ICD-10 MS-DRG v37.0 (2020)

Medicare Severity Diagnosis Related Group

MDC 05: DISEASES & DISORDERS OF THE CIRCULATORY SYSTEM

ICD10CM Code Assignment

Surgical DRGs

215   OTHER HEART ASSIST SYSTEM IMPLANT
216   CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC
217   CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC
218   CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC
219   CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC
220   CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC
221   CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC
266   ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC
267   ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W/O MCC
222   CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC
223   CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC
224   CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC
225   CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC
226   CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC
227   CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC
228   OTHER CARDIOTHORACIC PROCEDURES W MCC
229   OTHER CARDIOTHORACIC PROCEDURES W/O MCC
231   CORONARY BYPASS W PTCA W MCC
232   CORONARY BYPASS W PTCA W/O MCC
233   CORONARY BYPASS W CARDIAC CATH W MCC
234   CORONARY BYPASS W CARDIAC CATH W/O MCC
235   CORONARY BYPASS W/O CARDIAC CATH W MCC
236   CORONARY BYPASS W/O CARDIAC CATH W/O MCC
268   AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC
269   AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC
319   OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W MCC
320   OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W/O MCC
270   OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC
271   OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC
272   OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC
239   AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC
240   AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC
241   AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC
242   PERMANENT CARDIAC PACEMAKER IMPLANT W MCC
243   PERMANENT CARDIAC PACEMAKER IMPLANT W CC
244   PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC
245   AICD GENERATOR PROCEDURES
265   AICD LEAD PROCEDURES
273   PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC
274   PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC
246   PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS
247   PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC
248   PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS
249   PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC
250   PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC
251   PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC
252   OTHER VASCULAR PROCEDURES W MCC
253   OTHER VASCULAR PROCEDURES W CC
254   OTHER VASCULAR PROCEDURES W/O CC/MCC
255   UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC
256   UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC
257   UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC
258   CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC
259   CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC
260   CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC
261   CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC
262   CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC
263   VEIN LIGATION & 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 W MCC
281   ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC
282   ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC
283   ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC
284   ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC
285   ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC
286   CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC
287   CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC
288   ACUTE & SUBACUTE ENDOCARDITIS W MCC
289   ACUTE & SUBACUTE ENDOCARDITIS W CC
290   ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC
291   HEART FAILURE & SHOCK W MCC
292   HEART FAILURE & SHOCK W CC
293   HEART FAILURE & SHOCK W/O CC/MCC
294   DEEP VEIN THROMBOPHLEBITIS W CC/MCC
295   DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC
296   CARDIAC ARREST, UNEXPLAINED W MCC
297   CARDIAC ARREST, UNEXPLAINED W CC
298   CARDIAC ARREST, UNEXPLAINED W/O CC/MCC
299   PERIPHERAL VASCULAR DISORDERS W MCC
300   PERIPHERAL VASCULAR DISORDERS W CC
301   PERIPHERAL VASCULAR DISORDERS W/O CC/MCC
302   ATHEROSCLEROSIS W MCC
303   ATHEROSCLEROSIS W/O MCC
304   HYPERTENSION W MCC
305   HYPERTENSION W/O MCC
306   CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC
307   CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC
308   CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC
309   CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC
310   CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC
311   ANGINA PECTORIS
312   SYNCOPE & COLLAPSE
313   CHEST PAIN
314   OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC
315   OTHER CIRCULATORY SYSTEM DIAGNOSES W CC
316   OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC
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