MS-DRG
MS-DRG 247: Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without MCC
Standard DES PCI
DRG
247
MDC
MDC 05: Circulatory System
Severity
without MCC
Relative weight
2.1543
Avg LOS
2.4 days
Typical indications
- PCI with DES
Common denial patterns
- Inpatient vs observation
Appeal angles
Document inpatient monitoring need.
Context: how MS-DRGs work
MS-DRGs bundle hospital inpatient payment into a single amount per admission. Each DRG has a relative weight that multiplies the hospital's base rate to determine payment. 247 has relative weight 2.1543. Major Complication or Comorbidity (MCC) and Complication or Comorbidity (CC) secondary diagnoses can move a case to a higher-paying DRG within the same family.
Frequently asked questions
What is MS-DRG 247?
Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without MCC. Standard DES PCI.
What are typical indications?
PCI with DES.
Why are claims under this DRG denied?
Inpatient vs observation.
How do I appeal?
Document inpatient monitoring need.
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