
  • 02H44JZ Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach
  • 02H44MZ Insertion of Cardiac Lead into Coronary Vein, Percutaneous Endoscopic Approach
02H6 Heart and Great Vessels, Insertion6 codes
  • 02H60JZ Insertion of Pacemaker Lead into Right Atrium, Open Approach
  • 02H60MZ Insertion of Cardiac Lead into Right Atrium, Open Approach
  • 02H63JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach
  • 02H63MZ Insertion of Cardiac Lead into Right Atrium, Percutaneous Approach
  • 02H64JZ Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach
  • 02H64MZ Insertion of Cardiac Lead into Right Atrium, Percutaneous Endoscopic Approach
02H7 Heart and Great Vessels, Insertion6 codes
  • 02H70JZ Insertion of Pacemaker Lead into Left Atrium, Open Approach
  • 02H70MZ Insertion of Cardiac Lead into Left Atrium, Open Approach
  • 02H73JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach
  • 02H73MZ Insertion of Cardiac Lead into Left Atrium, Percutaneous Approach
  • 02H74JZ Insertion of Pacemaker Lead into Left Atrium, Percutaneous Endoscopic Approach
  • 02H74MZ Insertion of Cardiac Lead into Left Atrium, Percutaneous Endoscopic Approach
02HK Heart and Great Vessels, Insertion14 codes
  • 02HK00Z Insertion of Pressure Sensor Monitoring Device into Right Ventricle, Open Approach
  • 02HK02Z Insertion of Monitoring Device into Right Ventricle, Open Approach
  • 02HK0JZ Insertion of Pacemaker Lead into Right Ventricle, Open Approach
  • 02HK0MZ Insertion of Cardiac Lead into Right Ventricle, Open Approach
  • 02HK0YZ Insertion of Other Device into Right Ventricle, Open Approach
  • 02HK32Z Insertion of Monitoring Device into Right Ventricle, Percutaneous Approach
  • 02HK3JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach
  • 02HK3MZ Insertion of Cardiac Lead into Right Ventricle, Percutaneous Approach
  • 02HK3YZ Insertion of Other Device into Right Ventricle, Percutaneous Approach
  • 02HK40Z Insertion of Pressure Sensor Monitoring Device into Right Ventricle, Percutaneous Endoscopic Approach
  • 02HK42Z Insertion of Monitoring Device into Right Ventricle, Percutaneous Endoscopic Approach
  • 02HK4JZ Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach
  • 02HK4MZ Insertion of Cardiac Lead into Right Ventricle, Percutaneous Endoscopic Approach
  • 02HK4YZ Insertion of Other Device into Right Ventricle, Percutaneous Endoscopic Approach
02HL Heart and Great Vessels, Insertion6 codes
  • 02HL0JZ Insertion of Pacemaker Lead into Left Ventricle, Open Approach
  • 02HL0MZ Insertion of Cardiac Lead into Left Ventricle, Open Approach
  • 02HL3JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach
  • 02HL3MZ Insertion of Cardiac Lead into Left Ventricle, Percutaneous Approach
  • 02HL4JZ Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach
  • 02HL4MZ Insertion of Cardiac Lead into Left Ventricle, Percutaneous Endoscopic Approach
02HM Heart and Great Vessels, Insertion3 codes
  • 02HM3JZ Insertion of Pacemaker Lead into Ventricular Septum, Percutaneous Approach
  • 02HM3MZ Insertion of Cardiac Lead into Ventricular Septum, Percutaneous Approach
  • 02HM3YZ Insertion of Other Device into Ventricular Septum, Percutaneous Approach
02HN Heart and Great Vessels, Insertion6 codes
  • 02HN0JZ Insertion of Pacemaker Lead into Pericardium, Open Approach
  • 02HN0MZ Insertion of Cardiac Lead into Pericardium, Open Approach
  • 02HN3JZ Insertion of Pacemaker Lead into Pericardium, Percutaneous Approach
  • 02HN3MZ Insertion of Cardiac Lead into Pericardium, Percutaneous Approach
  • 02HN4JZ Insertion of Pacemaker Lead into Pericardium, Percutaneous Endoscopic Approach
  • 02HN4MZ Insertion of Cardiac Lead into Pericardium, Percutaneous Endoscopic Approach
02PA Heart and Great Vessels, Removal3 codes
  • 02PA0MZ Removal of Cardiac Lead from Heart, Open Approach
  • 02PA3MZ Removal of Cardiac Lead from Heart, Percutaneous Approach
  • 02PA4MZ Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach
02WA Heart and Great Vessels, Revision3 codes
  • 02WA0MZ Revision of Cardiac Lead in Heart, Open Approach
  • 02WA3MZ Revision of Cardiac Lead in Heart, Percutaneous Approach
  • 02WA4MZ Revision of Cardiac Lead in Heart, Percutaneous Endoscopic Approach
0JH6 Subcutaneous Tissue and Fascia, Insertion14 codes
  • 0JH600Z Insertion of Hemodynamic Monitoring Device into Chest Subcutaneous Tissue and Fascia, Open Approach
  • 0JH602Z Insertion of Monitoring Device into Chest Subcutaneous Tissue and Fascia, Open Approach
  • 0JH604Z Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach
  • 0JH605Z Insertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Open Approach
  • 0JH606Z Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach
  • 0JH607Z Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
  • 0JH60PZ Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach
  • 0JH630Z Insertion of Hemodynamic Monitoring Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH632Z Insertion of Monitoring Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH634Z Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH635Z Insertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH636Z Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH637Z Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH63PZ Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH8 Subcutaneous Tissue and Fascia, Insertion12 codes
  • 0JH800Z Insertion of Hemodynamic Monitoring Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach
  • 0JH804Z Insertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach
  • 0JH805Z Insertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Open Approach
  • 0JH806Z Insertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach
  • 0JH807Z Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
  • 0JH80PZ Insertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach
  • 0JH830Z Insertion of Hemodynamic Monitoring Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH834Z Insertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH835Z Insertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH836Z Insertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH837Z Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JH83PZ Insertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JPT Subcutaneous Tissue and Fascia, Removal2 codes
  • 0JPT0PZ Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach
  • 0JPT3PZ Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
0JWT Subcutaneous Tissue and Fascia, Revision5 codes
  • 0JWT02Z Revision of Monitoring Device in Trunk Subcutaneous Tissue and Fascia, Open Approach
  • 0JWT0PZ Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Open Approach
  • 0JWT0YZ Revision of Other Device in Trunk Subcutaneous Tissue and Fascia, Open Approach
  • 0JWT32Z Revision of Monitoring Device in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
  • 0JWT3PZ Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
XHH8 New Technology, Skin, Subcutaneous Tissue, Fascia and Breast, Insertion1 code
  • XHH80HB Insertion of Ultrasound Transmitter and Battery for Endocardiac Pacing Electrode into Chest Subcutaneous Tissue and Fascia, Open Approach, New Technology Group 11
ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 211?

MS-DRG 211 (Cardiac Pacemaker Revision or Device Replacement without MCC) is a surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Its FY 2027 relative weight is 1.8096 with a geometric mean length of stay of 2.6 days.

What is the difference between DRG 210, 211?

All 2 share the same base category; the severity of secondary diagnoses separates them: 210 (with MCC), 211 (without MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.

How many procedure codes group to DRG 211?

87 ICD-10-PCS operating-room procedure codes group to this DRG.

What is the relative weight of DRG 211?

The FY 2027 relative weight of this DRG is 1.8096, meaning reimbursement of roughly 1.81 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

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Source: CMS ICD-10 MS-DRG v44.0 Definitions Manual and the FY 2027 IPPS Final Rule (Table 5), effective October 1, 2026 through September 30, 2027. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.