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See a sample rate comparisonMS-DRG 260 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
| Key Fact | Detail |
|---|---|
| Service Type | Diseases & Disorders of the Circulatory System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
National average reimbursement for MS-DRG 260 by major payers:
$40,272.86
$42,296.77
$48,549.22
$53,098.82
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MS-DRG 260
5 of 25 sample ratesHigher to lower in this preview
Desert Regional Medical Center, Inc., Desert Regional Medical Center
$132,800.93Published rateThe Carle Foundation Hospital, Carle Foundation Rehab Unit
The Carle Foundation Hospital
$62,450.01Published rateMercy Hospital Fort Smith
$40,263.10Published rateChca Mainland, L.P., Mainland Medical Center
$24,350.00Published rateHouston County Community Hospital
$500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalMS-DRG 260 vs. Other Diseases & Disorders of the Circulatory System Codes
The MS-DRG 260 code is part of the Diseases & Disorders of the Circulatory System services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The MS-DRG 260 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 259-MS-DRG | High | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC |
| 260-MS-DRG | High | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC |
| 261-APR-DRG | High | MAJOR BILIARY TRACT PROCEDURES |
| 261-MS-DRG | High | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including MS-DRG 260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 260 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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