MS-DRG 659Surgical
Kidney and Ureter Procedures for Non-Neoplasm with MCC
Major Diagnostic Category 11·Grouped by procedure·FY 2027
MS-DRG 659 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) with a Major Complication or Comorbidity (MCC). For FY 2027 it carries a relative weight of 2.4399 with a geometric mean length of stay of 5.4 days and an arithmetic mean of 7.3 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:
- 2.4399 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 5.4 days (used for transfer payments)
- Average stay:
- 7.3 days (arithmetic mean)
- Post-acute transfer policy:
- Yes (early transfers can be paid less)
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.
Procedure codes (167)
ICD-10-PCS procedures that can group a stay to DRG 659.
- 0410093Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach
- 0410094Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach
- 0410095Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach
- 04100A3Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach
- 04100A4Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach
- 04100A5Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach
- 04100J1Bypass Abdominal Aorta to Celiac Artery with Synthetic Substitute, Open Approach
- 04100J2Bypass Abdominal Aorta to Mesenteric Artery with Synthetic Substitute, Open Approach
- 04100J3Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach
- 04100J4Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach
- 04100J5Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach
- 04100K3Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04100K4Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04100K5Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04100Z1Bypass Abdominal Aorta to Celiac Artery, Open Approach
- 04100Z2Bypass Abdominal Aorta to Mesenteric Artery, Open Approach
- 04100Z3Bypass Abdominal Aorta to Right Renal Artery, Open Approach
- 04100Z4Bypass Abdominal Aorta to Left Renal Artery, Open Approach
- 04100Z5Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach
- 0410493Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 0410494Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 0410495Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 04104A3Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04104A4Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04104A5Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04104J3Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04104J4Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04104J5Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04104K3Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04104K4Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04104K5Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04104Z3Bypass Abdominal Aorta to Right Renal Artery, Percutaneous Endoscopic Approach
- 04104Z4Bypass Abdominal Aorta to Left Renal Artery, Percutaneous Endoscopic Approach
- 04104Z5Bypass Abdominal Aorta to Bilateral Renal Artery, Percutaneous Endoscopic Approach
- 0413093Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach
- 0413094Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach
- 0413095Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach
- 04130A3Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach
- 04130A4Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach
- 04130A5Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach
- 04130J3Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Open Approach
- 04130J4Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach
- 04130J5Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach
- 04130K3Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04130K4Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04130K5Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach
- 04130Z3Bypass Hepatic Artery to Right Renal Artery, Open Approach
- 04130Z4Bypass Hepatic Artery to Left Renal Artery, Open Approach
- 04130Z5Bypass Hepatic Artery to Bilateral Renal Artery, Open Approach
- 0413493Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 0413494Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 0413495Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
- 04134A3Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04134A4Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04134A5Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
- 04134J3Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04134J4Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04134J5Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 04134K3Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04134K4Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04134K5Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 04134Z3Bypass Hepatic Artery to Right Renal Artery, Percutaneous Endoscopic Approach
- 04134Z4Bypass Hepatic Artery to Left Renal Artery, Percutaneous Endoscopic Approach
- 04134Z5Bypass Hepatic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach
- 041C0J3Bypass Right Common Iliac Artery to Right Renal Artery with Synthetic Substitute, Open Approach
- 041C0J4Bypass Right Common Iliac Artery to Left Renal Artery with Synthetic Substitute, Open Approach
- 041C0J5Bypass Right Common Iliac Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach
- 041C0Z3Bypass Right Common Iliac Artery to Right Renal Artery, Open Approach
- 041C0Z4Bypass Right Common Iliac Artery to Left Renal Artery, Open Approach
- 041C0Z5Bypass Right Common Iliac Artery to Bilateral Renal Artery, Open Approach
- 041C4J3Bypass Right Common Iliac Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 041C4J4Bypass Right Common Iliac Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 041C4J5Bypass Right Common Iliac Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 041C4Z3Bypass Right Common Iliac Artery to Right Renal Artery, Percutaneous Endoscopic Approach
- 041C4Z4Bypass Right Common Iliac Artery to Left Renal Artery, Percutaneous Endoscopic Approach
- 041C4Z5Bypass Right Common Iliac Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach
- 041D0J3Bypass Left Common Iliac Artery to Right Renal Artery with Synthetic Substitute, Open Approach
- 041D0J4Bypass Left Common Iliac Artery to Left Renal Artery with Synthetic Substitute, Open Approach
- 041D0J5Bypass Left Common Iliac Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach
- 041D0Z3Bypass Left Common Iliac Artery to Right Renal Artery, Open Approach
- 041D0Z4Bypass Left Common Iliac Artery to Left Renal Artery, Open Approach
- 041D0Z5Bypass Left Common Iliac Artery to Bilateral Renal Artery, Open Approach
- 041D4J3Bypass Left Common Iliac Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 041D4J4Bypass Left Common Iliac Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 041D4J5Bypass Left Common Iliac Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
- 041D4Z3Bypass Left Common Iliac Artery to Right Renal Artery, Percutaneous Endoscopic Approach
- 041D4Z4Bypass Left Common Iliac Artery to Left Renal Artery, Percutaneous Endoscopic Approach
- 041D4Z5Bypass Left Common Iliac Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach
- 04S90ZZReposition Right Renal Artery, Open Approach
- 04S93ZZReposition Right Renal Artery, Percutaneous Approach
- 04S94ZZReposition Right Renal Artery, Percutaneous Endoscopic Approach
- 04SA0ZZReposition Left Renal Artery, Open Approach
- 04SA3ZZReposition Left Renal Artery, Percutaneous Approach
- 04SA4ZZReposition Left Renal Artery, Percutaneous Endoscopic Approach
- 06S90ZZReposition Right Renal Vein, Open Approach
- 06S93ZZReposition Right Renal Vein, Percutaneous Approach
- 06S94ZZReposition Right Renal Vein, Percutaneous Endoscopic Approach
- 06SB0ZZReposition Left Renal Vein, Open Approach
- 06SB3ZZReposition Left Renal Vein, Percutaneous Approach
- 06SB4ZZReposition Left Renal Vein, Percutaneous Endoscopic Approach
- 07T80ZZResection of Right Internal Mammary Lymphatic, Open Approach
- 07T84ZZResection of Right Internal Mammary Lymphatic, Percutaneous Endoscopic Approach
- 07T90ZZResection of Left Internal Mammary Lymphatic, Open Approach
- 07T94ZZResection of Left Internal Mammary Lymphatic, Percutaneous Endoscopic Approach
- 07TC0ZZResection of Pelvis Lymphatic, Open Approach
- 07TC4ZZResection of Pelvis Lymphatic, Percutaneous Endoscopic Approach
- 07TD0ZZResection of Aortic Lymphatic, Open Approach
- 07TD4ZZResection of Aortic Lymphatic, Percutaneous Endoscopic Approach
- 07TH0ZZResection of Right Inguinal Lymphatic, Open Approach
- 07TH4ZZResection of Right Inguinal Lymphatic, Percutaneous Endoscopic Approach
- 07TJ0ZZResection of Left Inguinal Lymphatic, Open Approach
- 07TJ4ZZResection of Left Inguinal Lymphatic, Percutaneous Endoscopic Approach
- 0DX80ZBTransfer Small Intestine to Bladder, Open Approach
- 0DX84ZBTransfer Small Intestine to Bladder, Percutaneous Endoscopic Approach
- 0SWW4JZRevision of Synthetic Substitute in Left Knee Joint, Tibial Surface, Percutaneous Endoscopic Approach
- 0T1B4ZDBypass Bladder to Cutaneous, Percutaneous Endoscopic Approach
- 0T5C8ZZDestruction of Bladder Neck, Via Natural or Artificial Opening Endoscopic
- 0T768DZDilation of Right Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0T778DZDilation of Left Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0T788DZDilation of Bilateral Ureters with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
- 0T7D4ZZDilation of Urethra, Percutaneous Endoscopic Approach
- 0T8C4ZZDivision of Bladder Neck, Percutaneous Endoscopic Approach
- 0T900ZXDrainage of Right Kidney, Open Approach, Diagnostic
- 0T910ZXDrainage of Left Kidney, Open Approach, Diagnostic
- 0T930ZXDrainage of Right Kidney Pelvis, Open Approach, Diagnostic
- 0T940ZXDrainage of Left Kidney Pelvis, Open Approach, Diagnostic
- 0T9680ZDrainage of Right Ureter with Drainage Device, Via Natural or Artificial Opening Endoscopic
- 0T9780ZDrainage of Left Ureter with Drainage Device, Via Natural or Artificial Opening Endoscopic
- 0T9880ZDrainage of Bilateral Ureters with Drainage Device, Via Natural or Artificial Opening Endoscopic
- 0TB00ZXExcision of Right Kidney, Open Approach, Diagnostic
- 0TB10ZXExcision of Left Kidney, Open Approach, Diagnostic
- 0TB30ZXExcision of Right Kidney Pelvis, Open Approach, Diagnostic
- 0TB40ZXExcision of Left Kidney Pelvis, Open Approach, Diagnostic
- 0TBDXZZExcision of Urethra, External Approach
- 0TC37ZZExtirpation of Matter from Right Kidney Pelvis, Via Natural or Artificial Opening
- 0TC47ZZExtirpation of Matter from Left Kidney Pelvis, Via Natural or Artificial Opening
- 0TC67ZZExtirpation of Matter from Right Ureter, Via Natural or Artificial Opening
- 0TCD4ZZExtirpation of Matter from Urethra, Percutaneous Endoscopic Approach
- 0THDXLZInsertion of Artificial Sphincter into Urethra, External Approach
- 0TJD0ZZInspection of Urethra, Open Approach
- 0TLDXZZOcclusion of Urethra, External Approach
- 0TMD4ZZReattachment of Urethra, Percutaneous Endoscopic Approach
- 0TNDXZZRelease Urethra, External Approach
- 0TPDXLZRemoval of Artificial Sphincter from Urethra, External Approach
- 0TQ60ZZRepair Right Ureter, Open Approach
- 0TQ63ZZRepair Right Ureter, Percutaneous Approach
- 0TQ64ZZRepair Right Ureter, Percutaneous Endoscopic Approach
- 0TQ67ZZRepair Right Ureter, Via Natural or Artificial Opening
- 0TQ68ZZRepair Right Ureter, Via Natural or Artificial Opening Endoscopic
- 0TQ70ZZRepair Left Ureter, Open Approach
- 0TQ73ZZRepair Left Ureter, Percutaneous Approach
- 0TQ74ZZRepair Left Ureter, Percutaneous Endoscopic Approach
- 0TQ77ZZRepair Left Ureter, Via Natural or Artificial Opening
- 0TQ78ZZRepair Left Ureter, Via Natural or Artificial Opening Endoscopic
- 0TQDXZZRepair Urethra, External Approach
- 0TRDXKZReplacement of Urethra with Nonautologous Tissue Substitute, External Approach
- 0TSD4ZZReposition Urethra, Percutaneous Endoscopic Approach
- 0TTC8ZZResection of Bladder Neck, Via Natural or Artificial Opening Endoscopic
- 0TUDXKZSupplement Urethra with Nonautologous Tissue Substitute, External Approach
- 0TVDXZZRestriction of Urethra, External Approach
- 0TWD8LZRevision of Artificial Sphincter in Urethra, Via Natural or Artificial Opening Endoscopic
- 0WBH0ZZExcision of Retroperitoneum, Open Approach
- 0WBH3ZZExcision of Retroperitoneum, Percutaneous Approach
- 0WBH4ZZExcision of Retroperitoneum, Percutaneous Endoscopic Approach
- 0WQF0ZZRepair Abdominal Wall, Open Approach
- 0WQF3ZZRepair Abdominal Wall, Percutaneous Approach
- 0WQF4ZZRepair Abdominal Wall, Percutaneous Endoscopic Approach