MS-DRG 259 — Cardiac Pacemaker Device Replacement without MCC

MDC 05 · Circulatory System · Surgical DRG · FY2026

FY2026 relative weight2.0221
Geometric mean LOS2.4 days
Arithmetic mean LOS2.8 days
Severity tierwithout MCC
Post-acute transfer policyNo
Special payment provisionNo

Price DRG 259 at a specific hospital →

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:

DRGTitleFY2026 weightGMLOS
258Cardiac Pacemaker Device Replacement with MCC3.14215.4
259Cardiac Pacemaker Device Replacement without MCC2.02212.4

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.