MS-DRG 232 — CORONARY BYPASS WITH PTCA WITHOUT MCC

DRGSurgicalMDC 05

FY2026 payment factors

Relative weight: 6.0626
Geometric mean LOS: 7.50
Arithmetic mean LOS: 8.60
Post-acute transfer: No

Other DRGs in MDC 05

The with-MCC, with-CC and without-CC/MCC splits usually sit next to each other here. Those are what a documentation query is actually deciding between, and the weight gap between them is why the query is worth raising.

209COMPLEX AORTIC ARCH PROCEDURES11.3188
212CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES10.8741
213ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES5.7069
215OTHER HEART ASSIST SYSTEM IMPLANT9.9570
216CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC9.7828
217CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC6.5753
218CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC6.5753
219CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC7.6783
220CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC5.3328
221CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC5.0402
228OTHER CARDIOTHORACIC PROCEDURES WITH MCC4.9474
229OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC3.1495
231CORONARY BYPASS WITH PTCA WITH MCC8.4299
233CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC7.6452
234CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC5.4627
235CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC5.8686
236CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC4.1888
239AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC4.9217
240AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC2.8505
241AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC1.3844
242PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC3.1928
243PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC2.1309
244PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC1.8075
245AICD GENERATOR PROCEDURES4.5624
250PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC2.1825
251PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC1.4945
252OTHER VASCULAR PROCEDURES WITH MCC3.4883
253OTHER VASCULAR PROCEDURES WITH CC2.5956
254OTHER VASCULAR PROCEDURES WITHOUT CC/MCC1.7817
255UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC2.6974
256UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC1.6979
257UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC1.0922
258CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC3.1421
259CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC2.0221
260CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC3.2528
261CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC1.8905
262CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC1.6299
263VEIN LIGATION AND STRIPPING3.0574
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES3.3406
265AICD LEAD PROCEDURES3.6182

Working the claim behind this DRG

A DRG is assigned from the diagnoses and procedures already on the claim, so the questions that decide MS-DRG 232 are coding questions. Look the principal diagnosis up in the full ICD-10-CM tabular list with its Excludes1 and “code first” notes attached, or start from the condition instead of the code in the codes-by-condition index. For the secondary diagnoses that move a case between the with-MCC, with-CC and without-CC/MCC splits, paste the whole set into the free claim scrubber and see which pairs collide before the claim goes out — no account, no card.

The supplies, drugs and devices billed alongside an inpatient stay are HCPCS Level II, listed in full at HCPCS by section. If the claim comes back rejected, the denial code index explains what each CARC actually means and what to do about it, and the decision guides walk the sequencing calls that most often cause one — sepsis and diabetes above all.

Every one of those is free and needs no account. This page is the payment table: it says what MS-DRG 232 is worth. Which medical DRG a set of diagnoses lands in is the workspace’s DRG impact check, from the CMS CC/MCC lists; it does not group surgical cases.