All ICD10 Codes

DRG 682

Medical DRG

Renal Failure with MCC

TypeMedicalMDC11Dx Codes12

What is MS-DRG 682?

MS-DRG 682 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) with a Major Complication or Comorbidity (MCC). It maps to 12 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.4810 with a geometric mean length of stay of 4.3 days and an arithmetic mean of 5.7 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
MDC
Major Diagnostic Category 11
Linked Codes
12 diagnosis
Billable Dx
100%
12 of 12 shown

FY 2026 Payment Data

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

Relative Weight
1.4810
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
4.3 days
Used for transfer payment calculations
Arithmetic Mean LOS
5.7 days
Average length of stay
Post-Acute Transfer
Yes
Subject to the post-acute care 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
682Renal Failure with MCCThis page1.48104.3 days
683Renal Failure with CC0.87583 days
684Renal Failure without CC/MCC0.60032.2 days

Linked ICD-10-CM Diagnosis Mappings

  • E88.3

    Tumor lysis syndrome

    BillableChapter 4
  • I11.9

    Hypertensive heart disease without heart failure

    BillableChapter 9
  • I12.9

    Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

    BillableChapter 9
  • I13.10

    Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

    BillableChapter 9
  • N17.0

    Acute kidney failure with tubular necrosis

    BillableChapter 14
  • N17.1

    Acute kidney failure with acute cortical necrosis

    BillableChapter 14
  • N17.2

    Acute kidney failure with medullary necrosis

    BillableChapter 14
  • N17.8

    Other acute kidney failure

    BillableChapter 14
  • N17.9

    Acute kidney failure, unspecified

    BillableChapter 14
  • N19

    Unspecified kidney failure

    BillableChapter 14
  • R34

    Anuria and oliguria

    BillableChapter 18
  • T79.5XXA

    Traumatic anuria, initial encounter

    BillableChapter 19