MS-DRG 258 — Cardiac Pacemaker Device Replacement with MCC
MDC 05 · Circulatory System · Surgical DRG · FY2026
| FY2026 relative weight | 3.1421 |
|---|---|
| Geometric mean LOS | 5.4 days |
| Arithmetic mean LOS | 7.2 days |
| Severity tier | with MCC |
| Post-acute transfer policy | No |
| Special payment provision | No |
Severity family — documentation moves the weight 1.55×
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 |
|---|---|---|---|
| 258 | Cardiac Pacemaker Device Replacement with MCC | 3.1421 | 5.4 |
| 259 | Cardiac Pacemaker Device Replacement without MCC | 2.0221 | 2.4 |
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.