MCMedicalCodingSoftware
242

MS-DRG 242: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC

DRGSurgicalMDC 05

MS-DRG 242 is permanent cardiac pacemaker implant with mcc, in MDC 05 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.1236, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 4.80 days.

FY2027 payment factors

Relative weight
3.1236
Geometric mean LOS
4.80
Arithmetic mean LOS
6.10
Post-acute transfer
Yes

This DRG is subject to the post-acute care transfer policy: a discharge to a qualifying setting below the mean length of stay is paid per diem rather than in full.

The severity splits

Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 242.

242PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC3.1236
243PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC2.1079-1.0157
244PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC1.7638-1.3598

All FY2027 MS-DRGs · MDC 05

MS-DRG (IPPS Table 5)FY2027