MS-DRG 651Surgical
Kidney Transplant with Hemodialysis without MCC
Major Diagnostic Category 11·Grouped by procedure·FY 2027
MS-DRG 651 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) without a significant Complication or Comorbidity. For FY 2027 it carries a relative weight of 3.7695 with a geometric mean length of stay of 5.2 days and an arithmetic mean of 5.8 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 3.7695 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 5.2 days (used for transfer payments)
- Average stay:
- 5.8 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
Same condition, other severity levels
CMS splits one condition into separate DRGs by how sick the patient is. With MCC pays more than with CC, which pays more than without CC/MCC.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 650 | Kidney Transplant with Hemodialysis with MCC | 4.6941 | 6.1 days |
| 651 | Kidney Transplant with Hemodialysis without MCC (this page) | 3.7695 | 5.2 days |
Procedure codes (12)
ICD-10-PCS procedures that can group a stay to DRG 651.
- 0TY00Z0Transplantation of Right Kidney, Allogeneic, Open Approach
- 0TY00Z1Transplantation of Right Kidney, Syngeneic, Open Approach
- 0TY00Z2Transplantation of Right Kidney, Zooplastic, Open Approach
- 0TY10Z0Transplantation of Left Kidney, Allogeneic, Open Approach
- 0TY10Z1Transplantation of Left Kidney, Syngeneic, Open Approach
- 0TY10Z2Transplantation of Left Kidney, Zooplastic, Open Approach
- 5A1D701Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day, Selective Cytopheresis
- 5A1D70ZPerformance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day
- 5A1D801Performance of Urinary Filtration, Prolonged Intermittent, 6-18 hours Per Day, Selective Cytopheresis
- 5A1D80ZPerformance of Urinary Filtration, Prolonged Intermittent, 6-18 hours Per Day
- 5A1D901Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day, Selective Cytopheresis
- 5A1D90ZPerformance of Urinary Filtration, Continuous, Greater than 18 hours Per Day