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  3. Procedure Codes in MS-DRG 261 - Cardiac Pacemaker Revision Except Device Replacement With CC

Procedure Codes in MS-DRG 261 - Cardiac Pacemaker Revision Except Device Replacement With CC

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 V42.0: Cardiac Pacemaker Revision Except Device Replacement with CC from October 1, 2024, through September 30, 2025.

MS-DRG: 261

MS-DRG Title: Cardiac Pacemaker Revision Except Device Replacement with CC

MCD: 05

Relative Weight: 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: 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: 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.

  • 02H - Heart and Great Vessels, Insertion

    • 02HK00Z - Insertion of Pressure Sensor Monitoring Device into Right Ventricle, Open Approach

    • 02HK02Z - Insertion of Monitoring Device into Right Ventricle, Open Approach

    • 02HK0YZ - Insertion of Other Device into Right Ventricle, Open 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

    • 02HK4YZ - Insertion of Other Device into Right Ventricle, Percutaneous Endoscopic Approach

  • 02P - Heart and Great Vessels, Removal

    • 02PA0MZ - Removal of Cardiac Lead from Heart, Open Approach

    • 02PA3MZ - Removal of Cardiac Lead from Heart, Percutaneous Approach

    • 02PA4MZ - Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach

  • 02W - Heart and Great Vessels, Revision

    • 02WA0MZ - Revision of Cardiac Lead in Heart, Open Approach

    • 02WA3MZ - Revision of Cardiac Lead in Heart, Percutaneous Approach

    • 02WA4MZ - Revision of Cardiac Lead in Heart, Percutaneous Endoscopic Approach

  • 0JH - Subcutaneous Tissue and Fascia, Insertion

    • 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

    • 0JH800Z - Insertion of Hemodynamic Monitoring Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach

    • 0JH830Z - Insertion of Hemodynamic Monitoring Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

  • 0JP - Subcutaneous Tissue and Fascia, Removal

    • 0JPT0PZ - Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach

    • 0JPT3PZ - Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach

  • 0JW - Subcutaneous Tissue and Fascia, Revision

    • 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