ICD-10 MS-DRG v42 (2025)

Medicare Severity Diagnosis Related Group

MDC 05: DISEASES & DISORDERS OF THE CIRCULATORY SYSTEM

ICD10CM Code Assignment

Surgical DRGs

215   OTHER HEART ASSIST SYSTEM IMPLANT
212   CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES
216   CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
217   CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
218   CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
219   CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
220   CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
221   CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
231   CORONARY BYPASS WITH PTCA WITH MCC
232   CORONARY BYPASS WITH PTCA WITHOUT MCC
233   CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
234   CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
235   CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
236   CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
317   CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION
275   CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
276   CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
277   CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
266   ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
267   ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
268   AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
269   AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
228   OTHER CARDIOTHORACIC PROCEDURES WITH MCC
229   OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
319   OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
320   OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
270   OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
271   OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
272   OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
239   AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
240   AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
241   AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
242   PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
243   PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
244   PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
245   AICD GENERATOR PROCEDURES
265   AICD LEAD PROCEDURES
273   PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
274   PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
323   CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
324   CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
325   CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
321   PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
322   PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
250   PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
251   PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
278   ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
279   ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
252   OTHER VASCULAR PROCEDURES WITH MCC
253   OTHER VASCULAR PROCEDURES WITH CC
254   OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
255   UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
256   UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
257   UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
258   CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
259   CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
260   CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
261   CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
262   CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
263   VEIN LIGATION AND STRIPPING
264   OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

If the Principal Diagnosis designated a DRG should be selected from this MDC, AND an O.R. (Operating Room) procedure was performed but does not match the Surgical DRGs listed above, see the Unrelated Operating Room Procedures DRGs.


Medical DRGs

280   ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
281   ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
282   ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
283   ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
284   ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
285   ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
286   CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
287   CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC
288   ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
289   ACUTE AND SUBACUTE ENDOCARDITIS WITH CC
290   ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC
291   HEART FAILURE AND SHOCK WITH MCC
292   HEART FAILURE AND SHOCK WITH CC
293   HEART FAILURE AND SHOCK WITHOUT CC/MCC
294   DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC
295   DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC
296   CARDIAC ARREST, UNEXPLAINED WITH MCC
297   CARDIAC ARREST, UNEXPLAINED WITH CC
298   CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
299   PERIPHERAL VASCULAR DISORDERS WITH MCC
300   PERIPHERAL VASCULAR DISORDERS WITH CC
301   PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
302   ATHEROSCLEROSIS WITH MCC
303   ATHEROSCLEROSIS WITHOUT MCC
304   HYPERTENSION WITH MCC
305   HYPERTENSION WITHOUT MCC
306   CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
307   CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
308   CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
309   CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
310   CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
311   ANGINA PECTORIS
312   SYNCOPE AND COLLAPSE
313   CHEST PAIN
314   OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
315   OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
316   OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
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