Summary & Overview
Cardiac Pacemaker Revision Except Device Replacement without CC/MCC: Inpatient Reimbursement Overview
DRG 262 encompasses inpatient admissions for cardiac pacemaker revision procedures excluding pulse generator replacements when no Major Complication or Comorbidity and no Complication or Comorbidity are present, covering lead and pocket revisions. This Diagnosis-Related Group is important for inpatient reimbursement because it defines the payment grouping used by the Centers for Medicare & Medicaid Services for these procedures and reflects expected resource intensity.
DRG 262 Overview
DRG 262 covers inpatient hospital admissions for cardiac pacemaker revision procedures except device replacement when no Major Complication or Comorbidity and no Complication or Comorbidity are present. It includes surgical adjustments, lead revisions, and related pocket revisions without replacement of the pulse generator and without significant additional diagnoses. This Diagnosis-Related Group matters for Centers for Medicare & Medicaid Services payment because it groups similar resource use and drives prospective payment for these specific inpatient encounters. Accurate coding and documentation determine assignment to this Diagnosis-Related Group and thus the associated Medicare reimbursement.