MS-DRG · FY 2026 v43.0

MS-DRG 263 – Vein Ligation and Stripping

A Surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Inpatient cases group to DRG 263 when one of the 377 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 3.0574 with a geometric mean length of stay of 4.7 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset

3.0574

Relative Weight

4.7

Geometric Mean LOS (days)

6.8

Arithmetic Mean LOS (days)

377

Procedure Codes

How a case is assigned to DRG 263

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).

ICD-10-PCS

Procedure Codes 377 codes · 105 categories

377 of 377 shown

02QS Heart and Great Vessels, Repair3 codes

02QS0ZZ Repair Right Pulmonary Vein, Open Approach
02QS3ZZ Repair Right Pulmonary Vein, Percutaneous Approach
02QS4ZZ Repair Right Pulmonary Vein, Percutaneous Endoscopic Approach

02QT Heart and Great Vessels, Repair3 codes

02QT0ZZ Repair Left Pulmonary Vein, Open Approach
02QT3ZZ Repair Left Pulmonary Vein, Percutaneous Approach
02QT4ZZ Repair Left Pulmonary Vein, Percutaneous Endoscopic Approach

02QV Heart and Great Vessels, Repair3 codes

02QV0ZZ Repair Superior Vena Cava, Open Approach
02QV3ZZ Repair Superior Vena Cava, Percutaneous Approach
02QV4ZZ Repair Superior Vena Cava, Percutaneous Endoscopic Approach

05D9 Upper Veins, Extraction2 codes

05D90ZZ Extraction of Right Brachial Vein, Open Approach
05D93ZZ Extraction of Right Brachial Vein, Percutaneous Approach

05DA Upper Veins, Extraction2 codes

05DA0ZZ Extraction of Left Brachial Vein, Open Approach
05DA3ZZ Extraction of Left Brachial Vein, Percutaneous Approach

05DB Upper Veins, Extraction2 codes

05DB0ZZ Extraction of Right Basilic Vein, Open Approach
05DB3ZZ Extraction of Right Basilic Vein, Percutaneous Approach

05DC Upper Veins, Extraction2 codes

05DC0ZZ Extraction of Left Basilic Vein, Open Approach
05DC3ZZ Extraction of Left Basilic Vein, Percutaneous Approach

05DD Upper Veins, Extraction2 codes

05DD0ZZ Extraction of Right Cephalic Vein, Open Approach
05DD3ZZ Extraction of Right Cephalic Vein, Percutaneous Approach

05DF Upper Veins, Extraction2 codes

05DF0ZZ Extraction of Left Cephalic Vein, Open Approach
05DF3ZZ Extraction of Left Cephalic Vein, Percutaneous Approach

05DG Upper Veins, Extraction2 codes

05DG0ZZ Extraction of Right Hand Vein, Open Approach
05DG3ZZ Extraction of Right Hand Vein, Percutaneous Approach

05DH Upper Veins, Extraction2 codes

05DH0ZZ Extraction of Left Hand Vein, Open Approach
05DH3ZZ Extraction of Left Hand Vein, Percutaneous Approach

05DY Upper Veins, Extraction2 codes

05DY0ZZ Extraction of Upper Vein, Open Approach
05DY3ZZ Extraction of Upper Vein, Percutaneous Approach

05Q0 Upper Veins, Repair3 codes

05Q00ZZ Repair Azygos Vein, Open Approach
05Q03ZZ Repair Azygos Vein, Percutaneous Approach
05Q04ZZ Repair Azygos Vein, Percutaneous Endoscopic Approach

05Q1 Upper Veins, Repair3 codes

05Q10ZZ Repair Hemiazygos Vein, Open Approach
05Q13ZZ Repair Hemiazygos Vein, Percutaneous Approach
05Q14ZZ Repair Hemiazygos Vein, Percutaneous Endoscopic Approach

05Q3 Upper Veins, Repair3 codes

05Q30ZZ Repair Right Innominate Vein, Open Approach
05Q33ZZ Repair Right Innominate Vein, Percutaneous Approach
05Q34ZZ Repair Right Innominate Vein, Percutaneous Endoscopic Approach

05Q4 Upper Veins, Repair3 codes

05Q40ZZ Repair Left Innominate Vein, Open Approach
05Q43ZZ Repair Left Innominate Vein, Percutaneous Approach
05Q44ZZ Repair Left Innominate Vein, Percutaneous Endoscopic Approach

05Q5 Upper Veins, Repair3 codes

05Q50ZZ Repair Right Subclavian Vein, Open Approach
05Q53ZZ Repair Right Subclavian Vein, Percutaneous Approach
05Q54ZZ Repair Right Subclavian Vein, Percutaneous Endoscopic Approach

05Q6 Upper Veins, Repair3 codes

05Q60ZZ Repair Left Subclavian Vein, Open Approach
05Q63ZZ Repair Left Subclavian Vein, Percutaneous Approach
05Q64ZZ Repair Left Subclavian Vein, Percutaneous Endoscopic Approach

05Q7 Upper Veins, Repair3 codes

05Q70ZZ Repair Right Axillary Vein, Open Approach
05Q73ZZ Repair Right Axillary Vein, Percutaneous Approach
05Q74ZZ Repair Right Axillary Vein, Percutaneous Endoscopic Approach

05Q8 Upper Veins, Repair3 codes

05Q80ZZ Repair Left Axillary Vein, Open Approach
05Q83ZZ Repair Left Axillary Vein, Percutaneous Approach
05Q84ZZ Repair Left Axillary Vein, Percutaneous Endoscopic Approach

05Q9 Upper Veins, Repair3 codes

05Q90ZZ Repair Right Brachial Vein, Open Approach
05Q93ZZ Repair Right Brachial Vein, Percutaneous Approach
05Q94ZZ Repair Right Brachial Vein, Percutaneous Endoscopic Approach

05QA Upper Veins, Repair3 codes

05QA0ZZ Repair Left Brachial Vein, Open Approach
05QA3ZZ Repair Left Brachial Vein, Percutaneous Approach
05QA4ZZ Repair Left Brachial Vein, Percutaneous Endoscopic Approach

05QB Upper Veins, Repair3 codes

05QB0ZZ Repair Right Basilic Vein, Open Approach
05QB3ZZ Repair Right Basilic Vein, Percutaneous Approach
05QB4ZZ Repair Right Basilic Vein, Percutaneous Endoscopic Approach

05QC Upper Veins, Repair3 codes

05QC0ZZ Repair Left Basilic Vein, Open Approach
05QC3ZZ Repair Left Basilic Vein, Percutaneous Approach
05QC4ZZ Repair Left Basilic Vein, Percutaneous Endoscopic Approach

05QD Upper Veins, Repair3 codes

05QD0ZZ Repair Right Cephalic Vein, Open Approach
05QD3ZZ Repair Right Cephalic Vein, Percutaneous Approach
05QD4ZZ Repair Right Cephalic Vein, Percutaneous Endoscopic Approach

05QF Upper Veins, Repair3 codes

05QF0ZZ Repair Left Cephalic Vein, Open Approach
05QF3ZZ Repair Left Cephalic Vein, Percutaneous Approach
05QF4ZZ Repair Left Cephalic Vein, Percutaneous Endoscopic Approach

05QG Upper Veins, Repair3 codes

05QG0ZZ Repair Right Hand Vein, Open Approach
05QG3ZZ Repair Right Hand Vein, Percutaneous Approach
05QG4ZZ Repair Right Hand Vein, Percutaneous Endoscopic Approach

05QH Upper Veins, Repair3 codes

05QH0ZZ Repair Left Hand Vein, Open Approach
05QH3ZZ Repair Left Hand Vein, Percutaneous Approach
05QH4ZZ Repair Left Hand Vein, Percutaneous Endoscopic Approach

05QL Upper Veins, Repair3 codes

05QL0ZZ Repair Intracranial Vein, Open Approach
05QL3ZZ Repair Intracranial Vein, Percutaneous Approach
05QL4ZZ Repair Intracranial Vein, Percutaneous Endoscopic Approach

05QM Upper Veins, Repair3 codes

05QM0ZZ Repair Right Internal Jugular Vein, Open Approach
05QM3ZZ Repair Right Internal Jugular Vein, Percutaneous Approach
05QM4ZZ Repair Right Internal Jugular Vein, Percutaneous Endoscopic Approach

05QN Upper Veins, Repair3 codes

05QN0ZZ Repair Left Internal Jugular Vein, Open Approach
05QN3ZZ Repair Left Internal Jugular Vein, Percutaneous Approach
05QN4ZZ Repair Left Internal Jugular Vein, Percutaneous Endoscopic Approach

05QP Upper Veins, Repair3 codes

05QP0ZZ Repair Right External Jugular Vein, Open Approach
05QP3ZZ Repair Right External Jugular Vein, Percutaneous Approach
05QP4ZZ Repair Right External Jugular Vein, Percutaneous Endoscopic Approach

05QQ Upper Veins, Repair3 codes

05QQ0ZZ Repair Left External Jugular Vein, Open Approach
05QQ3ZZ Repair Left External Jugular Vein, Percutaneous Approach
05QQ4ZZ Repair Left External Jugular Vein, Percutaneous Endoscopic Approach

05QR Upper Veins, Repair3 codes

05QR0ZZ Repair Right Vertebral Vein, Open Approach
05QR3ZZ Repair Right Vertebral Vein, Percutaneous Approach
05QR4ZZ Repair Right Vertebral Vein, Percutaneous Endoscopic Approach

05QS Upper Veins, Repair3 codes

05QS0ZZ Repair Left Vertebral Vein, Open Approach
05QS3ZZ Repair Left Vertebral Vein, Percutaneous Approach
05QS4ZZ Repair Left Vertebral Vein, Percutaneous Endoscopic Approach

05QT Upper Veins, Repair3 codes

05QT0ZZ Repair Right Face Vein, Open Approach
05QT3ZZ Repair Right Face Vein, Percutaneous Approach
05QT4ZZ Repair Right Face Vein, Percutaneous Endoscopic Approach

05QV Upper Veins, Repair3 codes

05QV0ZZ Repair Left Face Vein, Open Approach
05QV3ZZ Repair Left Face Vein, Percutaneous Approach
05QV4ZZ Repair Left Face Vein, Percutaneous Endoscopic Approach

065M Lower Veins, Destruction3 codes

065M0ZZ Destruction of Right Femoral Vein, Open Approach
065M3ZZ Destruction of Right Femoral Vein, Percutaneous Approach
065M4ZZ Destruction of Right Femoral Vein, Percutaneous Endoscopic Approach

065N Lower Veins, Destruction3 codes

065N0ZZ Destruction of Left Femoral Vein, Open Approach
065N3ZZ Destruction of Left Femoral Vein, Percutaneous Approach
065N4ZZ Destruction of Left Femoral Vein, Percutaneous Endoscopic Approach

065P Lower Veins, Destruction3 codes

065P0ZZ Destruction of Right Saphenous Vein, Open Approach
065P3ZZ Destruction of Right Saphenous Vein, Percutaneous Approach
065P4ZZ Destruction of Right Saphenous Vein, Percutaneous Endoscopic Approach

065Q Lower Veins, Destruction3 codes

065Q0ZZ Destruction of Left Saphenous Vein, Open Approach
065Q3ZZ Destruction of Left Saphenous Vein, Percutaneous Approach
065Q4ZZ Destruction of Left Saphenous Vein, Percutaneous Endoscopic Approach

065T Lower Veins, Destruction3 codes

065T0ZZ Destruction of Right Foot Vein, Open Approach
065T3ZZ Destruction of Right Foot Vein, Percutaneous Approach
065T4ZZ Destruction of Right Foot Vein, Percutaneous Endoscopic Approach

065V Lower Veins, Destruction3 codes

065V0ZZ Destruction of Left Foot Vein, Open Approach
065V3ZZ Destruction of Left Foot Vein, Percutaneous Approach
065V4ZZ Destruction of Left Foot Vein, Percutaneous Endoscopic Approach

065Y Lower Veins, Destruction3 codes

065Y0ZZ Destruction of Lower Vein, Open Approach
065Y3ZZ Destruction of Lower Vein, Percutaneous Approach
065Y4ZZ Destruction of Lower Vein, Percutaneous Endoscopic Approach

06BM Lower Veins, Excision3 codes

06BM0ZZ Excision of Right Femoral Vein, Open Approach
06BM3ZZ Excision of Right Femoral Vein, Percutaneous Approach
06BM4ZZ Excision of Right Femoral Vein, Percutaneous Endoscopic Approach

06BN Lower Veins, Excision3 codes

06BN0ZZ Excision of Left Femoral Vein, Open Approach
06BN3ZZ Excision of Left Femoral Vein, Percutaneous Approach
06BN4ZZ Excision of Left Femoral Vein, Percutaneous Endoscopic Approach

06BP Lower Veins, Excision3 codes

06BP0ZZ Excision of Right Saphenous Vein, Open Approach
06BP3ZZ Excision of Right Saphenous Vein, Percutaneous Approach
06BP4ZZ Excision of Right Saphenous Vein, Percutaneous Endoscopic Approach

06BQ Lower Veins, Excision3 codes

06BQ0ZZ Excision of Left Saphenous Vein, Open Approach
06BQ3ZZ Excision of Left Saphenous Vein, Percutaneous Approach
06BQ4ZZ Excision of Left Saphenous Vein, Percutaneous Endoscopic Approach

06BT Lower Veins, Excision3 codes

06BT0ZZ Excision of Right Foot Vein, Open Approach
06BT3ZZ Excision of Right Foot Vein, Percutaneous Approach
06BT4ZZ Excision of Right Foot Vein, Percutaneous Endoscopic Approach

06BV Lower Veins, Excision3 codes

06BV0ZZ Excision of Left Foot Vein, Open Approach
06BV3ZZ Excision of Left Foot Vein, Percutaneous Approach
06BV4ZZ Excision of Left Foot Vein, Percutaneous Endoscopic Approach

06CM Lower Veins, Extirpation2 codes

06CM0ZZ Extirpation of Matter from Right Femoral Vein, Open Approach
06CM4ZZ Extirpation of Matter from Right Femoral Vein, Percutaneous Endoscopic Approach

06CN Lower Veins, Extirpation2 codes

06CN0ZZ Extirpation of Matter from Left Femoral Vein, Open Approach
06CN4ZZ Extirpation of Matter from Left Femoral Vein, Percutaneous Endoscopic Approach

06CP Lower Veins, Extirpation2 codes

06CP0ZZ Extirpation of Matter from Right Saphenous Vein, Open Approach
06CP4ZZ Extirpation of Matter from Right Saphenous Vein, Percutaneous Endoscopic Approach

06CQ Lower Veins, Extirpation2 codes

06CQ0ZZ Extirpation of Matter from Left Saphenous Vein, Open Approach
06CQ4ZZ Extirpation of Matter from Left Saphenous Vein, Percutaneous Endoscopic Approach

06CT Lower Veins, Extirpation2 codes

06CT0ZZ Extirpation of Matter from Right Foot Vein, Open Approach
06CT4ZZ Extirpation of Matter from Right Foot Vein, Percutaneous Endoscopic Approach

06CV Lower Veins, Extirpation2 codes

06CV0ZZ Extirpation of Matter from Left Foot Vein, Open Approach
06CV4ZZ Extirpation of Matter from Left Foot Vein, Percutaneous Endoscopic Approach

06DM Lower Veins, Extraction3 codes

06DM0ZZ Extraction of Right Femoral Vein, Open Approach
06DM3ZZ Extraction of Right Femoral Vein, Percutaneous Approach
06DM4ZZ Extraction of Right Femoral Vein, Percutaneous Endoscopic Approach

06DN Lower Veins, Extraction3 codes

06DN0ZZ Extraction of Left Femoral Vein, Open Approach
06DN3ZZ Extraction of Left Femoral Vein, Percutaneous Approach
06DN4ZZ Extraction of Left Femoral Vein, Percutaneous Endoscopic Approach

06DP Lower Veins, Extraction3 codes

06DP0ZZ Extraction of Right Saphenous Vein, Open Approach
06DP3ZZ Extraction of Right Saphenous Vein, Percutaneous Approach
06DP4ZZ Extraction of Right Saphenous Vein, Percutaneous Endoscopic Approach

06DQ Lower Veins, Extraction3 codes

06DQ0ZZ Extraction of Left Saphenous Vein, Open Approach
06DQ3ZZ Extraction of Left Saphenous Vein, Percutaneous Approach
06DQ4ZZ Extraction of Left Saphenous Vein, Percutaneous Endoscopic Approach

06DT Lower Veins, Extraction3 codes

06DT0ZZ Extraction of Right Foot Vein, Open Approach
06DT3ZZ Extraction of Right Foot Vein, Percutaneous Approach
06DT4ZZ Extraction of Right Foot Vein, Percutaneous Endoscopic Approach

06DV Lower Veins, Extraction3 codes

06DV0ZZ Extraction of Left Foot Vein, Open Approach
06DV3ZZ Extraction of Left Foot Vein, Percutaneous Approach
06DV4ZZ Extraction of Left Foot Vein, Percutaneous Endoscopic Approach

06DY Lower Veins, Extraction3 codes

06DY0ZZ Extraction of Lower Vein, Open Approach
06DY3ZZ Extraction of Lower Vein, Percutaneous Approach
06DY4ZZ Extraction of Lower Vein, Percutaneous Endoscopic Approach

06HY Lower Veins, Insertion3 codes

06HY02Z Insertion of Monitoring Device into Lower Vein, Open Approach
06HY0YZ Insertion of Other Device into Lower Vein, Open Approach
06HY42Z Insertion of Monitoring Device into Lower Vein, Percutaneous Endoscopic Approach

06LM Lower Veins, Occlusion9 codes

06LM0CZ Occlusion of Right Femoral Vein with Extraluminal Device, Open Approach
06LM0DZ Occlusion of Right Femoral Vein with Intraluminal Device, Open Approach
06LM0ZZ Occlusion of Right Femoral Vein, Open Approach
06LM3CZ Occlusion of Right Femoral Vein with Extraluminal Device, Percutaneous Approach
06LM3DZ Occlusion of Right Femoral Vein with Intraluminal Device, Percutaneous Approach
06LM3ZZ Occlusion of Right Femoral Vein, Percutaneous Approach
06LM4CZ Occlusion of Right Femoral Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06LM4DZ Occlusion of Right Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06LM4ZZ Occlusion of Right Femoral Vein, Percutaneous Endoscopic Approach

06LN Lower Veins, Occlusion9 codes

06LN0CZ Occlusion of Left Femoral Vein with Extraluminal Device, Open Approach
06LN0DZ Occlusion of Left Femoral Vein with Intraluminal Device, Open Approach
06LN0ZZ Occlusion of Left Femoral Vein, Open Approach
06LN3CZ Occlusion of Left Femoral Vein with Extraluminal Device, Percutaneous Approach
06LN3DZ Occlusion of Left Femoral Vein with Intraluminal Device, Percutaneous Approach
06LN3ZZ Occlusion of Left Femoral Vein, Percutaneous Approach
06LN4CZ Occlusion of Left Femoral Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06LN4DZ Occlusion of Left Femoral Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06LN4ZZ Occlusion of Left Femoral Vein, Percutaneous Endoscopic Approach

06LP Lower Veins, Occlusion9 codes

06LP0CZ Occlusion of Right Saphenous Vein with Extraluminal Device, Open Approach
06LP0DZ Occlusion of Right Saphenous Vein with Intraluminal Device, Open Approach
06LP0ZZ Occlusion of Right Saphenous Vein, Open Approach
06LP3CZ Occlusion of Right Saphenous Vein with Extraluminal Device, Percutaneous Approach
06LP3DZ Occlusion of Right Saphenous Vein with Intraluminal Device, Percutaneous Approach
06LP3ZZ Occlusion of Right Saphenous Vein, Percutaneous Approach
06LP4CZ Occlusion of Right Saphenous Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06LP4DZ Occlusion of Right Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06LP4ZZ Occlusion of Right Saphenous Vein, Percutaneous Endoscopic Approach

06LQ Lower Veins, Occlusion9 codes

06LQ0CZ Occlusion of Left Saphenous Vein with Extraluminal Device, Open Approach
06LQ0DZ Occlusion of Left Saphenous Vein with Intraluminal Device, Open Approach
06LQ0ZZ Occlusion of Left Saphenous Vein, Open Approach
06LQ3CZ Occlusion of Left Saphenous Vein with Extraluminal Device, Percutaneous Approach
06LQ3DZ Occlusion of Left Saphenous Vein with Intraluminal Device, Percutaneous Approach
06LQ3ZZ Occlusion of Left Saphenous Vein, Percutaneous Approach
06LQ4CZ Occlusion of Left Saphenous Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06LQ4DZ Occlusion of Left Saphenous Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06LQ4ZZ Occlusion of Left Saphenous Vein, Percutaneous Endoscopic Approach

06LT Lower Veins, Occlusion9 codes

06LT0CZ Occlusion of Right Foot Vein with Extraluminal Device, Open Approach
06LT0DZ Occlusion of Right Foot Vein with Intraluminal Device, Open Approach
06LT0ZZ Occlusion of Right Foot Vein, Open Approach
06LT3CZ Occlusion of Right Foot Vein with Extraluminal Device, Percutaneous Approach
06LT3DZ Occlusion of Right Foot Vein with Intraluminal Device, Percutaneous Approach
06LT3ZZ Occlusion of Right Foot Vein, Percutaneous Approach
06LT4CZ Occlusion of Right Foot Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06LT4DZ Occlusion of Right Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06LT4ZZ Occlusion of Right Foot Vein, Percutaneous Endoscopic Approach

06LV Lower Veins, Occlusion9 codes

06LV0CZ Occlusion of Left Foot Vein with Extraluminal Device, Open Approach
06LV0DZ Occlusion of Left Foot Vein with Intraluminal Device, Open Approach
06LV0ZZ Occlusion of Left Foot Vein, Open Approach
06LV3CZ Occlusion of Left Foot Vein with Extraluminal Device, Percutaneous Approach
06LV3DZ Occlusion of Left Foot Vein with Intraluminal Device, Percutaneous Approach
06LV3ZZ Occlusion of Left Foot Vein, Percutaneous Approach
06LV4CZ Occlusion of Left Foot Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06LV4DZ Occlusion of Left Foot Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06LV4ZZ Occlusion of Left Foot Vein, Percutaneous Endoscopic Approach

06LY Lower Veins, Occlusion9 codes

06LY0DZ Occlusion of Lower Vein with Intraluminal Device, Open Approach
06LY3DZ Occlusion of Lower Vein with Intraluminal Device, Percutaneous Approach
06LY4DZ Occlusion of Lower Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06LY7CZ Occlusion of Lower Vein with Extraluminal Device, Via Natural or Artificial Opening
06LY7DZ Occlusion of Lower Vein with Intraluminal Device, Via Natural or Artificial Opening
06LY7ZZ Occlusion of Lower Vein, Via Natural or Artificial Opening
06LY8CZ Occlusion of Lower Vein with Extraluminal Device, Via Natural or Artificial Opening Endoscopic
06LY8DZ Occlusion of Lower Vein with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
06LY8ZZ Occlusion of Lower Vein, Via Natural or Artificial Opening Endoscopic

06PY Lower Veins, Removal12 codes

06PY00Z Removal of Drainage Device from Lower Vein, Open Approach
06PY02Z Removal of Monitoring Device from Lower Vein, Open Approach
06PY03Z Removal of Infusion Device from Lower Vein, Open Approach
06PY0CZ Removal of Extraluminal Device from Lower Vein, Open Approach
06PY0DZ Removal of Intraluminal Device from Lower Vein, Open Approach
06PY0YZ Removal of Other Device from Lower Vein, Open Approach
06PY3CZ Removal of Extraluminal Device from Lower Vein, Percutaneous Approach
06PY40Z Removal of Drainage Device from Lower Vein, Percutaneous Endoscopic Approach
06PY42Z Removal of Monitoring Device from Lower Vein, Percutaneous Endoscopic Approach
06PY43Z Removal of Infusion Device from Lower Vein, Percutaneous Endoscopic Approach
06PY4CZ Removal of Extraluminal Device from Lower Vein, Percutaneous Endoscopic Approach
06PY4DZ Removal of Intraluminal Device from Lower Vein, Percutaneous Endoscopic Approach

06Q0 Lower Veins, Repair3 codes

06Q00ZZ Repair Inferior Vena Cava, Open Approach
06Q03ZZ Repair Inferior Vena Cava, Percutaneous Approach
06Q04ZZ Repair Inferior Vena Cava, Percutaneous Endoscopic Approach

06Q1 Lower Veins, Repair3 codes

06Q10ZZ Repair Splenic Vein, Open Approach
06Q13ZZ Repair Splenic Vein, Percutaneous Approach
06Q14ZZ Repair Splenic Vein, Percutaneous Endoscopic Approach

06Q2 Lower Veins, Repair3 codes

06Q20ZZ Repair Gastric Vein, Open Approach
06Q23ZZ Repair Gastric Vein, Percutaneous Approach
06Q24ZZ Repair Gastric Vein, Percutaneous Endoscopic Approach

06Q3 Lower Veins, Repair3 codes

06Q30ZZ Repair Esophageal Vein, Open Approach
06Q33ZZ Repair Esophageal Vein, Percutaneous Approach
06Q34ZZ Repair Esophageal Vein, Percutaneous Endoscopic Approach

06Q4 Lower Veins, Repair3 codes

06Q40ZZ Repair Hepatic Vein, Open Approach
06Q43ZZ Repair Hepatic Vein, Percutaneous Approach
06Q44ZZ Repair Hepatic Vein, Percutaneous Endoscopic Approach

06Q5 Lower Veins, Repair3 codes

06Q50ZZ Repair Superior Mesenteric Vein, Open Approach
06Q53ZZ Repair Superior Mesenteric Vein, Percutaneous Approach
06Q54ZZ Repair Superior Mesenteric Vein, Percutaneous Endoscopic Approach

06Q6 Lower Veins, Repair3 codes

06Q60ZZ Repair Inferior Mesenteric Vein, Open Approach
06Q63ZZ Repair Inferior Mesenteric Vein, Percutaneous Approach
06Q64ZZ Repair Inferior Mesenteric Vein, Percutaneous Endoscopic Approach

06Q7 Lower Veins, Repair3 codes

06Q70ZZ Repair Colic Vein, Open Approach
06Q73ZZ Repair Colic Vein, Percutaneous Approach
06Q74ZZ Repair Colic Vein, Percutaneous Endoscopic Approach

06Q8 Lower Veins, Repair3 codes

06Q80ZZ Repair Portal Vein, Open Approach
06Q83ZZ Repair Portal Vein, Percutaneous Approach
06Q84ZZ Repair Portal Vein, Percutaneous Endoscopic Approach

06Q9 Lower Veins, Repair3 codes

06Q90ZZ Repair Right Renal Vein, Open Approach
06Q93ZZ Repair Right Renal Vein, Percutaneous Approach
06Q94ZZ Repair Right Renal Vein, Percutaneous Endoscopic Approach

06QB Lower Veins, Repair3 codes

06QB0ZZ Repair Left Renal Vein, Open Approach
06QB3ZZ Repair Left Renal Vein, Percutaneous Approach
06QB4ZZ Repair Left Renal Vein, Percutaneous Endoscopic Approach

06QC Lower Veins, Repair3 codes

06QC0ZZ Repair Right Common Iliac Vein, Open Approach
06QC3ZZ Repair Right Common Iliac Vein, Percutaneous Approach
06QC4ZZ Repair Right Common Iliac Vein, Percutaneous Endoscopic Approach

06QD Lower Veins, Repair3 codes

06QD0ZZ Repair Left Common Iliac Vein, Open Approach
06QD3ZZ Repair Left Common Iliac Vein, Percutaneous Approach
06QD4ZZ Repair Left Common Iliac Vein, Percutaneous Endoscopic Approach

06QF Lower Veins, Repair3 codes

06QF0ZZ Repair Right External Iliac Vein, Open Approach
06QF3ZZ Repair Right External Iliac Vein, Percutaneous Approach
06QF4ZZ Repair Right External Iliac Vein, Percutaneous Endoscopic Approach

06QG Lower Veins, Repair3 codes

06QG0ZZ Repair Left External Iliac Vein, Open Approach
06QG3ZZ Repair Left External Iliac Vein, Percutaneous Approach
06QG4ZZ Repair Left External Iliac Vein, Percutaneous Endoscopic Approach

06QH Lower Veins, Repair3 codes

06QH0ZZ Repair Right Hypogastric Vein, Open Approach
06QH3ZZ Repair Right Hypogastric Vein, Percutaneous Approach
06QH4ZZ Repair Right Hypogastric Vein, Percutaneous Endoscopic Approach

06QJ Lower Veins, Repair3 codes

06QJ0ZZ Repair Left Hypogastric Vein, Open Approach
06QJ3ZZ Repair Left Hypogastric Vein, Percutaneous Approach
06QJ4ZZ Repair Left Hypogastric Vein, Percutaneous Endoscopic Approach

06QM Lower Veins, Repair3 codes

06QM0ZZ Repair Right Femoral Vein, Open Approach
06QM3ZZ Repair Right Femoral Vein, Percutaneous Approach
06QM4ZZ Repair Right Femoral Vein, Percutaneous Endoscopic Approach

06QN Lower Veins, Repair3 codes

06QN0ZZ Repair Left Femoral Vein, Open Approach
06QN3ZZ Repair Left Femoral Vein, Percutaneous Approach
06QN4ZZ Repair Left Femoral Vein, Percutaneous Endoscopic Approach

06QP Lower Veins, Repair3 codes

06QP0ZZ Repair Right Saphenous Vein, Open Approach
06QP3ZZ Repair Right Saphenous Vein, Percutaneous Approach
06QP4ZZ Repair Right Saphenous Vein, Percutaneous Endoscopic Approach

06QQ Lower Veins, Repair3 codes

06QQ0ZZ Repair Left Saphenous Vein, Open Approach
06QQ3ZZ Repair Left Saphenous Vein, Percutaneous Approach
06QQ4ZZ Repair Left Saphenous Vein, Percutaneous Endoscopic Approach

06QT Lower Veins, Repair3 codes

06QT0ZZ Repair Right Foot Vein, Open Approach
06QT3ZZ Repair Right Foot Vein, Percutaneous Approach
06QT4ZZ Repair Right Foot Vein, Percutaneous Endoscopic Approach

06QV Lower Veins, Repair3 codes

06QV0ZZ Repair Left Foot Vein, Open Approach
06QV3ZZ Repair Left Foot Vein, Percutaneous Approach
06QV4ZZ Repair Left Foot Vein, Percutaneous Endoscopic Approach

06RM Lower Veins, Replacement6 codes

06RM07Z Replacement of Right Femoral Vein with Autologous Tissue Substitute, Open Approach
06RM0JZ Replacement of Right Femoral Vein with Synthetic Substitute, Open Approach
06RM0KZ Replacement of Right Femoral Vein with Nonautologous Tissue Substitute, Open Approach
06RM47Z Replacement of Right Femoral Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06RM4JZ Replacement of Right Femoral Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06RM4KZ Replacement of Right Femoral Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

06RN Lower Veins, Replacement6 codes

06RN07Z Replacement of Left Femoral Vein with Autologous Tissue Substitute, Open Approach
06RN0JZ Replacement of Left Femoral Vein with Synthetic Substitute, Open Approach
06RN0KZ Replacement of Left Femoral Vein with Nonautologous Tissue Substitute, Open Approach
06RN47Z Replacement of Left Femoral Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06RN4JZ Replacement of Left Femoral Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06RN4KZ Replacement of Left Femoral Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

06RP Lower Veins, Replacement6 codes

06RP07Z Replacement of Right Saphenous Vein with Autologous Tissue Substitute, Open Approach
06RP0JZ Replacement of Right Saphenous Vein with Synthetic Substitute, Open Approach
06RP0KZ Replacement of Right Saphenous Vein with Nonautologous Tissue Substitute, Open Approach
06RP47Z Replacement of Right Saphenous Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06RP4JZ Replacement of Right Saphenous Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06RP4KZ Replacement of Right Saphenous Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

06RQ Lower Veins, Replacement6 codes

06RQ07Z Replacement of Left Saphenous Vein with Autologous Tissue Substitute, Open Approach
06RQ0JZ Replacement of Left Saphenous Vein with Synthetic Substitute, Open Approach
06RQ0KZ Replacement of Left Saphenous Vein with Nonautologous Tissue Substitute, Open Approach
06RQ47Z Replacement of Left Saphenous Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06RQ4JZ Replacement of Left Saphenous Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06RQ4KZ Replacement of Left Saphenous Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

06RT Lower Veins, Replacement6 codes

06RT07Z Replacement of Right Foot Vein with Autologous Tissue Substitute, Open Approach
06RT0JZ Replacement of Right Foot Vein with Synthetic Substitute, Open Approach
06RT0KZ Replacement of Right Foot Vein with Nonautologous Tissue Substitute, Open Approach
06RT47Z Replacement of Right Foot Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06RT4JZ Replacement of Right Foot Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06RT4KZ Replacement of Right Foot Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

06RV Lower Veins, Replacement6 codes

06RV07Z Replacement of Left Foot Vein with Autologous Tissue Substitute, Open Approach
06RV0JZ Replacement of Left Foot Vein with Synthetic Substitute, Open Approach
06RV0KZ Replacement of Left Foot Vein with Nonautologous Tissue Substitute, Open Approach
06RV47Z Replacement of Left Foot Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06RV4JZ Replacement of Left Foot Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06RV4KZ Replacement of Left Foot Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

06RY Lower Veins, Replacement6 codes

06RY07Z Replacement of Lower Vein with Autologous Tissue Substitute, Open Approach
06RY0JZ Replacement of Lower Vein with Synthetic Substitute, Open Approach
06RY0KZ Replacement of Lower Vein with Nonautologous Tissue Substitute, Open Approach
06RY47Z Replacement of Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06RY4JZ Replacement of Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06RY4KZ Replacement of Lower Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

06WY Lower Veins, Revision12 codes

06WY00Z Revision of Drainage Device in Lower Vein, Open Approach
06WY02Z Revision of Monitoring Device in Lower Vein, Open Approach
06WY03Z Revision of Infusion Device in Lower Vein, Open Approach
06WY0CZ Revision of Extraluminal Device in Lower Vein, Open Approach
06WY0DZ Revision of Intraluminal Device in Lower Vein, Open Approach
06WY0YZ Revision of Other Device in Lower Vein, Open Approach
06WY3CZ Revision of Extraluminal Device in Lower Vein, Percutaneous Approach
06WY40Z Revision of Drainage Device in Lower Vein, Percutaneous Endoscopic Approach
06WY42Z Revision of Monitoring Device in Lower Vein, Percutaneous Endoscopic Approach
06WY43Z Revision of Infusion Device in Lower Vein, Percutaneous Endoscopic Approach
06WY4CZ Revision of Extraluminal Device in Lower Vein, Percutaneous Endoscopic Approach
06WY4DZ Revision of Intraluminal Device in Lower Vein, Percutaneous Endoscopic Approach

3E03 Administration, Physiological Systems and Anatomical Regions, Introduction1 code

3E030TZ Introduction of Destructive Agent into Peripheral Vein, Open Approach

3E04 Administration, Physiological Systems and Anatomical Regions, Introduction1 code

3E040TZ Introduction of Destructive Agent into Central Vein, Open 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 263?

MS-DRG 263 (Vein Ligation and Stripping) is a surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Its FY 2026 relative weight is 3.0574 with a geometric mean length of stay of 4.7 days.

How many procedure codes group to DRG 263?

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

What is the relative weight of DRG 263?

The FY 2026 relative weight of this DRG is 3.0574, meaning reimbursement of roughly 3.06 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 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.