MS-DRG 242 — Permanent Cardiac Pacemaker Implant with MCC
MDC 05 · Circulatory System · Surgical DRG · FY2026
| FY2026 relative weight | 3.1928 |
|---|---|
| Geometric mean LOS | 4.8 days |
| Arithmetic mean LOS | 6.2 days |
| Severity tier | with MCC |
| Post-acute transfer policy | Yes — per-diem reduction applies to qualifying transfers |
| Special payment provision | No |
Severity family — documentation moves the weight 1.77×
The same base condition splits by coded severity (CC/MCC). Weight deltas here are exactly what one documented comorbidity is worth:
| DRG | Title | FY2026 weight | GMLOS |
|---|---|---|---|
| 242 | Permanent Cardiac Pacemaker Implant with MCC | 3.1928 | 4.8 |
| 243 | Permanent Cardiac Pacemaker Implant with CC | 2.1309 | 2.8 |
| 244 | Permanent Cardiac Pacemaker Implant without CC/MCC | 1.8075 | 2.1 |
Figures come from the official FY2026 IPPS tables and are payment inputs, not adjudicated amounts. DRG Calculator prices full claims — hospital-specific operating, capital, IME, DSH, uncompensated care and outlier math — and verifies results against the official pricer.