MS-DRG - 314 OTHER CIRCULATORY SYSTEM DIAGNOSES 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 - 314 OTHER CIRCULATORY SYSTEM DIAGNOSES 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
314	OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	05	2.0826 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.	4.90 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.	6.80 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

A36.81 - Diphtheritic cardiomyopathy BILLABLE CODE
A39.50 - Meningococcal carditis, unspecified BILLABLE CODE
A39.52 - Meningococcal myocarditis BILLABLE CODE
A39.53 - Meningococcal pericarditis BILLABLE CODE
A52.00 - Cardiovascular syphilis, unspecified BILLABLE CODE
A52.04 - Syphilitic cerebral arteritis BILLABLE CODE
A52.05 - Other cerebrovascular syphilis BILLABLE CODE
A52.06 - Other syphilitic heart involvement BILLABLE CODE
A52.09 - Other cardiovascular syphilis BILLABLE CODE
A54.83 - Gonococcal heart infection BILLABLE CODE
B33.20 - Viral carditis, unspecified BILLABLE CODE
B33.22 - Viral myocarditis BILLABLE CODE
B33.23 - Viral pericarditis BILLABLE CODE
B33.24 - Viral cardiomyopathy BILLABLE CODE
B57.0 - Acute Chagas' disease with heart involvement BILLABLE CODE
B57.2 - Chagas' disease (chronic) with heart involvement BILLABLE CODE
B58.81 - Toxoplasma myocarditis BILLABLE CODE
C38.0 - Malignant neoplasm of heart BILLABLE CODE
C45.2 - Mesothelioma of pericardium BILLABLE CODE
D15.1 - Benign neoplasm of heart BILLABLE CODE
I01.0 - Acute rheumatic pericarditis BILLABLE CODE
I01.2 - Acute rheumatic myocarditis BILLABLE CODE
I01.8 - Other acute rheumatic heart disease BILLABLE CODE
I01.9 - Acute rheumatic heart disease, unspecified BILLABLE CODE
I02.0 - Rheumatic chorea with heart involvement BILLABLE CODE
I02.9 - Rheumatic chorea without heart involvement BILLABLE CODE
I09.0 - Rheumatic myocarditis BILLABLE CODE
I09.2 - Chronic rheumatic pericarditis BILLABLE CODE
I09.9 - Rheumatic heart disease, unspecified BILLABLE CODE
I23.0 - Hemopericardium as current complication following acute myocardial infarction BILLABLE CODE
I23.1 - Atrial septal defect as current complication following acute myocardial infarction BILLABLE CODE
I23.2 - Ventricular septal defect as current complication following acute myocardial infarction BILLABLE CODE
I23.3 - Rupture of cardiac wall without hemopericardium as current complication following acute myocardial infarction BILLABLE CODE
I23.6 - Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute myocardial infarction BILLABLE CODE
I23.7 - Postinfarction angina BILLABLE CODE
I23.8 - Other current complications following acute myocardial infarction BILLABLE CODE
I24.1 - Dressler's syndrome BILLABLE CODE
I25.3 - Aneurysm of heart BILLABLE CODE
I25.41 - Coronary artery aneurysm BILLABLE CODE
I25.42 - Coronary artery dissection BILLABLE CODE
I27.0 - Primary pulmonary hypertension BILLABLE CODE
I27.1 - Kyphoscoliotic heart disease BILLABLE CODE
I27.20 - Pulmonary hypertension, unspecified BILLABLE CODE
I27.21 - Secondary pulmonary arterial hypertension BILLABLE CODE
I27.22 - Pulmonary hypertension due to left heart disease BILLABLE CODE
I27.23 - Pulmonary hypertension due to lung diseases and hypoxia BILLABLE CODE
I27.24 - Chronic thromboembolic pulmonary hypertension BILLABLE CODE
I27.29 - Other secondary pulmonary hypertension BILLABLE CODE
I27.81 - Cor pulmonale (chronic) BILLABLE CODE
I27.83 - Eisenmenger's syndrome BILLABLE CODE
I27.89 - Other specified pulmonary heart diseases BILLABLE CODE
I27.9 - Pulmonary heart disease, unspecified BILLABLE CODE
I28.0 - Arteriovenous fistula of pulmonary vessels BILLABLE CODE
I28.1 - Aneurysm of pulmonary artery BILLABLE CODE
I28.8 - Other diseases of pulmonary vessels BILLABLE CODE
I28.9 - Disease of pulmonary vessels, unspecified BILLABLE CODE
I30.0 - Acute nonspecific idiopathic pericarditis BILLABLE CODE
I30.1 - Infective pericarditis BILLABLE CODE
I30.8 - Other forms of acute pericarditis BILLABLE CODE
I30.9 - Acute pericarditis, unspecified BILLABLE CODE
I31.0 - Chronic adhesive pericarditis BILLABLE CODE
I31.1 - Chronic constrictive pericarditis BILLABLE CODE
I31.2 - Hemopericardium, not elsewhere classified BILLABLE CODE
I31.3 - Pericardial effusion (noninflammatory) NON-BILLABLE CODE
I31.4 - Cardiac tamponade BILLABLE CODE
I31.8 - Other specified diseases of pericardium BILLABLE CODE
I31.9 - Disease of pericardium, unspecified BILLABLE CODE
I32 - Pericarditis in diseases classified elsewhere BILLABLE CODE
I40.0 - Infective myocarditis BILLABLE CODE
I40.1 - Isolated myocarditis BILLABLE CODE
I40.8 - Other acute myocarditis BILLABLE CODE
I40.9 - Acute myocarditis, unspecified BILLABLE CODE
I41 - Myocarditis in diseases classified elsewhere BILLABLE CODE
I42.0 - Dilated cardiomyopathy BILLABLE CODE
I42.1 - Obstructive hypertrophic cardiomyopathy BILLABLE CODE
I42.2 - Other hypertrophic cardiomyopathy BILLABLE CODE
I42.3 - Endomyocardial (eosinophilic) disease BILLABLE CODE
I42.4 - Endocardial fibroelastosis BILLABLE CODE
I42.5 - Other restrictive cardiomyopathy BILLABLE CODE
I42.6 - Alcoholic cardiomyopathy BILLABLE CODE
I42.7 - Cardiomyopathy due to drug and external agent BILLABLE CODE
I42.8 - Other cardiomyopathies BILLABLE CODE
I42.9 - Cardiomyopathy, unspecified BILLABLE CODE
I43 - Cardiomyopathy in diseases classified elsewhere BILLABLE CODE
I51.0 - Cardiac septal defect, acquired BILLABLE CODE
I51.4 - Myocarditis, unspecified BILLABLE CODE
I51.5 - Myocardial degeneration BILLABLE CODE
I51.81 - Takotsubo syndrome BILLABLE CODE
I5A - Non-ischemic myocardial injury (non-traumatic) BILLABLE CODE
I95.0 - Idiopathic hypotension BILLABLE CODE
I95.89 - Other hypotension BILLABLE CODE
I95.9 - Hypotension, unspecified BILLABLE CODE
I97.0 - Postcardiotomy syndrome BILLABLE CODE
I97.110 - Postprocedural cardiac insufficiency following cardiac surgery BILLABLE CODE
I97.111 - Postprocedural cardiac insufficiency following other surgery BILLABLE CODE
I97.120 - Postprocedural cardiac arrest following cardiac surgery BILLABLE CODE
I97.121 - Postprocedural cardiac arrest following other surgery BILLABLE CODE
I97.130 - Postprocedural heart failure following cardiac surgery BILLABLE CODE
I97.131 - Postprocedural heart failure following other surgery BILLABLE CODE
I97.190 - Other postprocedural cardiac functional disturbances following cardiac surgery BILLABLE CODE
I97.191 - Other postprocedural cardiac functional disturbances following other surgery BILLABLE CODE
I97.710 - Intraoperative cardiac arrest during cardiac surgery BILLABLE CODE
I97.711 - Intraoperative cardiac arrest during other surgery BILLABLE CODE
I97.790 - Other intraoperative cardiac functional disturbances during cardiac surgery BILLABLE CODE
I97.791 - Other intraoperative cardiac functional disturbances during other surgery BILLABLE CODE
I97.88 - Other intraoperative complications of the circulatory system, not elsewhere classified BILLABLE CODE
I97.89 - Other postprocedural complications and disorders of the circulatory system, not elsewhere classified BILLABLE CODE
R00.8 - Other abnormalities of heart beat BILLABLE CODE
R00.9 - Unspecified abnormalities of heart beat BILLABLE CODE
R01.2 - Other cardiac sounds BILLABLE CODE
R03.0 - Elevated blood-pressure reading, without diagnosis of hypertension BILLABLE CODE
R03.1 - Nonspecific low blood-pressure reading BILLABLE CODE
R09.89 - Other specified symptoms and signs involving the circulatory and respiratory systems BILLABLE CODE
R58 - Hemorrhage, not elsewhere classified BILLABLE CODE
R94.30 - Abnormal result of cardiovascular function study, unspecified BILLABLE CODE
R94.31 - Abnormal electrocardiogram [ECG] [EKG] BILLABLE CODE
R94.39 - Abnormal result of other cardiovascular function study BILLABLE CODE
S26.00XA - Unspecified injury of heart with hemopericardium, initial encounter BILLABLE CODE
S26.01XA - Contusion of heart with hemopericardium, initial encounter BILLABLE CODE
S26.020A - Mild laceration of heart with hemopericardium, initial encounter BILLABLE CODE
S26.021A - Moderate laceration of heart with hemopericardium, initial encounter BILLABLE CODE
S26.022A - Major laceration of heart with hemopericardium, initial encounter BILLABLE CODE
S26.09XA - Other injury of heart with hemopericardium, initial encounter BILLABLE CODE
S26.10XA - Unspecified injury of heart without hemopericardium, initial encounter BILLABLE CODE
S26.11XA - Contusion of heart without hemopericardium, initial encounter BILLABLE CODE
S26.12XA - Laceration of heart without hemopericardium, initial encounter BILLABLE CODE
S26.19XA - Other injury of heart without hemopericardium, initial encounter BILLABLE CODE
S26.90XA - Unspecified injury of heart, unspecified with or without hemopericardium, initial encounter BILLABLE CODE
S26.91XA - Contusion of heart, unspecified with or without hemopericardium, initial encounter BILLABLE CODE
S26.92XA - Laceration of heart, unspecified with or without hemopericardium, initial encounter BILLABLE CODE
S26.99XA - Other injury of heart, unspecified with or without hemopericardium, initial encounter BILLABLE CODE
T80.1XXA - Vascular complications following infusion, transfusion and therapeutic injection, initial encounter BILLABLE CODE
T80.211A - Bloodstream infection due to central venous catheter, initial encounter BILLABLE CODE
T80.212A - Local infection due to central venous catheter, initial encounter BILLABLE CODE
T80.218A - Other infection due to central venous catheter, initial encounter BILLABLE CODE
T80.219A - Unspecified infection due to central venous catheter, initial encounter BILLABLE CODE
T80.810A - Extravasation of vesicant antineoplastic chemotherapy, initial encounter BILLABLE CODE
T80.818A - Extravasation of other vesicant agent, initial encounter BILLABLE CODE
T80.90XA - Unspecified complication following infusion and therapeutic injection, initial encounter BILLABLE CODE
T82.118A - Breakdown (mechanical) of other cardiac electronic device, initial encounter BILLABLE CODE
T82.119A - Breakdown (mechanical) of unspecified cardiac electronic device, initial encounter BILLABLE CODE
T82.128A - Displacement of other cardiac electronic device, initial encounter BILLABLE CODE
T82.129A - Displacement of unspecified cardiac electronic device, initial encounter BILLABLE CODE
T82.198A - Other mechanical complication of other cardiac electronic device, initial encounter BILLABLE CODE
T82.199A - Other mechanical complication of unspecified cardiac device, initial encounter BILLABLE CODE
T82.211A - Breakdown (mechanical) of coronary artery bypass graft, initial encounter BILLABLE CODE
T82.212A - Displacement of coronary artery bypass graft, initial encounter BILLABLE CODE
T82.213A - Leakage of coronary artery bypass graft, initial encounter BILLABLE CODE
T82.218A - Other mechanical complication of coronary artery bypass graft, initial encounter BILLABLE CODE
T82.221A - Breakdown (mechanical) of biological heart valve graft, initial encounter BILLABLE CODE
T82.222A - Displacement of biological heart valve graft, initial encounter BILLABLE CODE
T82.223A - Leakage of biological heart valve graft, initial encounter BILLABLE CODE
T82.228A - Other mechanical complication of biological heart valve graft, initial encounter BILLABLE CODE
T82.310A - Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter BILLABLE CODE
T82.311A - Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter BILLABLE CODE
T82.312A - Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter BILLABLE CODE
T82.318A - Breakdown (mechanical) of other vascular grafts, initial encounter BILLABLE CODE
T82.319A - Breakdown (mechanical) of unspecified vascular grafts, initial encounter BILLABLE CODE
T82.320A - Displacement of aortic (bifurcation) graft (replacement), initial encounter BILLABLE CODE
T82.321A - Displacement of carotid arterial graft (bypass), initial encounter BILLABLE CODE
T82.322A - Displacement of femoral arterial graft (bypass), initial encounter BILLABLE CODE
T82.328A - Displacement of other vascular grafts, initial encounter BILLABLE CODE
T82.329A - Displacement of unspecified vascular grafts, initial encounter BILLABLE CODE
T82.330A - Leakage of aortic (bifurcation) graft (replacement), initial encounter BILLABLE CODE
T82.331A - Leakage of carotid arterial graft (bypass), initial encounter BILLABLE CODE
T82.332A - Leakage of femoral arterial graft (bypass), initial encounter BILLABLE CODE
T82.338A - Leakage of other vascular grafts, initial encounter BILLABLE CODE
T82.339A - Leakage of unspecified vascular graft, initial encounter BILLABLE CODE
T82.390A - Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter BILLABLE CODE
T82.391A - Other mechanical complication of carotid arterial graft (bypass), initial encounter BILLABLE CODE
T82.392A - Other mechanical complication of femoral arterial graft (bypass), initial encounter BILLABLE CODE
T82.398A - Other mechanical complication of other vascular grafts, initial encounter BILLABLE CODE
T82.399A - Other mechanical complication of unspecified vascular grafts, initial encounter BILLABLE CODE
T82.510A - Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter BILLABLE CODE
T82.511A - Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter BILLABLE CODE
T82.512A - Breakdown (mechanical) of artificial heart, initial encounter BILLABLE CODE
T82.513A - Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter BILLABLE CODE
T82.514A - Breakdown (mechanical) of infusion catheter, initial encounter BILLABLE CODE
T82.515A - Breakdown (mechanical) of umbrella device, initial encounter BILLABLE CODE
T82.518A - Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter BILLABLE CODE
T82.519A - Breakdown (mechanical) of unspecified cardiac and vascular devices and implants, initial encounter BILLABLE CODE
T82.520A - Displacement of surgically created arteriovenous fistula, initial encounter BILLABLE CODE
T82.521A - Displacement of surgically created arteriovenous shunt, initial encounter BILLABLE CODE
T82.522A - Displacement of artificial heart, initial encounter BILLABLE CODE
T82.523A - Displacement of balloon (counterpulsation) device, initial encounter BILLABLE CODE
T82.524A - Displacement of infusion catheter, initial encounter BILLABLE CODE
T82.525A - Displacement of umbrella device, initial encounter BILLABLE CODE
T82.528A - Displacement of other cardiac and vascular devices and implants, initial encounter BILLABLE CODE
T82.529A - Displacement of unspecified cardiac and vascular devices and implants, initial encounter BILLABLE CODE
T82.530A - Leakage of surgically created arteriovenous fistula, initial encounter BILLABLE CODE
T82.531A - Leakage of surgically created arteriovenous shunt, initial encounter BILLABLE CODE
T82.532A - Leakage of artificial heart, initial encounter BILLABLE CODE
T82.533A - Leakage of balloon (counterpulsation) device, initial encounter BILLABLE CODE
T82.534A - Leakage of infusion catheter, initial encounter BILLABLE CODE
T82.535A - Leakage of umbrella device, initial encounter BILLABLE CODE
T82.538A - Leakage of other cardiac and vascular devices and implants, initial encounter BILLABLE CODE
T82.539A - Leakage of unspecified cardiac and vascular devices and implants, initial encounter BILLABLE CODE
T82.590A - Other mechanical complication of surgically created arteriovenous fistula, initial encounter BILLABLE CODE
T82.591A - Other mechanical complication of surgically created arteriovenous shunt, initial encounter BILLABLE CODE
T82.592A - Other mechanical complication of artificial heart, initial encounter BILLABLE CODE
T82.593A - Other mechanical complication of balloon (counterpulsation) device, initial encounter BILLABLE CODE
T82.594A - Other mechanical complication of infusion catheter, initial encounter BILLABLE CODE
T82.595A - Other mechanical complication of umbrella device, initial encounter BILLABLE CODE
T82.598A - Other mechanical complication of other cardiac and vascular devices and implants, initial encounter BILLABLE CODE
T82.599A - Other mechanical complication of unspecified cardiac and vascular devices and implants, initial encounter BILLABLE CODE
T82.6XXA - Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter BILLABLE CODE
T82.7XXA - Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter BILLABLE CODE
T82.817A - Embolism due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.818A - Embolism due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.827A - Fibrosis due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.828A - Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.837A - Hemorrhage due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.838A - Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.847A - Pain due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.848A - Pain due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.855A - Stenosis of coronary artery stent, initial encounter BILLABLE CODE
T82.856A - Stenosis of peripheral vascular stent, initial encounter BILLABLE CODE
T82.857A - Stenosis of other cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.858A - Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.867A - Thrombosis due to cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.868A - Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.897A - Other specified complication of cardiac prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.898A - Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter BILLABLE CODE
T82.9XXA - Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter BILLABLE CODE
T86.20 - Unspecified complication of heart transplant BILLABLE CODE
T86.21 - Heart transplant rejection BILLABLE CODE
T86.22 - Heart transplant failure BILLABLE CODE
T86.23 - Heart transplant infection BILLABLE CODE
T86.290 - Cardiac allograft vasculopathy BILLABLE CODE
T86.298 - Other complications of heart transplant BILLABLE CODE
T86.30 - Unspecified complication of heart-lung transplant BILLABLE CODE
T86.31 - Heart-lung transplant rejection BILLABLE CODE
T86.32 - Heart-lung transplant failure BILLABLE CODE
T86.33 - Heart-lung transplant infection BILLABLE CODE
T86.39 - Other complications of heart-lung transplant BILLABLE CODE
Z45.010 - Encounter for checking and testing of cardiac pacemaker pulse generator [battery] BILLABLE CODE
Z45.018 - Encounter for adjustment and management of other part of cardiac pacemaker BILLABLE CODE
Z45.02 - Encounter for adjustment and management of automatic implantable cardiac defibrillator BILLABLE CODE
Z45.09 - Encounter for adjustment and management of other cardiac device BILLABLE CODE
Z94.1 - Heart transplant status BILLABLE CODE
Z94.3 - Heart and lungs transplant status BILLABLE CODE
Z95.2 - Presence of prosthetic heart valve BILLABLE CODE
Z95.3 - Presence of xenogenic heart valve BILLABLE CODE
Z95.4 - Presence of other heart-valve replacement BILLABLE CODE
Z95.811 - Presence of heart assist device BILLABLE CODE
Z95.812 - Presence of fully implantable artificial heart BILLABLE CODE
Z95.820 - Peripheral vascular angioplasty status with implants and grafts BILLABLE CODE
Z95.828 - Presence of other vascular implants and grafts BILLABLE CODE