MS-DRG · FY 2026 v43.0

MS-DRG 278 – Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC

A Surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Inpatient cases group to DRG 278 when one of the 105 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 5.5662 with a geometric mean length of stay of 7.2 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
5.5662
Relative Weight
7.2
Geometric Mean LOS (days)
10.4
Arithmetic Mean LOS (days)
105
Procedure Codes

Severity family

DRG 278with MCCWeight 5.5662 · GMLOS 7.2 daysDRG 279without MCCWeight 3.6064 · GMLOS 3.5 days
How a case is assigned to DRG 278

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 → 278; without MCC → 279.

ICD-10-PCS

Procedure Codes 105 codes · 53 categories

105 of 105 shown
03F2 Upper Arteries, Fragmentation2 codes
  • 03F23Z0 Fragmentation of Innominate Artery, Percutaneous Approach, Ultrasonic
  • 03F23ZZ Fragmentation of Innominate Artery, Percutaneous Approach
03F3 Upper Arteries, Fragmentation2 codes
  • 03F33Z0 Fragmentation of Right Subclavian Artery, Percutaneous Approach, Ultrasonic
  • 03F33ZZ Fragmentation of Right Subclavian Artery, Percutaneous Approach
03F4 Upper Arteries, Fragmentation2 codes
  • 03F43Z0 Fragmentation of Left Subclavian Artery, Percutaneous Approach, Ultrasonic
  • 03F43ZZ Fragmentation of Left Subclavian Artery, Percutaneous Approach
03F5 Upper Arteries, Fragmentation2 codes
  • 03F53Z0 Fragmentation of Right Axillary Artery, Percutaneous Approach, Ultrasonic
  • 03F53ZZ Fragmentation of Right Axillary Artery, Percutaneous Approach
03F6 Upper Arteries, Fragmentation2 codes
  • 03F63Z0 Fragmentation of Left Axillary Artery, Percutaneous Approach, Ultrasonic
  • 03F63ZZ Fragmentation of Left Axillary Artery, Percutaneous Approach
03F7 Upper Arteries, Fragmentation2 codes
  • 03F73Z0 Fragmentation of Right Brachial Artery, Percutaneous Approach, Ultrasonic
  • 03F73ZZ Fragmentation of Right Brachial Artery, Percutaneous Approach
03F8 Upper Arteries, Fragmentation2 codes
  • 03F83Z0 Fragmentation of Left Brachial Artery, Percutaneous Approach, Ultrasonic
  • 03F83ZZ Fragmentation of Left Brachial Artery, Percutaneous Approach
03F9 Upper Arteries, Fragmentation2 codes
  • 03F93Z0 Fragmentation of Right Ulnar Artery, Percutaneous Approach, Ultrasonic
  • 03F93ZZ Fragmentation of Right Ulnar Artery, Percutaneous Approach
03FA Upper Arteries, Fragmentation2 codes
  • 03FA3Z0 Fragmentation of Left Ulnar Artery, Percutaneous Approach, Ultrasonic
  • 03FA3ZZ Fragmentation of Left Ulnar Artery, Percutaneous Approach
03FB Upper Arteries, Fragmentation2 codes
  • 03FB3Z0 Fragmentation of Right Radial Artery, Percutaneous Approach, Ultrasonic
  • 03FB3ZZ Fragmentation of Right Radial Artery, Percutaneous Approach
03FC Upper Arteries, Fragmentation2 codes
  • 03FC3Z0 Fragmentation of Left Radial Artery, Percutaneous Approach, Ultrasonic
  • 03FC3ZZ Fragmentation of Left Radial Artery, Percutaneous Approach
03FY Upper Arteries, Fragmentation1 code
  • 03FY3Z0 Fragmentation of Upper Artery, Percutaneous Approach, Ultrasonic
04FC Lower Arteries, Fragmentation2 codes
  • 04FC3Z0 Fragmentation of Right Common Iliac Artery, Percutaneous Approach, Ultrasonic
  • 04FC3ZZ Fragmentation of Right Common Iliac Artery, Percutaneous Approach
04FD Lower Arteries, Fragmentation2 codes
  • 04FD3Z0 Fragmentation of Left Common Iliac Artery, Percutaneous Approach, Ultrasonic
  • 04FD3ZZ Fragmentation of Left Common Iliac Artery, Percutaneous Approach
04FE Lower Arteries, Fragmentation2 codes
  • 04FE3Z0 Fragmentation of Right Internal Iliac Artery, Percutaneous Approach, Ultrasonic
  • 04FE3ZZ Fragmentation of Right Internal Iliac Artery, Percutaneous Approach
04FF Lower Arteries, Fragmentation2 codes
  • 04FF3Z0 Fragmentation of Left Internal Iliac Artery, Percutaneous Approach, Ultrasonic
  • 04FF3ZZ Fragmentation of Left Internal Iliac Artery, Percutaneous Approach
04FH Lower Arteries, Fragmentation2 codes
  • 04FH3Z0 Fragmentation of Right External Iliac Artery, Percutaneous Approach, Ultrasonic
  • 04FH3ZZ Fragmentation of Right External Iliac Artery, Percutaneous Approach
04FJ Lower Arteries, Fragmentation2 codes
  • 04FJ3Z0 Fragmentation of Left External Iliac Artery, Percutaneous Approach, Ultrasonic
  • 04FJ3ZZ Fragmentation of Left External Iliac Artery, Percutaneous Approach
04FK Lower Arteries, Fragmentation2 codes
  • 04FK3Z0 Fragmentation of Right Femoral Artery, Percutaneous Approach, Ultrasonic
  • 04FK3ZZ Fragmentation of Right Femoral Artery, Percutaneous Approach
04FL Lower Arteries, Fragmentation2 codes
  • 04FL3Z0 Fragmentation of Left Femoral Artery, Percutaneous Approach, Ultrasonic
  • 04FL3ZZ Fragmentation of Left Femoral Artery, Percutaneous Approach
04FM Lower Arteries, Fragmentation2 codes
  • 04FM3Z0 Fragmentation of Right Popliteal Artery, Percutaneous Approach, Ultrasonic
  • 04FM3ZZ Fragmentation of Right Popliteal Artery, Percutaneous Approach
04FN Lower Arteries, Fragmentation2 codes
  • 04FN3Z0 Fragmentation of Left Popliteal Artery, Percutaneous Approach, Ultrasonic
  • 04FN3ZZ Fragmentation of Left Popliteal Artery, Percutaneous Approach
04FP Lower Arteries, Fragmentation2 codes
  • 04FP3Z0 Fragmentation of Right Anterior Tibial Artery, Percutaneous Approach, Ultrasonic
  • 04FP3ZZ Fragmentation of Right Anterior Tibial Artery, Percutaneous Approach
04FQ Lower Arteries, Fragmentation2 codes
  • 04FQ3Z0 Fragmentation of Left Anterior Tibial Artery, Percutaneous Approach, Ultrasonic
  • 04FQ3ZZ Fragmentation of Left Anterior Tibial Artery, Percutaneous Approach
04FR Lower Arteries, Fragmentation2 codes
  • 04FR3Z0 Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach, Ultrasonic
  • 04FR3ZZ Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach
04FS Lower Arteries, Fragmentation2 codes
  • 04FS3Z0 Fragmentation of Left Posterior Tibial Artery, Percutaneous Approach, Ultrasonic
  • 04FS3ZZ Fragmentation of Left Posterior Tibial Artery, Percutaneous Approach
04FT Lower Arteries, Fragmentation2 codes
  • 04FT3Z0 Fragmentation of Right Peroneal Artery, Percutaneous Approach, Ultrasonic
  • 04FT3ZZ Fragmentation of Right Peroneal Artery, Percutaneous Approach
04FU Lower Arteries, Fragmentation2 codes
  • 04FU3Z0 Fragmentation of Left Peroneal Artery, Percutaneous Approach, Ultrasonic
  • 04FU3ZZ Fragmentation of Left Peroneal Artery, Percutaneous Approach
04FY Lower Arteries, Fragmentation2 codes
  • 04FY3Z0 Fragmentation of Lower Artery, Percutaneous Approach, Ultrasonic
  • 04FY3ZZ Fragmentation of Lower Artery, Percutaneous Approach
05F3 Upper Veins, Fragmentation2 codes
  • 05F33Z0 Fragmentation of Right Innominate Vein, Percutaneous Approach, Ultrasonic
  • 05F33ZZ Fragmentation of Right Innominate Vein, Percutaneous Approach
05F4 Upper Veins, Fragmentation2 codes
  • 05F43Z0 Fragmentation of Left Innominate Vein, Percutaneous Approach, Ultrasonic
  • 05F43ZZ Fragmentation of Left Innominate Vein, Percutaneous Approach
05F5 Upper Veins, Fragmentation2 codes
  • 05F53Z0 Fragmentation of Right Subclavian Vein, Percutaneous Approach, Ultrasonic
  • 05F53ZZ Fragmentation of Right Subclavian Vein, Percutaneous Approach
05F6 Upper Veins, Fragmentation2 codes
  • 05F63Z0 Fragmentation of Left Subclavian Vein, Percutaneous Approach, Ultrasonic
  • 05F63ZZ Fragmentation of Left Subclavian Vein, Percutaneous Approach
05F7 Upper Veins, Fragmentation2 codes
  • 05F73Z0 Fragmentation of Right Axillary Vein, Percutaneous Approach, Ultrasonic
  • 05F73ZZ Fragmentation of Right Axillary Vein, Percutaneous Approach
05F8 Upper Veins, Fragmentation2 codes
  • 05F83Z0 Fragmentation of Left Axillary Vein, Percutaneous Approach, Ultrasonic
  • 05F83ZZ Fragmentation of Left Axillary Vein, Percutaneous Approach
05F9 Upper Veins, Fragmentation2 codes
  • 05F93Z0 Fragmentation of Right Brachial Vein, Percutaneous Approach, Ultrasonic
  • 05F93ZZ Fragmentation of Right Brachial Vein, Percutaneous Approach
05FA Upper Veins, Fragmentation2 codes
  • 05FA3Z0 Fragmentation of Left Brachial Vein, Percutaneous Approach, Ultrasonic
  • 05FA3ZZ Fragmentation of Left Brachial Vein, Percutaneous Approach
05FB Upper Veins, Fragmentation2 codes
  • 05FB3Z0 Fragmentation of Right Basilic Vein, Percutaneous Approach, Ultrasonic
  • 05FB3ZZ Fragmentation of Right Basilic Vein, Percutaneous Approach
05FC Upper Veins, Fragmentation2 codes
  • 05FC3Z0 Fragmentation of Left Basilic Vein, Percutaneous Approach, Ultrasonic
  • 05FC3ZZ Fragmentation of Left Basilic Vein, Percutaneous Approach
05FD Upper Veins, Fragmentation2 codes
  • 05FD3Z0 Fragmentation of Right Cephalic Vein, Percutaneous Approach, Ultrasonic
  • 05FD3ZZ Fragmentation of Right Cephalic Vein, Percutaneous Approach
05FF Upper Veins, Fragmentation2 codes
  • 05FF3Z0 Fragmentation of Left Cephalic Vein, Percutaneous Approach, Ultrasonic
  • 05FF3ZZ Fragmentation of Left Cephalic Vein, Percutaneous Approach
05FY Upper Veins, Fragmentation2 codes
  • 05FY3Z0 Fragmentation of Upper Vein, Percutaneous Approach, Ultrasonic
  • 05FY3ZZ Fragmentation of Upper Vein, Percutaneous Approach
06FC Lower Veins, Fragmentation2 codes
  • 06FC3Z0 Fragmentation of Right Common Iliac Vein, Percutaneous Approach, Ultrasonic
  • 06FC3ZZ Fragmentation of Right Common Iliac Vein, Percutaneous Approach
06FD Lower Veins, Fragmentation2 codes
  • 06FD3Z0 Fragmentation of Left Common Iliac Vein, Percutaneous Approach, Ultrasonic
  • 06FD3ZZ Fragmentation of Left Common Iliac Vein, Percutaneous Approach
06FF Lower Veins, Fragmentation2 codes
  • 06FF3Z0 Fragmentation of Right External Iliac Vein, Percutaneous Approach, Ultrasonic
  • 06FF3ZZ Fragmentation of Right External Iliac Vein, Percutaneous Approach
06FG Lower Veins, Fragmentation2 codes
  • 06FG3Z0 Fragmentation of Left External Iliac Vein, Percutaneous Approach, Ultrasonic
  • 06FG3ZZ Fragmentation of Left External Iliac Vein, Percutaneous Approach
06FH Lower Veins, Fragmentation2 codes
  • 06FH3Z0 Fragmentation of Right Hypogastric Vein, Percutaneous Approach, Ultrasonic
  • 06FH3ZZ Fragmentation of Right Hypogastric Vein, Percutaneous Approach
06FJ Lower Veins, Fragmentation2 codes
  • 06FJ3Z0 Fragmentation of Left Hypogastric Vein, Percutaneous Approach, Ultrasonic
  • 06FJ3ZZ Fragmentation of Left Hypogastric Vein, Percutaneous Approach
06FM Lower Veins, Fragmentation2 codes
  • 06FM3Z0 Fragmentation of Right Femoral Vein, Percutaneous Approach, Ultrasonic
  • 06FM3ZZ Fragmentation of Right Femoral Vein, Percutaneous Approach
06FN Lower Veins, Fragmentation2 codes
  • 06FN3Z0 Fragmentation of Left Femoral Vein, Percutaneous Approach, Ultrasonic
  • 06FN3ZZ Fragmentation of Left Femoral Vein, Percutaneous Approach
06FP Lower Veins, Fragmentation2 codes
  • 06FP3Z0 Fragmentation of Right Saphenous Vein, Percutaneous Approach, Ultrasonic
  • 06FP3ZZ Fragmentation of Right Saphenous Vein, Percutaneous Approach
06FQ Lower Veins, Fragmentation2 codes
  • 06FQ3Z0 Fragmentation of Left Saphenous Vein, Percutaneous Approach, Ultrasonic
  • 06FQ3ZZ Fragmentation of Left Saphenous Vein, Percutaneous Approach
06FY Lower Veins, Fragmentation2 codes
  • 06FY3Z0 Fragmentation of Lower Vein, Percutaneous Approach, Ultrasonic
  • 06FY3ZZ Fragmentation of Lower Vein, 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 278?

MS-DRG 278 (Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC) is a surgical DRG in MDC 05 (Diseases & Disorders of the Circulatory System). Its FY 2026 relative weight is 5.5662 with a geometric mean length of stay of 7.2 days.

What is the difference between DRG 278, 279?

All 2 share the same base category; the severity of secondary diagnoses separates them: 278 (with MCC), 279 (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 278?

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

What is the relative weight of DRG 278?

The FY 2026 relative weight of this DRG is 5.5662, meaning reimbursement of roughly 5.57 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 277 – Cardiac Defibrillator Implant without MCC
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.