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    v1.0.28
    OpenPayerBilling CodesDiseases and Disorders of the Circulatory SystemDRG 282-acute-myocardial-infarction-discharged-alive-without-cc-mcc
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    Acute Myocardial Infarction: Inpatient Reimbursement Overview

    DRG 282 addresses acute myocardial infarction cases discharged alive without Complication or Comorbidity or Major Complication or Comorbidity; it defines a lower-severity inpatient cardiac admission. This classification matters for inpatient reimbursement because it differentiates payment levels based on clinical complexity and resource use under Medicare.

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    DRG 282 Overview

    DRG 282 covers acute myocardial infarction cases where the patient is discharged alive and there is no documented Complication or Comorbidity and no Major Complication or Comorbidity. It includes primary management of myocardial infarction without additional conditions that increase resource use. This grouping matters for Medicare payment because it identifies lower-severity inpatient stays that receive a distinct, typically lower, payment relative to more complex cardiac admissions. Accurate clinical documentation and coding determine eligibility for this Diagnosis-Related Group and thus affect hospital reimbursement.

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    Clinical Trials

    • Acute reperfusion and early hospital management studies: randomized or pragmatic trials evaluating timing, methods, and adjunctive strategies for restoring coronary perfusion in patients hospitalized with acute ST-elevation or high-risk non–ST-elevation myocardial infarction who are expected to be discharged alive without major complications. These studies focus on procedural timing, peri-procedural antithrombotic strategies, and in-hospital monitoring protocols for a generally lower-complexity MI cohort, and they are relevant because optimizing early inpatient care can shorten length of stay and reduce in-hospital resource use while preserving clinical outcomes. Providers and payers benefit from evidence that clarifies which acute management approaches safely enable earlier discharge and reduce downstream utilization.
    • Comparative effectiveness and risk-stratification studies during index hospitalization: observational cohort studies or randomized comparisons examining different secondary prevention initiation strategies, risk-stratification tools, or care pathways for patients with myocardial infarction without major comorbidities or complications (the DRG 282 population). Research may compare bundle-based inpatient discharge planning, early initiation of guideline-recommended therapies, or use of validated risk scores to guide intensity of monitoring and follow-up; the goal is identifying which approaches most reliably prevent readmission and recurrent events. This is important for clinicians and payers because improved inpatient decision-making and targeted use of resources can lower 30-day readmission rates and align care with value-based payment incentives.
    • Post-discharge transitional care and long-term outcomes studies: randomized or implementation science trials testing early outpatient follow-up models, cardiac rehabilitation referral/enrollment interventions, digital monitoring, or medication adherence programs specifically for patients discharged alive after uncomplicated MI. These studies evaluate whether structured post-discharge interventions reduce readmissions, improve functional status, and increase uptake of secondary prevention in a lower-acuity MI cohort, addressing the critical window after discharge when events and medication lapses occur. For providers and payers, evidence from this research guides investments in transitional care services that can improve outcomes while potentially lowering downstream costs associated with preventable readmissions and recurrent ischemic events.

    Related Codes

    209-COMPLEX-AORTIC-ARCH-PROCEDURES

    Complex Aortic Arch Procedures: Inpatient Reimbursement Overview

    212-CONCOMITANT-AORTIC-AND-MITRAL-VALVE-PROCEDURES

    Concomitant Aortic and Mitral Valve Procedures: Inpatient Reimbursement Overview

    213-ENDOVASCULAR-ABDOMINAL-AORTA-WITH-ILIAC-BRANCH-PROCEDURES

    Endovascular Abdominal Aorta with Iliac Branch Procedures: Inpatient Reimbursement Overview

    215-OTHER-HEART-ASSIST-SYSTEM-IMPLANT

    Other Heart Assist System Implant: Inpatient Reimbursement Overview

    216-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITH-CARDIAC-CATHETERIZATION-WITH-MCC

    Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC: Inpatient Reimbursement Overview

    217-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITH-CARDIAC-CATHETERIZATION-WITH-CC

    Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC: Inpatient Reimbursement Overview

    218-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITH-CARDIAC-CATHETERIZATION-WITHOUT-CC-MCC

    Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC: Inpatient Reimbursement Overview

    219-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITHOUT-CARDIAC-CATHETERIZATION-WITH-MCC

    Cardiac Valve and Other Major Cardiothoracic Procedures with MCC: Inpatient Reimbursement Overview

    220-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITHOUT-CARDIAC-CATHETERIZATION-WITH-CC

    Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC: Inpatient Reimbursement Overview

    221-CARDIAC-VALVE-AND-OTHER-MAJOR-CARDIOTHORACIC-PROCEDURES-WITHOUT-CARDIAC-CATHETERIZATION-WITHOUT-CC-MCC

    Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC: Inpatient Reimbursement Overview

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    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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