316

MDC 05 — Diseases and Disorders of the Circulatory System

Relative weight by grouper version

CMS publishes classification in the Definitions Manual and weights in Table 5 of the IPPS rule, one spreadsheet per year. These are the 9 versions this grouper supports.

Range 0.6677 to 0.6927. A dash means the DRG did not exist in that version.

Codes that reach this DRG

260 ICD-10-CM diagnoses. Each maps here on its own; procedure clusters can also reach this DRG through combinations, listed separately below.

Diagnoses

• A3681 Diphtheritic cardiomyopathy
• A3950 Meningococcal carditis, unspecified
• A3952 Meningococcal myocarditis
• A3953 Meningococcal pericarditis
• A5200 Cardiovascular syphilis, unspecified
• A5204 Syphilitic cerebral arteritis
• A5205 Other cerebrovascular syphilis
• A5206 Other syphilitic heart involvement
• A5209 Other cardiovascular syphilis
• A5483 Gonococcal heart infection
• B3320 Viral carditis, unspecified
• B3322 Viral myocarditis
• B3323 Viral pericarditis
• B3324 Viral cardiomyopathy
• B570 Acute Chagas' disease with heart involvement
• B572 Chagas' disease (chronic) with heart involvement
• B5881 Toxoplasma myocarditis
• C380 Malignant neoplasm of heart
• C452 Mesothelioma of pericardium
• D151 Benign neoplasm of heart
• D179 Benign lipomatous neoplasm, unspecified
• D1803 Hemangioma of intra-abdominal structures
• I010 Acute rheumatic pericarditis
• I012 Acute rheumatic myocarditis
• I018 Other acute rheumatic heart disease
• I019 Acute rheumatic heart disease, unspecified
• I020 Rheumatic chorea with heart involvement
• I029 Rheumatic chorea without heart involvement
• I090 Rheumatic myocarditis
• I092 Chronic rheumatic pericarditis
• I099 Rheumatic heart disease, unspecified
• I230 Hemopericardium as current complication following AMI
• I231 Atrial septal defect as current complication following AMI
• I232 Ventricular septal defect as current comp following AMI
• I233 Rupture of card wall w/o hemoperic as current comp fol AMI
• I236 Thombos of atrium/auric append/ventr as current comp fol AMI
• I237 Postinfarction angina
• I238 Oth current complications following AMI
• I241 Dressler's syndrome
• I253 Aneurysm of heart
• I2541 Coronary artery aneurysm
• I2542 Coronary artery dissection
• I270 Primary pulmonary hypertension
• I271 Kyphoscoliotic heart disease
• I2720 Pulmonary hypertension, unspecified
• I2721 Secondary pulmonary arterial hypertension
• I2722 Pulmonary hypertension due to left heart disease
• I2723 Pulmonary hypertension due to lung diseases and hypoxia
• I2724 Chronic thromboembolic pulmonary hypertension
• I2729 Other secondary pulmonary hypertension
• I2781 Cor pulmonale (chronic)
• I2783 Eisenmenger's syndrome
• I27848 Other Fontan-associated condition
• I27849 Fontan related circulation, unspecified
• I2789 Other specified pulmonary heart diseases
• I279 Pulmonary heart disease, unspecified
• I280 Arteriovenous fistula of pulmonary vessels
• I281 Aneurysm of pulmonary artery
• I288 Other diseases of pulmonary vessels
• I289 Disease of pulmonary vessels, unspecified
• I300 Acute nonspecific idiopathic pericarditis
• I301 Infective pericarditis
• I308 Other forms of acute pericarditis
• I309 Acute pericarditis, unspecified
• I310 Chronic adhesive pericarditis
• I311 Chronic constrictive pericarditis
• I312 Hemopericardium, not elsewhere classified
• I3131 Malignant pericardial effusion in diseases classd elswhr
• I3139 Other pericardial effusion (noninflammatory)
• I314 Cardiac tamponade
• I318 Other specified diseases of pericardium
• I319 Disease of pericardium, unspecified
• I32 Pericarditis in diseases classified elsewhere
• I400 Infective myocarditis
• I401 Isolated myocarditis
• I408 Other acute myocarditis
• I409 Acute myocarditis, unspecified
• I41 Myocarditis in diseases classified elsewhere
• I4200 Dilated cardiomyopathy, unspecified
• I4201 Familial-genetic dilated cardiomyopathy
• I4209 Other dilated cardiomyopathy
• I421 Obstructive hypertrophic cardiomyopathy
• I422 Other hypertrophic cardiomyopathy
• I423 Endomyocardial (eosinophilic) disease
• I424 Endocardial fibroelastosis
• I425 Other restrictive cardiomyopathy
• I426 Alcoholic cardiomyopathy
• I427 Cardiomyopathy due to drug and external agent
• I4281 Arrhythmogenic cardiomyopathy
• I4289 Other cardiomyopathies not elsewhere classified
• I429 Cardiomyopathy, unspecified
• I43 Cardiomyopathy in diseases classified elsewhere
• I510 Cardiac septal defect, acquired
• I514 Myocarditis, unspecified
• I515 Myocardial degeneration
• I5181 Takotsubo syndrome
• I5A Non-ischemic myocardial injury (non-traumatic)
• I950 Idiopathic hypotension
• I9589 Other hypotension
• I959 Hypotension, unspecified
• I970 Postcardiotomy syndrome
• I97110 Postproc cardiac insufficiency following cardiac surgery
• I97111 Postprocedural cardiac insufficiency following other surgery
• I97120 Postprocedural cardiac arrest following cardiac surgery
• I97121 Postprocedural cardiac arrest following other surgery
• I97130 Postprocedural heart failure following cardiac surgery
• I97131 Postprocedural heart failure following other surgery
• I97190 Oth postproc cardiac functn disturb fol cardiac surgery
• I97191 Oth postproc cardiac functn disturb following oth surgery
• I97710 Intraoperative cardiac arrest during cardiac surgery
• I97711 Intraoperative cardiac arrest during other surgery
• I97790 Oth intraop cardiac functn disturb during cardiac surgery
• I97791 Oth intraop cardiac functional disturb during oth surgery
• I9788 Oth intraoperative complications of the circ sys, NEC
• I9789 Oth postproc comp and disorders of the circ sys, NEC
• R008 Other abnormalities of heart beat
• R009 Unspecified abnormalities of heart beat
• R012 Other cardiac sounds
• R030 Elevated blood-pressure reading, w/o diagnosis of htn
• R031 Nonspecific low blood-pressure reading
• R0989 Oth symptoms and signs involving the circ and resp systems
• R09A0 Foreign body sensation, unspecified
• R09A1 Foreign body sensation, nose
• R09A2 Foreign body sensation, throat
• R09A9 Foreign body sensation, other site
• R58 Hemorrhage, not elsewhere classified
• R9430 Abnormal result of cardiovascular function study, unsp
• R9431 Abnormal electrocardiogram [ECG] [EKG]
• R9439 Abnormal result of other cardiovascular function study
• S2600XA Unsp injury of heart with hemopericardium, init encntr
• S2601XA Contusion of heart with hemopericardium, initial encounter
• S26020A Mild laceration of heart with hemopericardium, init encntr
• S26021A Moderate laceration of heart w hemopericardium, init encntr
• S26022A Major laceration of heart with hemopericardium, init encntr
• S2609XA Other injury of heart with hemopericardium, init encntr
• S2610XA Unsp injury of heart without hemopericardium, init encntr
• S2611XA Contusion of heart without hemopericardium, init encntr
• S2612XA Laceration of heart without hemopericardium, init encntr
• S2619XA Other injury of heart without hemopericardium, init encntr
• S2690XA Unsp injury of heart, unsp w or w/o hemopericardium, init
• S2691XA Contusion of heart, unsp w or w/o hemopericardium, init
• S2692XA Laceration of heart, unsp w or w/o hemopericardium, init
• S2699XA Inj heart, unsp w or w/o hemopericardium, init encntr
• T801XXA Vascular comp fol infusn, tranfs and theraputc inject, init
• T80211A Bloodstream infection due to central venous catheter, init
• T80212A Local infection due to central venous catheter, init encntr
• T80218A Other infection due to central venous catheter, init encntr
• T80219A Unsp infection due to central venous catheter, init encntr
• T80810A Extravasation of vesicant antineoplastic chemotherapy, init
• T80818A Extravasation of other vesicant agent, initial encounter
• T8090XA Unsp comp following infusion and therapeutic injection, init
• T82118A Breakdown (mechanical) of cardiac electronic device, init
• T82119A Breakdown of unsp cardiac electronic device, init
• T82128A Displacement of other cardiac electronic device, init encntr
• T82129A Displacement of unsp cardiac electronic device, init encntr
• T82198A Mech compl of other cardiac electronic device, init encntr
• T82199A Mech compl of unspecified cardiac device, initial encounter
• T82211A Breakdown (mechanical) of coronary artery bypass graft, init
• T82212A Displacement of coronary artery bypass graft, init encntr
• T82213A Leakage of coronary artery bypass graft, initial encounter
• T82218A Mech compl of coronary artery bypass graft, init encntr
• T82221A Breakdown (mechanical) of biological heart valve graft, init
• T82222A Displacement of biological heart valve graft, init encntr
• T82223A Leakage of biological heart valve graft, initial encounter
• T82228A Mech compl of biological heart valve graft, init encntr
• T82310A Breakdown (mechanical) of aortic (bifurcation) graft, init
• T82311A Breakdown of carotid arterial graft (bypass), init
• T82312A Breakdown of femoral arterial graft (bypass), init
• T82318A Breakdown (mechanical) of other vascular grafts, init encntr
• T82319A Breakdown (mechanical) of unsp vascular grafts, init encntr
• T82320A Displacement of aortic (bifurcation) graft, init
• T82321A Displacement of carotid arterial graft (bypass), init encntr
• T82322A Displacement of femoral arterial graft (bypass), init encntr
• T82328A Displacement of other vascular grafts, initial encounter
• T82329A Displacement of unspecified vascular grafts, init encntr
• T82330A Leakage of aortic (bifurcation) graft (replacement), init
• T82331A Leakage of carotid arterial graft (bypass), init encntr
• T82332A Leakage of femoral arterial graft (bypass), init encntr
• T82338A Leakage of other vascular grafts, initial encounter
• T82339A Leakage of unspecified vascular graft, initial encounter
• T82390A Mech compl of aortic (bifurcation) graft (replacement), init
• T82391A Mech compl of carotid arterial graft (bypass), init encntr
• T82392A Mech compl of femoral arterial graft (bypass), init encntr
• T82398A Mech compl of other vascular grafts, initial encounter
• T82399A Mech compl of unspecified vascular grafts, initial encounter
• T82510A Breakdown of surgically created AV fistula, init
• T82511A Breakdown (mechanical) of surgically created AV shunt, init
• T82512A Breakdown (mechanical) of artificial heart, init encntr
• T82513A Breakdown of balloon (counterpulsation) device, init
• T82514A Breakdown (mechanical) of infusion catheter, init encntr
• T82515A Breakdown (mechanical) of umbrella device, initial encounter
• T82518A Breakdown of cardiac and vascular devices and implants, init
• T82519A Brkdwn unsp cardiac and vascular devices and implants, init
• T82520A Displacement of surgically created AV fistula, init
• T82521A Displacement of surgically created arteriovenous shunt, init
• T82522A Displacement of artificial heart, initial encounter
• T82523A Displacement of balloon (counterpulsation) device, init
• T82524A Displacement of infusion catheter, initial encounter
• T82525A Displacement of umbrella device, initial encounter
• T82528A Displacmnt of cardiac and vascular devices and implnt, init
• T82529A Displacmnt of unsp cardiac and vasc devices and implnt, init
• T82530A Leakage of surgically created arteriovenous fistula, init
• T82531A Leakage of surgically created arteriovenous shunt, init
• T82532A Leakage of artificial heart, initial encounter
• T82533A Leakage of balloon (counterpulsation) device, init encntr
• T82534A Leakage of infusion catheter, initial encounter
• T82535A Leakage of umbrella device, initial encounter
• T82538A Leakage of cardiac and vascular devices and implants, init
• T82539A Leakage of unsp cardiac and vasc devices and implnt, init
• T82590A Mech compl of surgically created arteriovenous fistula, init
• T82591A Mech compl of surgically created arteriovenous shunt, init
• T82592A Mech compl of artificial heart, initial encounter
• T82593A Mech compl of balloon (counterpulsation) device, init encntr
• T82594A Mech compl of infusion catheter, initial encounter
• T82595A Mech compl of umbrella device, initial encounter
• T82598A Mech compl of cardiac and vascular devices and implnt, init
• T82599A Mech compl of unsp cardiac and vasc devices and implnt, init
• T826XXA Infect/inflm reaction due to cardiac valve prosthesis, init
• T827XXA Infect/inflm react d/t oth cardi/vasc dev/implnt/grft, init
• T82817A Embolism due to cardiac prosth dev/grft, initial encounter
• T82818A Embolism due to vascular prosth dev/grft, initial encounter
• T82827A Fibrosis due to cardiac prosth dev/grft, initial encounter
• T82828A Fibrosis due to vascular prosth dev/grft, initial encounter
• T82837A Hemorrhage due to cardiac prosth dev/grft, initial encounter
• T82838A Hemorrhage due to vascular prosth dev/grft, init
• T82847A Pain due to cardiac prosth dev/grft, initial encounter
• T82848A Pain due to vascular prosth dev/grft, initial encounter
• T82855A Stenosis of coronary artery stent, initial encounter
• T82856A Stenosis of peripheral vascular stent, initial encounter
• T82857A Stenosis of other cardiac prosth dev/grft, initial encounter
• T82858A Stenosis of other vascular prosth dev/grft, init
• T82867A Thrombosis due to cardiac prosth dev/grft, initial encounter
• T82868A Thrombosis due to vascular prosth dev/grft, init
• T82897A Oth complication of cardiac prosth dev/grft, init
• T82898A Oth complication of vascular prosth dev/grft, init
• T829XXA Unsp comp of cardiac and vascular prosth dev/grft, init
• T8620 Unspecified complication of heart transplant
• T8621 Heart transplant rejection
• T8622 Heart transplant failure
• T8623 Heart transplant infection
• T86290 Cardiac allograft vasculopathy
• T86298 Other complications of heart transplant
• T8630 Unspecified complication of heart-lung transplant
• T8631 Heart-lung transplant rejection
• T8632 Heart-lung transplant failure
• T8633 Heart-lung transplant infection
• T8639 Other complications of heart-lung transplant
• Z45010 Encntr for checking and test of card pacemaker pulse gnrtr
• Z45018 Encounter for adjust and mgmt oth prt cardiac pacemaker
• Z4502 Encntr for adjust and mgmt of automatic implntbl card defib
• Z4509 Encounter for adjustment and management of cardiac device
• Z941 Heart transplant status
• Z943 Heart and lungs transplant status
• Z952 Presence of prosthetic heart valve
• Z953 Presence of xenogenic heart valve
• Z954 Presence of other heart-valve replacement
• Z95811 Presence of heart assist device
• Z95812 Presence of fully implantable artificial heart
• Z95820 Peripheral vascular angioplasty status w implants and grafts
• Z95828 Presence of other vascular implants and grafts