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  3. Procedure Codes in MS-DRG 269 - Aortic And Heart Assist Procedures Except Pulsation Balloon Without MCC

Procedure Codes in MS-DRG 269 - Aortic And Heart Assist Procedures Except Pulsation Balloon 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 V42.0: Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 269

MS-DRG Title: Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC

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.

  • 02B - Heart and Great Vessels, Excision

    • 02BW0ZZ - Excision of Thoracic Aorta, Descending, Open Approach

    • 02BW4ZZ - Excision of Thoracic Aorta, Descending, Percutaneous Endoscopic Approach

    • 02BX0ZZ - Excision of Thoracic Aorta, Ascending/Arch, Open Approach

    • 02BX4ZZ - Excision of Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

  • 02C - Heart and Great Vessels, Extirpation

    • 02CW0ZZ - Extirpation of Matter from Thoracic Aorta, Descending, Open Approach

    • 02CW3ZZ - Extirpation of Matter from Thoracic Aorta, Descending, Percutaneous Approach

    • 02CW4ZZ - Extirpation of Matter from Thoracic Aorta, Descending, Percutaneous Endoscopic Approach

    • 02CX0ZZ - Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Open Approach

    • 02CX3ZZ - Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Approach

    • 02CX4ZZ - Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

  • 02P - Heart and Great Vessels, Removal

    • 02PA0QZ - Removal of Implantable Heart Assist System from Heart, Open Approach

    • 02PA0RS - Removal of Biventricular Short-term External Heart Assist System from Heart, Open Approach

    • 02PA3QZ - Removal of Implantable Heart Assist System from Heart, Percutaneous Approach

    • 02PA3RS - Removal of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Approach

    • 02PA4QZ - Removal of Implantable Heart Assist System from Heart, Percutaneous Endoscopic Approach

    • 02PA4RS - Removal of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach

  • 02Q - Heart and Great Vessels, Repair

    • 02QW0ZZ - Repair Thoracic Aorta, Descending, Open Approach

    • 02QW3ZZ - Repair Thoracic Aorta, Descending, Percutaneous Approach

    • 02QW4ZZ - Repair Thoracic Aorta, Descending, Percutaneous Endoscopic Approach

    • 02QX0ZZ - Repair Thoracic Aorta, Ascending/Arch, Open Approach

    • 02QX3ZZ - Repair Thoracic Aorta, Ascending/Arch, Percutaneous Approach

    • 02QX4ZZ - Repair Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

  • 02U - Heart and Great Vessels, Supplement

    • 02U00JZ - Supplement Coronary Artery, One Artery with Synthetic Substitute, Open Approach

    • 02U04JZ - Supplement Coronary Artery, One Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 02U10JZ - Supplement Coronary Artery, Two Arteries with Synthetic Substitute, Open Approach

    • 02U14JZ - Supplement Coronary Artery, Two Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 02U20JZ - Supplement Coronary Artery, Three Arteries with Synthetic Substitute, Open Approach

    • 02U24JZ - Supplement Coronary Artery, Three Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 02U30JZ - Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Open Approach

    • 02U34JZ - Supplement Coronary Artery, Four or More Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 02UA0JZ - Supplement Heart with Synthetic Substitute, Open Approach

    • 02UA3JZ - Supplement Heart with Synthetic Substitute, Percutaneous Approach

    • 02UA4JZ - Supplement Heart with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 041 - Lower Arteries, Bypass

    • 0410093 - Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach

    • 0410094 - Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach

    • 0410095 - Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach

    • 04100A3 - Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach

    • 04100A4 - Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach

    • 04100A5 - Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach

    • 04100J3 - Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach

    • 04100J4 - Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach

    • 04100J5 - Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach

    • 04100K3 - Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach

    • 04100K4 - Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach

    • 04100K5 - Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach

    • 04100Z3 - Bypass Abdominal Aorta to Right Renal Artery, Open Approach

    • 04100Z4 - Bypass Abdominal Aorta to Left Renal Artery, Open Approach

    • 04100Z5 - Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach

    • 0410493 - Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    • 0410494 - Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    • 0410495 - Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    • 04104A3 - Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    • 04104A4 - Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    • 04104A5 - Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    • 04104J3 - Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 04104J4 - Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 04104J5 - Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 04104K3 - Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 04104K4 - Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 04104K5 - Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 04104Z3 - Bypass Abdominal Aorta to Right Renal Artery, Percutaneous Endoscopic Approach

    • 04104Z4 - Bypass Abdominal Aorta to Left Renal Artery, Percutaneous Endoscopic Approach

    • 04104Z5 - Bypass Abdominal Aorta to Bilateral Renal Artery, Percutaneous Endoscopic Approach

    • 0413093 - Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach

    • 0413094 - Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach

    • 0413095 - Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach

    • 04130A3 - Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach

    • 04130A4 - Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach

    • 04130A5 - Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach

    • 04130J3 - Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Open Approach

    • 04130J4 - Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach

    • 04130J5 - Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach

    • 04130K3 - Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach

    • 04130K4 - Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach

    • 04130K5 - Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach

    • 04130Z3 - Bypass Hepatic Artery to Right Renal Artery, Open Approach

    • 04130Z4 - Bypass Hepatic Artery to Left Renal Artery, Open Approach

    • 04130Z5 - Bypass Hepatic Artery to Bilateral Renal Artery, Open Approach

    • 0413493 - Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    • 0413494 - Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    • 0413495 - Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach

    • 04134A3 - Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    • 04134A4 - Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    • 04134A5 - Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

    • 04134J3 - Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 04134J4 - Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 04134J5 - Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 04134K3 - Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 04134K4 - Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 04134K5 - Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 04134Z3 - Bypass Hepatic Artery to Right Renal Artery, Percutaneous Endoscopic Approach

    • 04134Z4 - Bypass Hepatic Artery to Left Renal Artery, Percutaneous Endoscopic Approach

    • 04134Z5 - Bypass Hepatic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach

  • 045 - Lower Arteries, Destruction

    • 04500ZZ - Destruction of Abdominal Aorta, Open Approach

    • 04503ZZ - Destruction of Abdominal Aorta, Percutaneous Approach

    • 04504ZZ - Destruction of Abdominal Aorta, Percutaneous Endoscopic Approach

  • 04B - Lower Arteries, Excision

    • 04B00ZZ - Excision of Abdominal Aorta, Open Approach

    • 04B03ZZ - Excision of Abdominal Aorta, Percutaneous Approach

    • 04B04ZZ - Excision of Abdominal Aorta, Percutaneous Endoscopic Approach

  • 04C - Lower Arteries, Extirpation

    • 04C00ZZ - Extirpation of Matter from Abdominal Aorta, Open Approach

    • 04C03ZZ - Extirpation of Matter from Abdominal Aorta, Percutaneous Approach

    • 04C04ZZ - Extirpation of Matter from Abdominal Aorta, Percutaneous Endoscopic Approach

  • 04L - Lower Arteries, Occlusion

    • 04L00CZ - Occlusion of Abdominal Aorta with Extraluminal Device, Open Approach

    • 04L00DJ - Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach

    • 04L00DZ - Occlusion of Abdominal Aorta with Intraluminal Device, Open Approach

    • 04L00ZZ - Occlusion of Abdominal Aorta, Open Approach

    • 04L03CZ - Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Approach

    • 04L03DJ - Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach

    • 04L03DZ - Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Approach

    • 04L03ZZ - Occlusion of Abdominal Aorta, Percutaneous Approach

    • 04L04CZ - Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach

    • 04L04DZ - Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach

    • 04L04ZZ - Occlusion of Abdominal Aorta, Percutaneous Endoscopic Approach

  • 04R - Lower Arteries, Replacement

    • 04R007Z - Replacement of Abdominal Aorta with Autologous Tissue Substitute, Open Approach

    • 04R00JZ - Replacement of Abdominal Aorta with Synthetic Substitute, Open Approach

    • 04R00KZ - Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach

    • 04R047Z - Replacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

    • 04R04JZ - Replacement of Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach

    • 04R04KZ - Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

  • 04U - Lower Arteries, Supplement

    • 04U03JZ - Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Approach

    • 04U04JZ - Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach

  • 04V - Lower Arteries, Restriction

    • 04V03DZ - Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Approach

    • 04V03EZ - Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach

    • 04V03FZ - Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach

    • 04V04DZ - Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach

    • 04V04EZ - Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach

    • 04V04FZ - Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach

  • X2C - New Technology, Cardiovascular System, Extirpation

    • X2CP3T7 - Extirpation of Matter from Abdominal Aorta using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7