DRG 650

Surgical DRG

Kidney Transplant with Hemodialysis with MCC

TypeSurgicalMDC11

What is MS-DRG 650?

MS-DRG 650 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) with a Major Complication or Comorbidity (MCC). For FY 2026 it carries a relative weight of 4.7014 with a geometric mean length of stay of 6.3 days and an arithmetic mean of 7.6 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Surgical DRG
Procedure-driven grouping
Linked Codes
0 diagnosis
9 procedure

FY 2026 Payment Data

Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).

Relative Weight
4.7014
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
6.3 days
Used for transfer payment calculations
Arithmetic Mean LOS
7.6 days
Average length of stay
Post-Acute Transfer
No
Not subject to the transfer policy

Related MS-DRGs in This Severity Group

The same clinical condition is split into separate DRGs by complication severity. MCC pays more than CC, which pays more than no CC/MCC.

DRGTitleRel. WeightGMLOS
650Kidney Transplant with Hemodialysis with MCCThis page4.70146.3 days
651Kidney Transplant with Hemodialysis without MCC3.70585.5 days

Linked ICD-10-PCS Procedure Mappings

  • 0TY00Z0

    Transplantation of Right Kidney, Allogeneic, Open Approach

    BillableSection 0
  • 0TY00Z1

    Transplantation of Right Kidney, Syngeneic, Open Approach

    BillableSection 0
  • 0TY00Z2

    Transplantation of Right Kidney, Zooplastic, Open Approach

    BillableSection 0
  • 0TY10Z0

    Transplantation of Left Kidney, Allogeneic, Open Approach

    BillableSection 0
  • 0TY10Z1

    Transplantation of Left Kidney, Syngeneic, Open Approach

    BillableSection 0
  • 0TY10Z2

    Transplantation of Left Kidney, Zooplastic, Open Approach

    BillableSection 0
  • 5A1D70Z

    Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day

    BillableSection 5
  • 5A1D80Z

    Performance of Urinary Filtration, Prolonged Intermittent, 6-18 hours Per Day

    BillableSection 5
  • 5A1D90Z

    Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day

    BillableSection 5