MS-DRG · FY 2027 v44.0

MS-DRG 265 – AICD Lead Procedures

A Surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Inpatient cases group to DRG 265 when one of the 36 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2027 relative weight is 3.1350 with a geometric mean length of stay of 4.1 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v44.0 dataset
3.1350
Relative Weight
4.1
Geometric Mean LOS (days)
5.6
Arithmetic Mean LOS (days)
36
Procedure Codes
How a case is assigned to DRG 265

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 36 codes · 15 categories

36 of 36 shown
02H4 Heart and Great Vessels, Insertion3 codes
  • 02H40KZ Insertion of Defibrillator Lead into Coronary Vein, Open Approach
  • 02H43KZ Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach
  • 02H44KZ Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Endoscopic Approach
02H6 Heart and Great Vessels, Insertion3 codes
  • 02H60KZ Insertion of Defibrillator Lead into Right Atrium, Open Approach
  • 02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach
  • 02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic Approach
02H7 Heart and Great Vessels, Insertion3 codes
  • 02H70KZ Insertion of Defibrillator Lead into Left Atrium, Open Approach
  • 02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach
  • 02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic Approach
02HK Heart and Great Vessels, Insertion3 codes
  • 02HK0KZ Insertion of Defibrillator Lead into Right Ventricle, Open Approach
  • 02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach
  • 02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic Approach
02HL Heart and Great Vessels, Insertion3 codes
  • 02HL0KZ Insertion of Defibrillator Lead into Left Ventricle, Open Approach
  • 02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach
  • 02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic Approach
02HM Heart and Great Vessels, Insertion1 code
  • 02HM3KZ Insertion of Defibrillator Lead into Ventricular Septum, Percutaneous Approach
02HN Heart and Great Vessels, Insertion3 codes
  • 02HN0KZ Insertion of Defibrillator Lead into Pericardium, Open Approach
  • 02HN3KZ Insertion of Defibrillator Lead into Pericardium, Percutaneous Approach
  • 02HN4KZ Insertion of Defibrillator Lead into Pericardium, Percutaneous Endoscopic Approach
0JH6 Subcutaneous Tissue and Fascia, Insertion2 codes
  • 0JH60FZ Insertion of Subcutaneous Defibrillator Lead into Chest Subcutaneous Tissue and Fascia, Open Approach
  • 0JH63FZ Insertion of Subcutaneous Defibrillator Lead into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JPT Subcutaneous Tissue and Fascia, Removal2 codes
  • 0JPT0FZ Removal of Subcutaneous Defibrillator Lead from Trunk Subcutaneous Tissue and Fascia, Open Approach
  • 0JPT3FZ Removal of Subcutaneous Defibrillator Lead from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
0JWT Subcutaneous Tissue and Fascia, Revision2 codes
  • 0JWT0FZ Revision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, Open Approach
  • 0JWT3FZ Revision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach
0WHC Anatomical Regions, General, Insertion3 codes
  • 0WHC0GZ Insertion of Defibrillator Lead into Mediastinum, Open Approach
  • 0WHC3GZ Insertion of Defibrillator Lead into Mediastinum, Percutaneous Approach
  • 0WHC4GZ Insertion of Defibrillator Lead into Mediastinum, Percutaneous Endoscopic Approach
0WPC Anatomical Regions, General, Removal3 codes
  • 0WPC0GZ Removal of Defibrillator Lead from Mediastinum, Open Approach
  • 0WPC3GZ Removal of Defibrillator Lead from Mediastinum, Percutaneous Approach
  • 0WPC4GZ Removal of Defibrillator Lead from Mediastinum, Percutaneous Endoscopic Approach
0WWC Anatomical Regions, General, Revision3 codes
  • 0WWC0GZ Revision of Defibrillator Lead in Mediastinum, Open Approach
  • 0WWC3GZ Revision of Defibrillator Lead in Mediastinum, Percutaneous Approach
  • 0WWC4GZ Revision of Defibrillator Lead in Mediastinum, Percutaneous Endoscopic Approach
X2HM New Technology, Cardiovascular System, Insertion1 code
  • X2HM3GB Insertion of Lumenless Small-diameter Defibrillator Lead into Ventricular Septum, Percutaneous Approach, New Technology Group 11
X2HV New Technology, Cardiovascular System, Insertion1 code
  • X2HV3GB Insertion of Lumenless Small-diameter Defibrillator Lead into Right 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 265?

MS-DRG 265 (AICD Lead Procedures) is a surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Its FY 2027 relative weight is 3.1350 with a geometric mean length of stay of 4.1 days.

How many procedure codes group to DRG 265?

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

What is the relative weight of DRG 265?

The FY 2027 relative weight of this DRG is 3.1350, meaning reimbursement of roughly 3.14 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 v44.0 Definitions Manual and the FY 2027 IPPS Final Rule (Table 5), effective October 1, 2026 through September 30, 2027. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.