05

Diseases and Disorders of the Circulatory System

Surgical hierarchy

In the order the grouper applies them, highest first. A patient with several procedures is assigned to the highest surgical class one of them belongs to, so this ordering decides the DRG, not the order procedures appear on the claim.

1. 1 Complex Aortic Arch Procedures
   • 209 Complex Aortic Arch Procedures 11.5212
2. 2 Concomitant Aortic and Mitral Valve Procedures
   • 212 Concomitant Aortic and Mitral Valve Procedures 11.4404
3. 3 Other Heart Assist System Implant
   • 215 Other Heart Assist System Implant 10.1333
4. 4 Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization
   • 216 Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC 9.8832
   • 217 Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC 6.8061
   • 218 Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC 6.8061
5. 5 Coronary Bypass with PTCA
   • 231 Coronary Bypass with PTCA with MCC 8.7788
   • 232 Coronary Bypass with PTCA without MCC 6.2171
6. 6 Cardiac Defibrillator Implant with Cardiac Catheterization
   • 275 Cardiac Defibrillator Implant with Cardiac Catheterization and MCC 7.1548
7. 7 Concomitant Left Atrial Appendage Closure and Cardiac Ablation
   • 317 Concomitant Left Atrial Appendage Closure and Cardiac Ablation 7.0864
8. 8 Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
   • 219 Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC 7.6434
   • 220 Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC 5.5066
   • 221 Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC 4.7108
9. 9 Coronary Bypass with Cardiac Catheterization or Open Ablation
   • 233 Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC 8.0100
   • 234 Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC 5.5006
10. 10 Endovascular Abdominal Aorta with Iliac Branch Procedures
    • 213 Endovascular Abdominal Aorta with Iliac Branch Procedures 5.8483
11. 11 Cardiac Defibrillator Implant
    • 276 Cardiac Defibrillator Implant with MCC or Carotid Sinus Neurostimulator 6.2034
    • 277 Cardiac Defibrillator Implant without MCC 4.6889
12. 12 Endovascular Cardiac Valve Replacement and Supplement Procedures
    • 266 Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC 5.9309
    • 267 Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC 4.7227
13. 13 Aortic and Heart Assist Procedures Except Pulsation Balloon
    • 268 Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC 7.1688
    • 269 Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC 4.2601
14. 14 Coronary Bypass without Cardiac Catheterization
    • 235 Coronary Bypass without Cardiac Catheterization with MCC 5.8487
    • 236 Coronary Bypass without Cardiac Catheterization without MCC 4.3338
15. 15 AICD Generator Procedures
    • 245 AICD Generator Procedures 4.6482
16. 16 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
    • 278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC 6.3466
    • 279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC 4.1313
17. 17 Other Major Cardiovascular Procedures
    • 270 Other Major Cardiovascular Procedures with MCC 5.2678
    • 271 Other Major Cardiovascular Procedures with CC 3.5975
    • 272 Other Major Cardiovascular Procedures without CC/MCC 2.4862
18. 18 Other Cardiothoracic Procedures
    • 228 Other Cardiothoracic Procedures with MCC 4.9666
    • 229 Other Cardiothoracic Procedures without MCC 3.4406
19. 19 Coronary Intravascular Lithotripsy with Intraluminal Device
    • 323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC 4.4342
    • 324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC 3.1905
20. 20 Other Endovascular Cardiac Valve Procedures
    • 319 Other Endovascular Cardiac Valve Procedures with MCC 4.2591
    • 320 Other Endovascular Cardiac Valve Procedures without MCC 2.1648
21. 21 Amputation for Circulatory System Disorders Except Upper Limb and Toe
    • 239 Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC 5.0019
    • 240 Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC 2.9446
    • 241 Amputation for Circulatory System Disorders Except Upper Limb and Toe without CC/MCC 1.4829
22. 22 Percutaneous and Other Intracardiac Procedures
    • 273 Percutaneous and Other Intracardiac Procedures with MCC 4.2964
    • 274 Percutaneous and Other Intracardiac Procedures without MCC 3.3283
23. 23 Coronary Intravascular Lithotripsy without Intraluminal Device
    • 325 Coronary Intravascular Lithotripsy without Intraluminal Device 3.3369
24. 24 Vein Ligation and Stripping
    • 263 Vein Ligation and Stripping 3.2416
25. 25 AICD Lead Procedures
    • 265 AICD Lead Procedures 3.2564
26. 26 Other Vascular Procedures
    • 252 Other Vascular Procedures with MCC 3.4819
    • 253 Other Vascular Procedures with CC 2.6258
    • 254 Other Vascular Procedures without CC/MCC 1.7960
27. 27 Percutaneous Coronary Atherectomy with Intraluminal Device
    • 359 Percutaneous Coronary Atherectomy with Intraluminal Device with MCC 3.3769
    • 360 Percutaneous Coronary Atherectomy with Intraluminal Device without MCC 2.3395
28. 28 Percutaneous Coronary Atherectomy without Intraluminal Device
    • 318 Percutaneous Coronary Atherectomy without Intraluminal Device 2.6182
29. 29 Permanent Cardiac Pacemaker Implant
    • 242 Permanent Cardiac Pacemaker Implant with MCC 3.1236
    • 243 Permanent Cardiac Pacemaker Implant with CC 2.1079
    • 244 Permanent Cardiac Pacemaker Implant without CC/MCC 1.7638
30. 30 Cardiac Pacemaker Revision or Device Replacement
    • 210 Cardiac Pacemaker Revision or Device Replacement with MCC 3.2640
    • 211 Cardiac Pacemaker Revision or Device Replacement without MCC 1.8091
31. 31 Percutaneous Cardiovascular Procedures with Intraluminal Device
    • 321 Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices 2.7140
    • 322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC 1.7744
32. 32 Upper Limb and Toe Amputation for Circulatory System Disorders
    • 255 Upper Limb and Toe Amputation for Circulatory System Disorders with MCC 2.8292
    • 256 Upper Limb and Toe Amputation for Circulatory System Disorders with CC 1.6715
    • 257 Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC 1.0457
33. 33 Percutaneous Cardiovascular Procedures without Intraluminal Device
    • 250 Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC 2.3370
    • 251 Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC 1.6635
34. 34 Other Circulatory System O.R. Procedures
    • 361 Other Circulatory System O.R. Procedures with MCC 3.7576
    • 362 Other Circulatory System O.R. Procedures without MCC 2.1981

Medical DRGs

35 medical DRGs. The surgical hierarchy does not apply to these, so they are listed by number.

• 280 Acute Myocardial Infarction, Discharged Alive with MCC 1.6112
• 281 Acute Myocardial Infarction, Discharged Alive with CC 0.9184
• 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC 0.7378
• 283 Acute Myocardial Infarction, Expired with MCC 1.9619
• 284 Acute Myocardial Infarction, Expired with CC 0.7525
• 285 Acute Myocardial Infarction, Expired without CC/MCC 0.5390
• 286 Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC 2.2173
• 287 Circulatory Disorders Except AMI, with Cardiac Catheterization without MCC 1.0784
• 288 Acute and Subacute Endocarditis with MCC 2.6315
• 289 Acute and Subacute Endocarditis with CC 1.5362
• 290 Acute and Subacute Endocarditis without CC/MCC 0.8367
• 291 Heart Failure and Shock with MCC 1.2685
• 292 Heart Failure and Shock with CC 0.8616
• 293 Heart Failure and Shock without CC/MCC 0.5462
• 296 Cardiac Arrest, Unexplained with MCC 1.4991
• 297 Cardiac Arrest, Unexplained with CC 0.7776
• 298 Cardiac Arrest, Unexplained without CC/MCC 0.4946
• 299 Peripheral Vascular Disorders with MCC 1.5842
• 300 Peripheral Vascular Disorders with CC 1.0464
• 301 Peripheral Vascular Disorders without CC/MCC 0.7133
• 302 Atherosclerosis with MCC 1.1984
• 303 Atherosclerosis without MCC 0.6612
• 304 Hypertension with MCC 1.2011
• 305 Hypertension without MCC 0.7581
• 306 Cardiac Congenital and Valvular Disorders with MCC 1.5460
• 307 Cardiac Congenital and Valvular Disorders without MCC 0.9148
• 308 Cardiac Arrhythmia and Conduction Disorders with MCC 1.1806
• 309 Cardiac Arrhythmia and Conduction Disorders with CC 0.7316
• 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC 0.5680
• 311 Angina Pectoris 0.6684
• 312 Syncope and Collapse 0.8660
• 313 Chest Pain 0.7114
• 314 Other Circulatory System Diagnoses with MCC 2.0873
• 315 Other Circulatory System Diagnoses with CC 0.9508
• 316 Other Circulatory System Diagnoses without CC/MCC 0.6677