MS-DRG · FY 2026 v43.0

MS-DRG 220 – Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC

A Surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Inpatient cases group to DRG 220 when one of the 299 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 5.3328 with a geometric mean length of stay of 5.4 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
5.3328
Relative Weight
5.4
Geometric Mean LOS (days)
6.1
Arithmetic Mean LOS (days)
299
Procedure Codes

Severity family

DRG 219with MCCWeight 7.6783 · GMLOS 8.2 daysDRG 220with CCWeight 5.3328 · GMLOS 5.4 daysDRG 221without CC/MCCWeight 5.0402 · GMLOS 2.9 days
How a case is assigned to DRG 220

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 → 219; with CC → 220; without CC/MCC → 221.

ICD-10-PCS

Procedure Codes 299 codes · 54 categories

299 of 299 shown
024F Heart and Great Vessels, Creation4 codes
  • 024F07J Creation of Aortic Valve from Truncal Valve using Autologous Tissue Substitute, Open Approach
  • 024F08J Creation of Aortic Valve from Truncal Valve using Zooplastic Tissue, Open Approach
  • 024F0JJ Creation of Aortic Valve from Truncal Valve using Synthetic Substitute, Open Approach
  • 024F0KJ Creation of Aortic Valve from Truncal Valve using Nonautologous Tissue Substitute, Open Approach
024G Heart and Great Vessels, Creation4 codes
  • 024G072 Creation of Mitral Valve from Common Atrioventricular Valve using Autologous Tissue Substitute, Open Approach
  • 024G082 Creation of Mitral Valve from Common Atrioventricular Valve using Zooplastic Tissue, Open Approach
  • 024G0J2 Creation of Mitral Valve from Common Atrioventricular Valve using Synthetic Substitute, Open Approach
  • 024G0K2 Creation of Mitral Valve from Common Atrioventricular Valve using Nonautologous Tissue Substitute, Open Approach
024J Heart and Great Vessels, Creation4 codes
  • 024J072 Creation of Tricuspid Valve from Common Atrioventricular Valve using Autologous Tissue Substitute, Open Approach
  • 024J082 Creation of Tricuspid Valve from Common Atrioventricular Valve using Zooplastic Tissue, Open Approach
  • 024J0J2 Creation of Tricuspid Valve from Common Atrioventricular Valve using Synthetic Substitute, Open Approach
  • 024J0K2 Creation of Tricuspid Valve from Common Atrioventricular Valve using Nonautologous Tissue Substitute, Open Approach
027F Heart and Great Vessels, Dilation3 codes
  • 027F04Z Dilation of Aortic Valve with Drug-eluting Intraluminal Device, Open Approach
  • 027F0DZ Dilation of Aortic Valve with Intraluminal Device, Open Approach
  • 027F0ZZ Dilation of Aortic Valve, Open Approach
027G Heart and Great Vessels, Dilation3 codes
  • 027G04Z Dilation of Mitral Valve with Drug-eluting Intraluminal Device, Open Approach
  • 027G0DZ Dilation of Mitral Valve with Intraluminal Device, Open Approach
  • 027G0ZZ Dilation of Mitral Valve, Open Approach
027H Heart and Great Vessels, Dilation3 codes
  • 027H04Z Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Open Approach
  • 027H0DZ Dilation of Pulmonary Valve with Intraluminal Device, Open Approach
  • 027H0ZZ Dilation of Pulmonary Valve, Open Approach
027J Heart and Great Vessels, Dilation3 codes
  • 027J04Z Dilation of Tricuspid Valve with Drug-eluting Intraluminal Device, Open Approach
  • 027J0DZ Dilation of Tricuspid Valve with Intraluminal Device, Open Approach
  • 027J0ZZ Dilation of Tricuspid Valve, Open Approach
02HA Heart and Great Vessels, Insertion3 codes
  • 02HA0RJ Insertion of Short-term External Heart Assist System into Heart, Intraoperative, Open Approach
  • 02HA3RJ Insertion of Short-term External Heart Assist System into Heart, Intraoperative, Percutaneous Approach
  • 02HA4RJ Insertion of Short-term External Heart Assist System into Heart, Intraoperative, Percutaneous Endoscopic Approach
02NF Heart and Great Vessels, Release1 code
  • 02NF0ZZ Release Aortic Valve, Open Approach
02NG Heart and Great Vessels, Release1 code
  • 02NG0ZZ Release Mitral Valve, Open Approach
02NH Heart and Great Vessels, Release1 code
  • 02NH0ZZ Release Pulmonary Valve, Open Approach
02NJ Heart and Great Vessels, Release1 code
  • 02NJ0ZZ Release Tricuspid Valve, Open Approach
02QF Heart and Great Vessels, Repair4 codes
  • 02QF0ZJ Repair Aortic Valve created from Truncal Valve, Open Approach
  • 02QF0ZZ Repair Aortic Valve, Open Approach
  • 02QF4ZJ Repair Aortic Valve created from Truncal Valve, Percutaneous Endoscopic Approach
  • 02QF4ZZ Repair Aortic Valve, Percutaneous Endoscopic Approach
02QG Heart and Great Vessels, Repair4 codes
  • 02QG0ZE Repair Mitral Valve created from Left Atrioventricular Valve, Open Approach
  • 02QG0ZZ Repair Mitral Valve, Open Approach
  • 02QG4ZE Repair Mitral Valve created from Left Atrioventricular Valve, Percutaneous Endoscopic Approach
  • 02QG4ZZ Repair Mitral Valve, Percutaneous Endoscopic Approach
02QH Heart and Great Vessels, Repair2 codes
  • 02QH0ZZ Repair Pulmonary Valve, Open Approach
  • 02QH4ZZ Repair Pulmonary Valve, Percutaneous Endoscopic Approach
02QJ Heart and Great Vessels, Repair4 codes
  • 02QJ0ZG Repair Tricuspid Valve created from Right Atrioventricular Valve, Open Approach
  • 02QJ0ZZ Repair Tricuspid Valve, Open Approach
  • 02QJ4ZG Repair Tricuspid Valve created from Right Atrioventricular Valve, Percutaneous Endoscopic Approach
  • 02QJ4ZZ Repair Tricuspid Valve, Percutaneous Endoscopic Approach
02RF Heart and Great Vessels, Replacement10 codes
  • 02RF07Z Replacement of Aortic Valve with Autologous Tissue Substitute, Open Approach
  • 02RF08N Replacement of Aortic Valve with Zooplastic Tissue, using Rapid Deployment Technique, Open Approach
  • 02RF08Z Replacement of Aortic Valve with Zooplastic Tissue, Open Approach
  • 02RF0JZ Replacement of Aortic Valve with Synthetic Substitute, Open Approach
  • 02RF0KZ Replacement of Aortic Valve with Nonautologous Tissue Substitute, Open Approach
  • 02RF47Z Replacement of Aortic Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RF48N Replacement of Aortic Valve with Zooplastic Tissue, using Rapid Deployment Technique, Percutaneous Endoscopic Approach
  • 02RF48Z Replacement of Aortic Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RF4JZ Replacement of Aortic Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RF4KZ Replacement of Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RG Heart and Great Vessels, Replacement8 codes
  • 02RG07Z Replacement of Mitral Valve with Autologous Tissue Substitute, Open Approach
  • 02RG08Z Replacement of Mitral Valve with Zooplastic Tissue, Open Approach
  • 02RG0JZ Replacement of Mitral Valve with Synthetic Substitute, Open Approach
  • 02RG0KZ Replacement of Mitral Valve with Nonautologous Tissue Substitute, Open Approach
  • 02RG47Z Replacement of Mitral Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RG48Z Replacement of Mitral Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RG4JZ Replacement of Mitral Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RG4KZ Replacement of Mitral Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RH Heart and Great Vessels, Replacement8 codes
  • 02RH07Z Replacement of Pulmonary Valve with Autologous Tissue Substitute, Open Approach
  • 02RH08Z Replacement of Pulmonary Valve with Zooplastic Tissue, Open Approach
  • 02RH0JZ Replacement of Pulmonary Valve with Synthetic Substitute, Open Approach
  • 02RH0KZ Replacement of Pulmonary Valve with Nonautologous Tissue Substitute, Open Approach
  • 02RH47Z Replacement of Pulmonary Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RH48Z Replacement of Pulmonary Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RH4JZ Replacement of Pulmonary Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RH4KZ Replacement of Pulmonary Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RJ Heart and Great Vessels, Replacement8 codes
  • 02RJ07Z Replacement of Tricuspid Valve with Autologous Tissue Substitute, Open Approach
  • 02RJ08Z Replacement of Tricuspid Valve with Zooplastic Tissue, Open Approach
  • 02RJ0JZ Replacement of Tricuspid Valve with Synthetic Substitute, Open Approach
  • 02RJ0KZ Replacement of Tricuspid Valve with Nonautologous Tissue Substitute, Open Approach
  • 02RJ47Z Replacement of Tricuspid Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RJ48Z Replacement of Tricuspid Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RJ4JZ Replacement of Tricuspid Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RJ4KZ Replacement of Tricuspid Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RP Heart and Great Vessels, Replacement8 codes
  • 02RP07Z Replacement of Pulmonary Trunk with Autologous Tissue Substitute, Open Approach
  • 02RP08Z Replacement of Pulmonary Trunk with Zooplastic Tissue, Open Approach
  • 02RP0JZ Replacement of Pulmonary Trunk with Synthetic Substitute, Open Approach
  • 02RP0KZ Replacement of Pulmonary Trunk with Nonautologous Tissue Substitute, Open Approach
  • 02RP47Z Replacement of Pulmonary Trunk with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RP48Z Replacement of Pulmonary Trunk with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RP4JZ Replacement of Pulmonary Trunk with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RP4KZ Replacement of Pulmonary Trunk with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RQ Heart and Great Vessels, Replacement8 codes
  • 02RQ07Z Replacement of Right Pulmonary Artery with Autologous Tissue Substitute, Open Approach
  • 02RQ08Z Replacement of Right Pulmonary Artery with Zooplastic Tissue, Open Approach
  • 02RQ0JZ Replacement of Right Pulmonary Artery with Synthetic Substitute, Open Approach
  • 02RQ0KZ Replacement of Right Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach
  • 02RQ47Z Replacement of Right Pulmonary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RQ48Z Replacement of Right Pulmonary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RQ4JZ Replacement of Right Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RQ4KZ Replacement of Right Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RR Heart and Great Vessels, Replacement8 codes
  • 02RR07Z Replacement of Left Pulmonary Artery with Autologous Tissue Substitute, Open Approach
  • 02RR08Z Replacement of Left Pulmonary Artery with Zooplastic Tissue, Open Approach
  • 02RR0JZ Replacement of Left Pulmonary Artery with Synthetic Substitute, Open Approach
  • 02RR0KZ Replacement of Left Pulmonary Artery with Nonautologous Tissue Substitute, Open Approach
  • 02RR47Z Replacement of Left Pulmonary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RR48Z Replacement of Left Pulmonary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RR4JZ Replacement of Left Pulmonary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RR4KZ Replacement of Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RS Heart and Great Vessels, Replacement8 codes
  • 02RS07Z Replacement of Right Pulmonary Vein with Autologous Tissue Substitute, Open Approach
  • 02RS08Z Replacement of Right Pulmonary Vein with Zooplastic Tissue, Open Approach
  • 02RS0JZ Replacement of Right Pulmonary Vein with Synthetic Substitute, Open Approach
  • 02RS0KZ Replacement of Right Pulmonary Vein with Nonautologous Tissue Substitute, Open Approach
  • 02RS47Z Replacement of Right Pulmonary Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RS48Z Replacement of Right Pulmonary Vein with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RS4JZ Replacement of Right Pulmonary Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RS4KZ Replacement of Right Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RT Heart and Great Vessels, Replacement8 codes
  • 02RT07Z Replacement of Left Pulmonary Vein with Autologous Tissue Substitute, Open Approach
  • 02RT08Z Replacement of Left Pulmonary Vein with Zooplastic Tissue, Open Approach
  • 02RT0JZ Replacement of Left Pulmonary Vein with Synthetic Substitute, Open Approach
  • 02RT0KZ Replacement of Left Pulmonary Vein with Nonautologous Tissue Substitute, Open Approach
  • 02RT47Z Replacement of Left Pulmonary Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RT48Z Replacement of Left Pulmonary Vein with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RT4JZ Replacement of Left Pulmonary Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RT4KZ Replacement of Left Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RV Heart and Great Vessels, Replacement8 codes
  • 02RV07Z Replacement of Superior Vena Cava with Autologous Tissue Substitute, Open Approach
  • 02RV08Z Replacement of Superior Vena Cava with Zooplastic Tissue, Open Approach
  • 02RV0JZ Replacement of Superior Vena Cava with Synthetic Substitute, Open Approach
  • 02RV0KZ Replacement of Superior Vena Cava with Nonautologous Tissue Substitute, Open Approach
  • 02RV47Z Replacement of Superior Vena Cava with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RV48Z Replacement of Superior Vena Cava with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RV4JZ Replacement of Superior Vena Cava with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RV4KZ Replacement of Superior Vena Cava with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RW Heart and Great Vessels, Replacement8 codes
  • 02RW07Z Replacement of Thoracic Aorta, Descending with Autologous Tissue Substitute, Open Approach
  • 02RW08Z Replacement of Thoracic Aorta, Descending with Zooplastic Tissue, Open Approach
  • 02RW0JZ Replacement of Thoracic Aorta, Descending with Synthetic Substitute, Open Approach
  • 02RW0KZ Replacement of Thoracic Aorta, Descending with Nonautologous Tissue Substitute, Open Approach
  • 02RW47Z Replacement of Thoracic Aorta, Descending with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RW48Z Replacement of Thoracic Aorta, Descending with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RW4JZ Replacement of Thoracic Aorta, Descending with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RW4KZ Replacement of Thoracic Aorta, Descending with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02RX Heart and Great Vessels, Replacement8 codes
  • 02RX07Z Replacement of Thoracic Aorta, Ascending/Arch with Autologous Tissue Substitute, Open Approach
  • 02RX08Z Replacement of Thoracic Aorta, Ascending/Arch with Zooplastic Tissue, Open Approach
  • 02RX0JZ Replacement of Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Open Approach
  • 02RX0KZ Replacement of Thoracic Aorta, Ascending/Arch with Nonautologous Tissue Substitute, Open Approach
  • 02RX47Z Replacement of Thoracic Aorta, Ascending/Arch with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02RX48Z Replacement of Thoracic Aorta, Ascending/Arch with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02RX4JZ Replacement of Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02RX4KZ Replacement of Thoracic Aorta, Ascending/Arch with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02UF Heart and Great Vessels, Supplement16 codes
  • 02UF07J Supplement Aortic Valve created from Truncal Valve with Autologous Tissue Substitute, Open Approach
  • 02UF07Z Supplement Aortic Valve with Autologous Tissue Substitute, Open Approach
  • 02UF08J Supplement Aortic Valve created from Truncal Valve with Zooplastic Tissue, Open Approach
  • 02UF08Z Supplement Aortic Valve with Zooplastic Tissue, Open Approach
  • 02UF0JJ Supplement Aortic Valve created from Truncal Valve with Synthetic Substitute, Open Approach
  • 02UF0JZ Supplement Aortic Valve with Synthetic Substitute, Open Approach
  • 02UF0KJ Supplement Aortic Valve created from Truncal Valve with Nonautologous Tissue Substitute, Open Approach
  • 02UF0KZ Supplement Aortic Valve with Nonautologous Tissue Substitute, Open Approach
  • 02UF47J Supplement Aortic Valve created from Truncal Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UF47Z Supplement Aortic Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UF48J Supplement Aortic Valve created from Truncal Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02UF48Z Supplement Aortic Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02UF4JJ Supplement Aortic Valve created from Truncal Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02UF4JZ Supplement Aortic Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02UF4KJ Supplement Aortic Valve created from Truncal Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UF4KZ Supplement Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02UG Heart and Great Vessels, Supplement16 codes
  • 02UG07E Supplement Mitral Valve created from Left Atrioventricular Valve with Autologous Tissue Substitute, Open Approach
  • 02UG07Z Supplement Mitral Valve with Autologous Tissue Substitute, Open Approach
  • 02UG08E Supplement Mitral Valve created from Left Atrioventricular Valve with Zooplastic Tissue, Open Approach
  • 02UG08Z Supplement Mitral Valve with Zooplastic Tissue, Open Approach
  • 02UG0JE Supplement Mitral Valve created from Left Atrioventricular Valve with Synthetic Substitute, Open Approach
  • 02UG0JZ Supplement Mitral Valve with Synthetic Substitute, Open Approach
  • 02UG0KE Supplement Mitral Valve created from Left Atrioventricular Valve with Nonautologous Tissue Substitute, Open Approach
  • 02UG0KZ Supplement Mitral Valve with Nonautologous Tissue Substitute, Open Approach
  • 02UG47E Supplement Mitral Valve created from Left Atrioventricular Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UG47Z Supplement Mitral Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UG48E Supplement Mitral Valve created from Left Atrioventricular Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02UG48Z Supplement Mitral Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02UG4JE Supplement Mitral Valve created from Left Atrioventricular Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02UG4JZ Supplement Mitral Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02UG4KE Supplement Mitral Valve created from Left Atrioventricular Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UG4KZ Supplement Mitral Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02UH Heart and Great Vessels, Supplement8 codes
  • 02UH07Z Supplement Pulmonary Valve with Autologous Tissue Substitute, Open Approach
  • 02UH08Z Supplement Pulmonary Valve with Zooplastic Tissue, Open Approach
  • 02UH0JZ Supplement Pulmonary Valve with Synthetic Substitute, Open Approach
  • 02UH0KZ Supplement Pulmonary Valve with Nonautologous Tissue Substitute, Open Approach
  • 02UH47Z Supplement Pulmonary Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UH48Z Supplement Pulmonary Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02UH4JZ Supplement Pulmonary Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02UH4KZ Supplement Pulmonary Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02UJ Heart and Great Vessels, Supplement16 codes
  • 02UJ07G Supplement Tricuspid Valve created from Right Atrioventricular Valve with Autologous Tissue Substitute, Open Approach
  • 02UJ07Z Supplement Tricuspid Valve with Autologous Tissue Substitute, Open Approach
  • 02UJ08G Supplement Tricuspid Valve created from Right Atrioventricular Valve with Zooplastic Tissue, Open Approach
  • 02UJ08Z Supplement Tricuspid Valve with Zooplastic Tissue, Open Approach
  • 02UJ0JG Supplement Tricuspid Valve created from Right Atrioventricular Valve with Synthetic Substitute, Open Approach
  • 02UJ0JZ Supplement Tricuspid Valve with Synthetic Substitute, Open Approach
  • 02UJ0KG Supplement Tricuspid Valve created from Right Atrioventricular Valve with Nonautologous Tissue Substitute, Open Approach
  • 02UJ0KZ Supplement Tricuspid Valve with Nonautologous Tissue Substitute, Open Approach
  • 02UJ47G Supplement Tricuspid Valve created from Right Atrioventricular Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UJ47Z Supplement Tricuspid Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UJ48G Supplement Tricuspid Valve created from Right Atrioventricular Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02UJ48Z Supplement Tricuspid Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach
  • 02UJ4JG Supplement Tricuspid Valve created from Right Atrioventricular Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02UJ4JZ Supplement Tricuspid Valve with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 02UJ4KG Supplement Tricuspid Valve created from Right Atrioventricular Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 02UJ4KZ Supplement Tricuspid Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02UW Heart and Great Vessels, Supplement3 codes
  • 02UW3JZ Supplement Thoracic Aorta, Descending with Synthetic Substitute, Percutaneous Approach
  • 02UW3LZ Supplement Thoracic Aorta, Descending with Intraluminal Device, Endovascular Anchors, Percutaneous Approach
  • 02UW4JZ Supplement Thoracic Aorta, Descending with Synthetic Substitute, Percutaneous Endoscopic Approach
02UX Heart and Great Vessels, Supplement2 codes
  • 02UX3JZ Supplement Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Percutaneous Approach
  • 02UX4JZ Supplement Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Percutaneous Endoscopic Approach
02VG Heart and Great Vessels, Restriction2 codes
  • 02VG0ZZ Restriction of Mitral Valve, Open Approach
  • 02VG4ZZ Restriction of Mitral Valve, Percutaneous Endoscopic Approach
02VW Heart and Great Vessels, Restriction9 codes
  • 02VW0DZ Restriction of Thoracic Aorta, Descending with Intraluminal Device, Open Approach
  • 02VW0EZ Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
  • 02VW0FZ Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach
  • 02VW3DZ Restriction of Thoracic Aorta, Descending with Intraluminal Device, Percutaneous Approach
  • 02VW3EZ Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
  • 02VW3FZ Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
  • 02VW4DZ Restriction of Thoracic Aorta, Descending with Intraluminal Device, Percutaneous Endoscopic Approach
  • 02VW4EZ Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
  • 02VW4FZ Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach
02VX Heart and Great Vessels, Restriction9 codes
  • 02VX0DZ Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Open Approach
  • 02VX0EZ Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
  • 02VX0FZ Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach
  • 02VX3DZ Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Percutaneous Approach
  • 02VX3EZ Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
  • 02VX3FZ Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
  • 02VX4DZ Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Percutaneous Endoscopic Approach
  • 02VX4EZ Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
  • 02VX4FZ Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach
02WF Heart and Great Vessels, Revision1 code
  • 02WF37Z Revision of Autologous Tissue Substitute in Aortic Valve, Percutaneous Approach
03R0 Upper Arteries, Replacement6 codes
  • 03R007Z Replacement of Right Internal Mammary Artery with Autologous Tissue Substitute, Open Approach
  • 03R00JZ Replacement of Right Internal Mammary Artery with Synthetic Substitute, Open Approach
  • 03R00KZ Replacement of Right Internal Mammary Artery with Nonautologous Tissue Substitute, Open Approach
  • 03R047Z Replacement of Right Internal Mammary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 03R04JZ Replacement of Right Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 03R04KZ Replacement of Right Internal Mammary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
03R1 Upper Arteries, Replacement6 codes
  • 03R107Z Replacement of Left Internal Mammary Artery with Autologous Tissue Substitute, Open Approach
  • 03R10JZ Replacement of Left Internal Mammary Artery with Synthetic Substitute, Open Approach
  • 03R10KZ Replacement of Left Internal Mammary Artery with Nonautologous Tissue Substitute, Open Approach
  • 03R147Z Replacement of Left Internal Mammary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 03R14JZ Replacement of Left Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 03R14KZ Replacement of Left Internal Mammary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
03R2 Upper Arteries, Replacement6 codes
  • 03R207Z Replacement of Innominate Artery with Autologous Tissue Substitute, Open Approach
  • 03R20JZ Replacement of Innominate Artery with Synthetic Substitute, Open Approach
  • 03R20KZ Replacement of Innominate Artery with Nonautologous Tissue Substitute, Open Approach
  • 03R247Z Replacement of Innominate Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 03R24JZ Replacement of Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 03R24KZ Replacement of Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
03R3 Upper Arteries, Replacement6 codes
  • 03R307Z Replacement of Right Subclavian Artery with Autologous Tissue Substitute, Open Approach
  • 03R30JZ Replacement of Right Subclavian Artery with Synthetic Substitute, Open Approach
  • 03R30KZ Replacement of Right Subclavian Artery with Nonautologous Tissue Substitute, Open Approach
  • 03R347Z Replacement of Right Subclavian Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 03R34JZ Replacement of Right Subclavian Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 03R34KZ Replacement of Right Subclavian Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
03R4 Upper Arteries, Replacement6 codes
  • 03R407Z Replacement of Left Subclavian Artery with Autologous Tissue Substitute, Open Approach
  • 03R40JZ Replacement of Left Subclavian Artery with Synthetic Substitute, Open Approach
  • 03R40KZ Replacement of Left Subclavian Artery with Nonautologous Tissue Substitute, Open Approach
  • 03R447Z Replacement of Left Subclavian Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 03R44JZ Replacement of Left Subclavian Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 03R44KZ Replacement of Left Subclavian Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05R0 Upper Veins, Replacement6 codes
  • 05R007Z Replacement of Azygos Vein with Autologous Tissue Substitute, Open Approach
  • 05R00JZ Replacement of Azygos Vein with Synthetic Substitute, Open Approach
  • 05R00KZ Replacement of Azygos Vein with Nonautologous Tissue Substitute, Open Approach
  • 05R047Z Replacement of Azygos Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 05R04JZ Replacement of Azygos Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 05R04KZ Replacement of Azygos Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05R1 Upper Veins, Replacement6 codes
  • 05R107Z Replacement of Hemiazygos Vein with Autologous Tissue Substitute, Open Approach
  • 05R10JZ Replacement of Hemiazygos Vein with Synthetic Substitute, Open Approach
  • 05R10KZ Replacement of Hemiazygos Vein with Nonautologous Tissue Substitute, Open Approach
  • 05R147Z Replacement of Hemiazygos Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 05R14JZ Replacement of Hemiazygos Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 05R14KZ Replacement of Hemiazygos Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05R3 Upper Veins, Replacement6 codes
  • 05R307Z Replacement of Right Innominate Vein with Autologous Tissue Substitute, Open Approach
  • 05R30JZ Replacement of Right Innominate Vein with Synthetic Substitute, Open Approach
  • 05R30KZ Replacement of Right Innominate Vein with Nonautologous Tissue Substitute, Open Approach
  • 05R347Z Replacement of Right Innominate Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 05R34JZ Replacement of Right Innominate Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 05R34KZ Replacement of Right Innominate Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05R4 Upper Veins, Replacement6 codes
  • 05R407Z Replacement of Left Innominate Vein with Autologous Tissue Substitute, Open Approach
  • 05R40JZ Replacement of Left Innominate Vein with Synthetic Substitute, Open Approach
  • 05R40KZ Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Open Approach
  • 05R447Z Replacement of Left Innominate Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 05R44JZ Replacement of Left Innominate Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 05R44KZ Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05R5 Upper Veins, Replacement6 codes
  • 05R507Z Replacement of Right Subclavian Vein with Autologous Tissue Substitute, Open Approach
  • 05R50JZ Replacement of Right Subclavian Vein with Synthetic Substitute, Open Approach
  • 05R50KZ Replacement of Right Subclavian Vein with Nonautologous Tissue Substitute, Open Approach
  • 05R547Z Replacement of Right Subclavian Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 05R54JZ Replacement of Right Subclavian Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 05R54KZ Replacement of Right Subclavian Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05R6 Upper Veins, Replacement6 codes
  • 05R607Z Replacement of Left Subclavian Vein with Autologous Tissue Substitute, Open Approach
  • 05R60JZ Replacement of Left Subclavian Vein with Synthetic Substitute, Open Approach
  • 05R60KZ Replacement of Left Subclavian Vein with Nonautologous Tissue Substitute, Open Approach
  • 05R647Z Replacement of Left Subclavian Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 05R64JZ Replacement of Left Subclavian Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 05R64KZ Replacement of Left Subclavian Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
5A02 Extracorporeal or Systemic Assistance and Performance, Physiological Systems, Assistance4 codes
  • 5A02116 Assistance with Cardiac Output using Other Pump, Intermittent
  • 5A0211D Assistance with Cardiac Output using Impeller Pump, Intermittent
  • 5A02216 Assistance with Cardiac Output using Other Pump, Continuous
  • 5A0221D Assistance with Cardiac Output using Impeller Pump, Continuous
X2RX New Technology, Cardiovascular System, Replacement1 code
  • X2RX0N7 Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7
X2VE New Technology, Cardiovascular System, Restriction1 code
  • X2VE3SA Restriction of Descending Thoracic Aorta and Abdominal Aorta using Branched Intraluminal Device, Manufactured Integrated System, Four or More Arteries, Percutaneous Approach, New Technology Group 10
X2VW New Technology, Cardiovascular System, Restriction1 code
  • X2VW0N7 Restriction of Thoracic Aorta, Descending using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7
X2VY New Technology, Cardiovascular System, Restriction1 code
  • X2VY06B Restriction of Thoracic Aortic Arch and Descending Thoracic Aorta using Uncovered Intraluminal Device with Support Cuff, 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 220?

MS-DRG 220 (Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC) is a surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Its FY 2026 relative weight is 5.3328 with a geometric mean length of stay of 5.4 days.

What is the difference between DRG 219, 220, 221?

All 3 share the same base category; the severity of secondary diagnoses separates them: 219 (with MCC), 220 (with CC), 221 (without CC/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 220?

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

What is the relative weight of DRG 220?

The FY 2026 relative weight of this DRG is 5.3328, meaning reimbursement of roughly 5.33 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 219 – Cardiac Valve and Other Major Cardiothoracic Procedures
Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.