Kidney and Ureter Procedures for Neoplasm without CC/MCC
Major Diagnostic Category 11·Grouped by procedure·FY 2027
MS-DRG 658 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) without a significant Complication or Comorbidity. It maps to 67 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.5380 with a geometric mean length of stay of 1.5 days and an arithmetic mean of 1.7 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:
- 1.5380 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 1.5 days (used for transfer payments)
- Average stay:
- 1.7 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.
Diagnosis codes (67)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 658. 100% of the codes listed are billable.
- C64.1Malignant neoplasm of right kidney, except renal pelvis
- C64.2Malignant neoplasm of left kidney, except renal pelvis
- C64.9Malignant neoplasm of unspecified kidney, except renal pelvis
- C65.1Malignant neoplasm of right renal pelvis
- C65.2Malignant neoplasm of left renal pelvis
- C65.9Malignant neoplasm of unspecified renal pelvis
- C66.1Malignant neoplasm of right ureter
- C66.2Malignant neoplasm of left ureter
- C66.9Malignant neoplasm of unspecified ureter
- C67.0Malignant neoplasm of trigone of bladder
- C67.1Malignant neoplasm of dome of bladder
- C67.2Malignant neoplasm of lateral wall of bladder
- C67.3Malignant neoplasm of anterior wall of bladder
- C67.4Malignant neoplasm of posterior wall of bladder
- C67.5Malignant neoplasm of bladder neck
- C67.6Malignant neoplasm of ureteric orifice
- C67.7Malignant neoplasm of urachus
- C67.8Malignant neoplasm of overlapping sites of bladder
- C67.9Malignant neoplasm of bladder, unspecified
- C68.0Malignant neoplasm of urethra
- C68.1Malignant neoplasm of paraurethral glands
- C68.8Malignant neoplasm of overlapping sites of urinary organs
- C68.9Malignant neoplasm of urinary organ, unspecified
- C79.00Secondary malignant neoplasm of unspecified kidney and renal pelvis
- C79.01Secondary malignant neoplasm of right kidney and renal pelvis
- C79.02Secondary malignant neoplasm of left kidney and renal pelvis
- C79.10Secondary malignant neoplasm of unspecified urinary organs
- C79.11Secondary malignant neoplasm of bladder
- C79.19Secondary malignant neoplasm of other urinary organs
- C7A.093Malignant carcinoid tumor of the kidney
- D09.0Carcinoma in situ of bladder
- D09.10Carcinoma in situ of unspecified urinary organ
- D09.19Carcinoma in situ of other urinary organs
- D17.71Benign lipomatous neoplasm of kidney
- D17.72Benign lipomatous neoplasm of other genitourinary organ
- D30.00Benign neoplasm of unspecified kidney
- D30.01Benign neoplasm of right kidney
- D30.02Benign neoplasm of left kidney
- D30.10Benign neoplasm of unspecified renal pelvis
- D30.11Benign neoplasm of right renal pelvis
- D30.12Benign neoplasm of left renal pelvis
- D30.20Benign neoplasm of unspecified ureter
- D30.21Benign neoplasm of right ureter
- D30.22Benign neoplasm of left ureter
- D30.3Benign neoplasm of bladder
- D30.4Benign neoplasm of urethra
- D30.8Benign neoplasm of other specified urinary organs
- D30.9Benign neoplasm of urinary organ, unspecified
- D3A.093Benign carcinoid tumor of the kidney
- D41.00Neoplasm of uncertain behavior of unspecified kidney
- D41.01Neoplasm of uncertain behavior of right kidney
- D41.02Neoplasm of uncertain behavior of left kidney
- D41.10Neoplasm of uncertain behavior of unspecified renal pelvis
- D41.11Neoplasm of uncertain behavior of right renal pelvis
- D41.12Neoplasm of uncertain behavior of left renal pelvis
- D41.20Neoplasm of uncertain behavior of unspecified ureter
- D41.21Neoplasm of uncertain behavior of right ureter
- D41.22Neoplasm of uncertain behavior of left ureter
- D41.3Neoplasm of uncertain behavior of urethra
- D41.4Neoplasm of uncertain behavior of bladder
- D41.8Neoplasm of uncertain behavior of other specified urinary organs
- D41.9Neoplasm of uncertain behavior of unspecified urinary organ
- D49.4Neoplasm of unspecified behavior of bladder
- D49.511Neoplasm of unspecified behavior of right kidney
- D49.512Neoplasm of unspecified behavior of left kidney
- D49.519Neoplasm of unspecified behavior of unspecified kidney
- D49.59Neoplasm of unspecified behavior of other genitourinary organ
