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  3. MS-DRG - 306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

MS-DRG - 306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for MS-DRG - 306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH Major Complication or Comorbidity diseases in version MS-DRG V40.0 applicable from 10/01/2022 through 09/30/2023.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC 05 1.4758 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.		 3.80 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.		 5.20 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.

ICD-10 Codes in Diagnostic Related Group

  • A52.01 - Syphilitic aneurysm of aorta BILLABLE CODE
  • A52.02 - Syphilitic aortitis BILLABLE CODE
  • B33.21 - Viral endocarditis BILLABLE CODE
  • I01.1 - Acute rheumatic endocarditis BILLABLE CODE
  • I05.0 - Rheumatic mitral stenosis BILLABLE CODE
  • I05.1 - Rheumatic mitral insufficiency BILLABLE CODE
  • I05.2 - Rheumatic mitral stenosis with insufficiency BILLABLE CODE
  • I05.8 - Other rheumatic mitral valve diseases BILLABLE CODE
  • I05.9 - Rheumatic mitral valve disease, unspecified BILLABLE CODE
  • I06.0 - Rheumatic aortic stenosis BILLABLE CODE
  • I06.1 - Rheumatic aortic insufficiency BILLABLE CODE
  • I06.2 - Rheumatic aortic stenosis with insufficiency BILLABLE CODE
  • I06.8 - Other rheumatic aortic valve diseases BILLABLE CODE
  • I06.9 - Rheumatic aortic valve disease, unspecified BILLABLE CODE
  • I07.0 - Rheumatic tricuspid stenosis BILLABLE CODE
  • I07.1 - Rheumatic tricuspid insufficiency BILLABLE CODE
  • I07.2 - Rheumatic tricuspid stenosis and insufficiency BILLABLE CODE
  • I07.8 - Other rheumatic tricuspid valve diseases BILLABLE CODE
  • I07.9 - Rheumatic tricuspid valve disease, unspecified BILLABLE CODE
  • I08.0 - Rheumatic disorders of both mitral and aortic valves BILLABLE CODE
  • I08.1 - Rheumatic disorders of both mitral and tricuspid valves BILLABLE CODE
  • I08.2 - Rheumatic disorders of both aortic and tricuspid valves BILLABLE CODE
  • I08.3 - Combined rheumatic disorders of mitral, aortic and tricuspid valves BILLABLE CODE
  • I08.8 - Other rheumatic multiple valve diseases BILLABLE CODE
  • I08.9 - Rheumatic multiple valve disease, unspecified BILLABLE CODE
  • I09.1 - Rheumatic diseases of endocardium, valve unspecified BILLABLE CODE
  • I09.89 - Other specified rheumatic heart diseases BILLABLE CODE
  • I23.4 - Rupture of chordae tendineae as current complication following acute myocardial infarction BILLABLE CODE
  • I23.5 - Rupture of papillary muscle as current complication following acute myocardial infarction BILLABLE CODE
  • I34.0 - Nonrheumatic mitral (valve) insufficiency BILLABLE CODE
  • I34.1 - Nonrheumatic mitral (valve) prolapse BILLABLE CODE
  • I34.2 - Nonrheumatic mitral (valve) stenosis BILLABLE CODE
  • I34.8 - Other nonrheumatic mitral valve disorders NON-BILLABLE CODE
  • I34.9 - Nonrheumatic mitral valve disorder, unspecified BILLABLE CODE
  • I35.0 - Nonrheumatic aortic (valve) stenosis BILLABLE CODE
  • I35.1 - Nonrheumatic aortic (valve) insufficiency BILLABLE CODE
  • I35.2 - Nonrheumatic aortic (valve) stenosis with insufficiency BILLABLE CODE
  • I35.8 - Other nonrheumatic aortic valve disorders BILLABLE CODE
  • I35.9 - Nonrheumatic aortic valve disorder, unspecified BILLABLE CODE
  • I36.0 - Nonrheumatic tricuspid (valve) stenosis BILLABLE CODE
  • I36.1 - Nonrheumatic tricuspid (valve) insufficiency BILLABLE CODE
  • I36.2 - Nonrheumatic tricuspid (valve) stenosis with insufficiency BILLABLE CODE
  • I36.8 - Other nonrheumatic tricuspid valve disorders BILLABLE CODE
  • I36.9 - Nonrheumatic tricuspid valve disorder, unspecified BILLABLE CODE
  • I37.0 - Nonrheumatic pulmonary valve stenosis BILLABLE CODE
  • I37.1 - Nonrheumatic pulmonary valve insufficiency BILLABLE CODE
  • I37.2 - Nonrheumatic pulmonary valve stenosis with insufficiency BILLABLE CODE
  • I37.8 - Other nonrheumatic pulmonary valve disorders BILLABLE CODE
  • I37.9 - Nonrheumatic pulmonary valve disorder, unspecified BILLABLE CODE
  • I38 - Endocarditis, valve unspecified BILLABLE CODE
  • I39 - Endocarditis and heart valve disorders in diseases classified elsewhere BILLABLE CODE
  • I51.1 - Rupture of chordae tendineae, not elsewhere classified BILLABLE CODE
  • I51.2 - Rupture of papillary muscle, not elsewhere classified BILLABLE CODE
  • Q20.0 - Common arterial trunk BILLABLE CODE
  • Q20.1 - Double outlet right ventricle BILLABLE CODE
  • Q20.2 - Double outlet left ventricle BILLABLE CODE
  • Q20.3 - Discordant ventriculoarterial connection BILLABLE CODE
  • Q20.4 - Double inlet ventricle BILLABLE CODE
  • Q20.5 - Discordant atrioventricular connection BILLABLE CODE
  • Q20.6 - Isomerism of atrial appendages BILLABLE CODE
  • Q20.8 - Other congenital malformations of cardiac chambers and connections BILLABLE CODE
  • Q20.9 - Congenital malformation of cardiac chambers and connections, unspecified BILLABLE CODE
  • Q21.0 - Ventricular septal defect BILLABLE CODE
  • Q21.1 - Atrial septal defect NON-BILLABLE CODE
  • Q21.2 - Atrioventricular septal defect NON-BILLABLE CODE
  • Q21.3 - Tetralogy of Fallot BILLABLE CODE
  • Q21.4 - Aortopulmonary septal defect BILLABLE CODE
  • Q21.8 - Other congenital malformations of cardiac septa BILLABLE CODE
  • Q21.9 - Congenital malformation of cardiac septum, unspecified BILLABLE CODE
  • Q22.0 - Pulmonary valve atresia BILLABLE CODE
  • Q22.1 - Congenital pulmonary valve stenosis BILLABLE CODE
  • Q22.2 - Congenital pulmonary valve insufficiency BILLABLE CODE
  • Q22.3 - Other congenital malformations of pulmonary valve BILLABLE CODE
  • Q22.4 - Congenital tricuspid stenosis BILLABLE CODE
  • Q22.5 - Ebstein's anomaly BILLABLE CODE
  • Q22.6 - Hypoplastic right heart syndrome BILLABLE CODE
  • Q22.8 - Other congenital malformations of tricuspid valve BILLABLE CODE
  • Q22.9 - Congenital malformation of tricuspid valve, unspecified BILLABLE CODE
  • Q23.0 - Congenital stenosis of aortic valve BILLABLE CODE
  • Q23.1 - Congenital insufficiency of aortic valve BILLABLE CODE
  • Q23.2 - Congenital mitral stenosis BILLABLE CODE
  • Q23.3 - Congenital mitral insufficiency BILLABLE CODE
  • Q23.4 - Hypoplastic left heart syndrome BILLABLE CODE
  • Q23.8 - Other congenital malformations of aortic and mitral valves BILLABLE CODE
  • Q23.9 - Congenital malformation of aortic and mitral valves, unspecified BILLABLE CODE
  • Q24.0 - Dextrocardia BILLABLE CODE
  • Q24.1 - Levocardia BILLABLE CODE
  • Q24.2 - Cor triatriatum BILLABLE CODE
  • Q24.3 - Pulmonary infundibular stenosis BILLABLE CODE
  • Q24.4 - Congenital subaortic stenosis BILLABLE CODE
  • Q24.5 - Malformation of coronary vessels BILLABLE CODE
  • Q24.8 - Other specified congenital malformations of heart BILLABLE CODE
  • Q24.9 - Congenital malformation of heart, unspecified BILLABLE CODE
  • Q25.0 - Patent ductus arteriosus BILLABLE CODE
  • Q25.1 - Coarctation of aorta BILLABLE CODE
  • Q25.21 - Interruption of aortic arch BILLABLE CODE
  • Q25.29 - Other atresia of aorta BILLABLE CODE
  • Q25.3 - Supravalvular aortic stenosis BILLABLE CODE
  • Q25.40 - Congenital malformation of aorta unspecified BILLABLE CODE
  • Q25.41 - Absence and aplasia of aorta BILLABLE CODE
  • Q25.42 - Hypoplasia of aorta BILLABLE CODE
  • Q25.43 - Congenital aneurysm of aorta BILLABLE CODE
  • Q25.44 - Congenital dilation of aorta BILLABLE CODE
  • Q25.45 - Double aortic arch BILLABLE CODE
  • Q25.46 - Tortuous aortic arch BILLABLE CODE
  • Q25.47 - Right aortic arch BILLABLE CODE
  • Q25.48 - Anomalous origin of subclavian artery BILLABLE CODE
  • Q25.49 - Other congenital malformations of aorta BILLABLE CODE
  • Q25.5 - Atresia of pulmonary artery BILLABLE CODE
  • Q25.6 - Stenosis of pulmonary artery BILLABLE CODE
  • Q25.71 - Coarctation of pulmonary artery BILLABLE CODE
  • Q25.72 - Congenital pulmonary arteriovenous malformation BILLABLE CODE
  • Q25.79 - Other congenital malformations of pulmonary artery BILLABLE CODE
  • Q25.8 - Other congenital malformations of other great arteries BILLABLE CODE
  • Q25.9 - Congenital malformation of great arteries, unspecified BILLABLE CODE
  • Q26.0 - Congenital stenosis of vena cava BILLABLE CODE
  • Q26.1 - Persistent left superior vena cava BILLABLE CODE
  • Q26.2 - Total anomalous pulmonary venous connection BILLABLE CODE
  • Q26.3 - Partial anomalous pulmonary venous connection BILLABLE CODE
  • Q26.4 - Anomalous pulmonary venous connection, unspecified BILLABLE CODE
  • Q26.8 - Other congenital malformations of great veins BILLABLE CODE
  • Q26.9 - Congenital malformation of great vein, unspecified BILLABLE CODE
  • Q87.40 - Marfan's syndrome, unspecified BILLABLE CODE
  • Q87.410 - Marfan's syndrome with aortic dilation BILLABLE CODE
  • Q87.418 - Marfan's syndrome with other cardiovascular manifestations BILLABLE CODE
  • Q87.42 - Marfan's syndrome with ocular manifestations BILLABLE CODE
  • Q87.43 - Marfan's syndrome with skeletal manifestation BILLABLE CODE
  • R01.0 - Benign and innocent cardiac murmurs BILLABLE CODE
  • R01.1 - Cardiac murmur, unspecified BILLABLE CODE
  • T82.01XA - Breakdown (mechanical) of heart valve prosthesis, initial encounter BILLABLE CODE
  • T82.02XA - Displacement of heart valve prosthesis, initial encounter BILLABLE CODE
  • T82.03XA - Leakage of heart valve prosthesis, initial encounter BILLABLE CODE
  • T82.09XA - Other mechanical complication of heart valve prosthesis, initial encounter BILLABLE CODE