MS-DRG 251 – Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC
A Surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Inpatient cases group to DRG 251 when one of the 47 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 1.4945 with a geometric mean length of stay of 2.0 days.
Severity family
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 → 250; without MCC → 251.
Procedure Codes 47 codes · 17 categories
0257 Heart and Great Vessels, Destruction1 code
- 02570ZK Destruction of Left Atrial Appendage, Open Approach
0270 Heart and Great Vessels, Dilation4 codes
- 02703Z6 Dilation of Coronary Artery, One Artery, Bifurcation, Percutaneous Approach
- 02703ZZ Dilation of Coronary Artery, One Artery, Percutaneous Approach
- 02704Z6 Dilation of Coronary Artery, One Artery, Bifurcation, Percutaneous Endoscopic Approach
- 02704ZZ Dilation of Coronary Artery, One Artery, Percutaneous Endoscopic Approach
0271 Heart and Great Vessels, Dilation4 codes
- 02713Z6 Dilation of Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach
- 02713ZZ Dilation of Coronary Artery, Two Arteries, Percutaneous Approach
- 02714Z6 Dilation of Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach
- 02714ZZ Dilation of Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach
0272 Heart and Great Vessels, Dilation4 codes
- 02723Z6 Dilation of Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach
- 02723ZZ Dilation of Coronary Artery, Three Arteries, Percutaneous Approach
- 02724Z6 Dilation of Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach
- 02724ZZ Dilation of Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach
0273 Heart and Great Vessels, Dilation4 codes
- 02733Z6 Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Approach
- 02733ZZ Dilation of Coronary Artery, Four or More Arteries, Percutaneous Approach
- 02734Z6 Dilation of Coronary Artery, Four or More Arteries, Bifurcation, Percutaneous Endoscopic Approach
- 02734ZZ Dilation of Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach
02B7 Heart and Great Vessels, Excision1 code
- 02B70ZK Excision of Left Atrial Appendage, Open Approach
02FP Heart and Great Vessels, Fragmentation2 codes
02FQ Heart and Great Vessels, Fragmentation2 codes
02FR Heart and Great Vessels, Fragmentation2 codes
02FS Heart and Great Vessels, Fragmentation2 codes
02FT Heart and Great Vessels, Fragmentation2 codes
02U0 Heart and Great Vessels, Supplement4 codes
- 02U037Z Supplement Coronary Artery, One Artery with Autologous Tissue Substitute, Percutaneous Approach
- 02U038Z Supplement Coronary Artery, One Artery with Zooplastic Tissue, Percutaneous Approach
- 02U03JZ Supplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Approach
- 02U03KZ Supplement Coronary Artery, One Artery with Nonautologous Tissue Substitute, Percutaneous Approach
02U1 Heart and Great Vessels, Supplement4 codes
- 02U137Z Supplement Coronary Artery, Two Arteries with Autologous Tissue Substitute, Percutaneous Approach
- 02U138Z Supplement Coronary Artery, Two Arteries with Zooplastic Tissue, Percutaneous Approach
- 02U13JZ Supplement Coronary Artery, Two Arteries with Synthetic Substitute, Percutaneous Approach
- 02U13KZ Supplement Coronary Artery, Two Arteries with Nonautologous Tissue Substitute, Percutaneous Approach
02U2 Heart and Great Vessels, Supplement4 codes
- 02U237Z Supplement Coronary Artery, Three Arteries with Autologous Tissue Substitute, Percutaneous Approach
- 02U238Z Supplement Coronary Artery, Three Arteries with Zooplastic Tissue, Percutaneous Approach
- 02U23JZ Supplement Coronary Artery, Three Arteries with Synthetic Substitute, Percutaneous Approach
- 02U23KZ Supplement Coronary Artery, Three Arteries with Nonautologous Tissue Substitute, Percutaneous Approach
02U3 Heart and Great Vessels, Supplement4 codes
- 02U337Z Supplement Coronary Artery, Four or More Arteries with Autologous Tissue Substitute, Percutaneous Approach
- 02U338Z Supplement Coronary Artery, Four or More Arteries with Zooplastic Tissue, Percutaneous Approach
- 02U33JZ Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Percutaneous Approach
- 02U33KZ Supplement Coronary Artery, Four or More Arteries with Nonautologous Tissue Substitute, Percutaneous Approach
02U7 Heart and Great Vessels, Supplement2 codes
X2A7 New Technology, Cardiovascular System, Assistance1 code
- X2A7358 Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8
Qualifying Diagnosis Codes
Frequently Asked Questions
What is MS-DRG 251?
MS-DRG 251 (Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC) is a surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Its FY 2026 relative weight is 1.4945 with a geometric mean length of stay of 2.0 days.
What is the difference between DRG 250, 251?
All 2 share the same base category; the severity of secondary diagnoses separates them: 250 (with MCC), 251 (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 251?
47 ICD-10-PCS operating-room procedure codes group to this DRG.
What is the relative weight of DRG 251?
The FY 2026 relative weight of this DRG is 1.4945, meaning reimbursement of roughly 1.49 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
