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  3. Procedure Codes in MS-DRG 262 - Cardiac Pacemaker Revision Except Device Replacement Without CC/MCC

Procedure Codes in MS-DRG 262 - Cardiac Pacemaker Revision Except Device Replacement Without CC/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: Cardiac Pacemaker Revision Except Device Replacement without CC/MCC from October 1, 2025, through September 30, 2026.

MS-DRG: 262

MS-DRG Title: Cardiac Pacemaker Revision Except Device Replacement without CC/MCC

MCD: 05

Relative Weight: 1.6299 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: 1.63 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: 2.10 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

    • 02H40JZ - Insertion of Pacemaker Lead into Coronary Vein, Open Approach

    • 02H40MZ - Insertion of Cardiac Lead into Coronary Vein, Open Approach

    • 02H43JZ - Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach

    • 02H43MZ - Insertion of Cardiac Lead into Coronary Vein, Percutaneous Approach

    • 02H44JZ - Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Endoscopic Approach

    • 02H44MZ - Insertion of Cardiac Lead into Coronary Vein, Percutaneous Endoscopic Approach

    • 02H60JZ - Insertion of Pacemaker Lead into Right Atrium, Open Approach

    • 02H60MZ - Insertion of Cardiac Lead into Right Atrium, Open Approach

    • 02H63JZ - Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach

    • 02H63MZ - Insertion of Cardiac Lead into Right Atrium, Percutaneous Approach

    • 02H64JZ - Insertion of Pacemaker Lead into Right Atrium, Percutaneous Endoscopic Approach

    • 02H64MZ - Insertion of Cardiac Lead into Right Atrium, Percutaneous Endoscopic Approach

    • 02H70JZ - Insertion of Pacemaker Lead into Left Atrium, Open Approach

    • 02H70MZ - Insertion of Cardiac Lead into Left Atrium, Open Approach

    • 02H73JZ - Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach

    • 02H73MZ - Insertion of Cardiac Lead into Left Atrium, Percutaneous Approach

    • 02H74JZ - Insertion of Pacemaker Lead into Left Atrium, Percutaneous Endoscopic Approach

    • 02H74MZ - Insertion of Cardiac Lead into Left Atrium, Percutaneous Endoscopic Approach

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

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

    • 02HK0JZ - Insertion of Pacemaker Lead into Right Ventricle, Open Approach

    • 02HK0MZ - Insertion of Cardiac Lead into Right Ventricle, Open Approach

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

    • 02HK32Z - Insertion of Monitoring Device into Right Ventricle, Percutaneous Approach

    • 02HK3JZ - Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach

    • 02HK3MZ - Insertion of Cardiac Lead into Right Ventricle, Percutaneous 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

    • 02HK4JZ - Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Endoscopic Approach

    • 02HK4MZ - Insertion of Cardiac Lead into Right Ventricle, Percutaneous Endoscopic Approach

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

    • 02HL0JZ - Insertion of Pacemaker Lead into Left Ventricle, Open Approach

    • 02HL0MZ - Insertion of Cardiac Lead into Left Ventricle, Open Approach

    • 02HL3JZ - Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach

    • 02HL3MZ - Insertion of Cardiac Lead into Left Ventricle, Percutaneous Approach

    • 02HL4JZ - Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Endoscopic Approach

    • 02HL4MZ - Insertion of Cardiac Lead into Left Ventricle, Percutaneous Endoscopic Approach

    • 02HN0JZ - Insertion of Pacemaker Lead into Pericardium, Open Approach

    • 02HN0MZ - Insertion of Cardiac Lead into Pericardium, Open Approach

    • 02HN3JZ - Insertion of Pacemaker Lead into Pericardium, Percutaneous Approach

    • 02HN3MZ - Insertion of Cardiac Lead into Pericardium, Percutaneous Approach

    • 02HN4JZ - Insertion of Pacemaker Lead into Pericardium, Percutaneous Endoscopic Approach

    • 02HN4MZ - Insertion of Cardiac Lead into Pericardium, 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