MS-DRG · FY 2026 v43.0
MS-DRG 260 – Cardiac Pacemaker Revision Except Device Replacement with MCC
A Surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Inpatient cases group to DRG 260 when one of the 63 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 3.2528 with a geometric mean length of stay of 5.5 days.
Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
3.2528
Relative Weight
5.5
Geometric Mean LOS (days)
7.7
Arithmetic Mean LOS (days)
63
Procedure Codes
Severity family
DRG 260with MCCWeight 3.2528 · GMLOS 5.5 daysDRG 261with CCWeight 1.8905 · GMLOS 2.8 daysDRG 262without CC/MCCWeight 1.6299 · GMLOS 2.1 days
How a case is assigned to DRG 260
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 → 260; with CC → 261; without CC/MCC → 262.
ICD-10-PCS
Procedure Codes 63 codes · 12 categories
63 of 63 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
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
02WA Heart and Great Vessels, Revision3 codes
0JH6 Subcutaneous Tissue and Fascia, Insertion4 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
- 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
0JH8 Subcutaneous Tissue and Fascia, Insertion2 codes
0JPT Subcutaneous Tissue and Fascia, Removal2 codes
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
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 260?
MS-DRG 260 (Cardiac Pacemaker Revision Except Device Replacement with MCC) is a surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Its FY 2026 relative weight is 3.2528 with a geometric mean length of stay of 5.5 days.
What is the difference between DRG 260, 261, 262?
All 3 share the same base category; the severity of secondary diagnoses separates them: 260 (with MCC), 261 (with CC), 262 (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 260?
63 ICD-10-PCS operating-room procedure codes group to this DRG.
What is the relative weight of DRG 260?
The FY 2026 relative weight of this DRG is 3.2528, meaning reimbursement of roughly 3.25 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
← PreviousDRG 259 – Cardiac Pacemaker Device Replacement without MCCNext →DRG 261 – Cardiac Pacemaker Revision Except Device Replacement 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.
