MS-DRG · FY 2026 v43.0

MS-DRG 244 – Permanent Cardiac Pacemaker Implant without CC/MCC

A Surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Inpatient cases group to DRG 244 when one of the 21 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 1.8075 with a geometric mean length of stay of 2.1 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
1.8075
Relative Weight
2.1
Geometric Mean LOS (days)
2.5
Arithmetic Mean LOS (days)
21
Procedure Codes

Severity family

DRG 242with MCCWeight 3.1928 · GMLOS 4.8 daysDRG 243with CCWeight 2.1309 · GMLOS 2.8 daysDRG 244without CC/MCCWeight 1.8075 · GMLOS 2.1 days
How a case is assigned to DRG 244

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 → 242; with CC → 243; without CC/MCC → 244.

ICD-10-PCS

Procedure Codes 21 codes · 3 categories

21 of 21 shown
0JH6 Subcutaneous Tissue and Fascia, Insertion10 codes
  • 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
  • 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, Insertion10 codes
  • 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
  • 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
X2HN New Technology, Cardiovascular System, Insertion1 code
  • X2HN37B Insertion of Endocardiac Pacing Electrode into Left Ventricle, Percutaneous 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 244?

MS-DRG 244 (Permanent Cardiac Pacemaker Implant without CC/MCC) is a surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Its FY 2026 relative weight is 1.8075 with a geometric mean length of stay of 2.1 days.

What is the difference between DRG 242, 243, 244?

All 3 share the same base category; the severity of secondary diagnoses separates them: 242 (with MCC), 243 (with CC), 244 (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 244?

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

What is the relative weight of DRG 244?

The FY 2026 relative weight of this DRG is 1.8075, meaning reimbursement of roughly 1.81 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 243 – Permanent Cardiac Pacemaker Implant with CC
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.