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  3. Procedure Codes in MS-DRG 251 - Percutaneous Cardiovascular Procedures Without Intraluminal Device Without MCC

Procedure Codes in MS-DRG 251 - Percutaneous Cardiovascular Procedures Without Intraluminal Device Without MCC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the procedure codes included in MS-DRG V43.0: Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC from October 1, 2025, through September 30, 2026.

MS-DRG: 251

MS-DRG Title: Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC

MCD: 05

Relative Weight: 1.4945 Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Geometric LOS: 1.49 Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.

Arithmetic LOS: 2.00 Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

  • 025 - Heart and Great Vessels, Destruction

    • 02570ZK - Destruction of Left Atrial Appendage, Open Approach

  • 027 - Heart and Great Vessels, Dilation

    • 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

    • 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

    • 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

    • 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

  • 02B - Heart and Great Vessels, Excision

    • 02B70ZK - Excision of Left Atrial Appendage, Open Approach

  • 02F - Heart and Great Vessels, Fragmentation

    • 02FP3Z0 - Fragmentation of Pulmonary Trunk, Percutaneous Approach, Ultrasonic

    • 02FP3ZZ - Fragmentation of Pulmonary Trunk, Percutaneous Approach

    • 02FQ3Z0 - Fragmentation of Right Pulmonary Artery, Percutaneous Approach, Ultrasonic

    • 02FQ3ZZ - Fragmentation of Right Pulmonary Artery, Percutaneous Approach

    • 02FR3Z0 - Fragmentation of Left Pulmonary Artery, Percutaneous Approach, Ultrasonic

    • 02FR3ZZ - Fragmentation of Left Pulmonary Artery, Percutaneous Approach

    • 02FS3Z0 - Fragmentation of Right Pulmonary Vein, Percutaneous Approach, Ultrasonic

    • 02FS3ZZ - Fragmentation of Right Pulmonary Vein, Percutaneous Approach

    • 02FT3Z0 - Fragmentation of Left Pulmonary Vein, Percutaneous Approach, Ultrasonic

    • 02FT3ZZ - Fragmentation of Left Pulmonary Vein, Percutaneous Approach

  • 02U - Heart and Great Vessels, Supplement

    • 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

    • 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

    • 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

    • 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

    • 02U73JZ - Supplement Left Atrium with Synthetic Substitute, Percutaneous Approach

    • 02U74JZ - Supplement Left Atrium with Synthetic Substitute, Percutaneous Endoscopic Approach

  • X2A - New Technology, Cardiovascular System, Assistance

    • X2A7358 - Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8