DRG 686
Medical DRGKidney and Urinary Tract Neoplasms with MCC
What is MS-DRG 686?
MS-DRG 686 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 67 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.8037 with a geometric mean length of stay of 5.1 days and an arithmetic mean of 6.9 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
FY 2026 Payment Data
Official values from Table 5 of the FY 2026 IPPS Final Rule (CMS).
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.
Linked ICD-10-CM Diagnosis Mappings
- C64.1
Malignant neoplasm of right kidney, except renal pelvis
BillableChapter 2 - C64.2
Malignant neoplasm of left kidney, except renal pelvis
BillableChapter 2 - C64.9
Malignant neoplasm of unspecified kidney, except renal pelvis
BillableChapter 2 - C65.1
Malignant neoplasm of right renal pelvis
BillableChapter 2 - C65.2
Malignant neoplasm of left renal pelvis
BillableChapter 2 - C65.9
Malignant neoplasm of unspecified renal pelvis
BillableChapter 2 - C66.1
Malignant neoplasm of right ureter
BillableChapter 2 - C66.2
Malignant neoplasm of left ureter
BillableChapter 2 - C66.9
Malignant neoplasm of unspecified ureter
BillableChapter 2 - C67.0
Malignant neoplasm of trigone of bladder
BillableChapter 2 - C67.1
Malignant neoplasm of dome of bladder
BillableChapter 2 - C67.2
Malignant neoplasm of lateral wall of bladder
BillableChapter 2 - C67.3
Malignant neoplasm of anterior wall of bladder
BillableChapter 2 - C67.4
Malignant neoplasm of posterior wall of bladder
BillableChapter 2 - C67.5
Malignant neoplasm of bladder neck
BillableChapter 2 - C67.6
Malignant neoplasm of ureteric orifice
BillableChapter 2 - C67.7
Malignant neoplasm of urachus
BillableChapter 2 - C67.8
Malignant neoplasm of overlapping sites of bladder
BillableChapter 2 - C67.9
Malignant neoplasm of bladder, unspecified
BillableChapter 2 - C68.0
Malignant neoplasm of urethra
BillableChapter 2 - C68.1
Malignant neoplasm of paraurethral glands
BillableChapter 2 - C68.8
Malignant neoplasm of overlapping sites of urinary organs
BillableChapter 2 - C68.9
Malignant neoplasm of urinary organ, unspecified
BillableChapter 2 - C79.00
Secondary malignant neoplasm of unspecified kidney and renal pelvis
BillableChapter 2 - C79.01
Secondary malignant neoplasm of right kidney and renal pelvis
BillableChapter 2 - C79.02
Secondary malignant neoplasm of left kidney and renal pelvis
BillableChapter 2 - C79.10
Secondary malignant neoplasm of unspecified urinary organs
BillableChapter 2 - C79.11
Secondary malignant neoplasm of bladder
BillableChapter 2 - C79.19
Secondary malignant neoplasm of other urinary organs
BillableChapter 2 - C7A.093
Malignant carcinoid tumor of the kidney
BillableChapter 2 - D09.0
Carcinoma in situ of bladder
BillableChapter 2 - D09.10
Carcinoma in situ of unspecified urinary organ
BillableChapter 2 - D09.19
Carcinoma in situ of other urinary organs
BillableChapter 2 - D17.71
Benign lipomatous neoplasm of kidney
BillableChapter 2 - D17.72
Benign lipomatous neoplasm of other genitourinary organ
BillableChapter 2 - D30.00
Benign neoplasm of unspecified kidney
BillableChapter 2 - D30.01
Benign neoplasm of right kidney
BillableChapter 2 - D30.02
Benign neoplasm of left kidney
BillableChapter 2 - D30.10
Benign neoplasm of unspecified renal pelvis
BillableChapter 2 - D30.11
Benign neoplasm of right renal pelvis
BillableChapter 2 - D30.12
Benign neoplasm of left renal pelvis
BillableChapter 2 - D30.20
Benign neoplasm of unspecified ureter
BillableChapter 2 - D30.21
Benign neoplasm of right ureter
BillableChapter 2 - D30.22
Benign neoplasm of left ureter
BillableChapter 2 - D30.3
Benign neoplasm of bladder
BillableChapter 2 - D30.4
Benign neoplasm of urethra
BillableChapter 2 - D30.8
Benign neoplasm of other specified urinary organs
BillableChapter 2 - D30.9
Benign neoplasm of urinary organ, unspecified
BillableChapter 2 - D3A.093
Benign carcinoid tumor of the kidney
BillableChapter 2 - D41.00
Neoplasm of uncertain behavior of unspecified kidney
BillableChapter 2 - D41.01
Neoplasm of uncertain behavior of right kidney
BillableChapter 2 - D41.02
Neoplasm of uncertain behavior of left kidney
BillableChapter 2 - D41.10
Neoplasm of uncertain behavior of unspecified renal pelvis
BillableChapter 2 - D41.11
Neoplasm of uncertain behavior of right renal pelvis
BillableChapter 2 - D41.12
Neoplasm of uncertain behavior of left renal pelvis
BillableChapter 2 - D41.20
Neoplasm of uncertain behavior of unspecified ureter
BillableChapter 2 - D41.21
Neoplasm of uncertain behavior of right ureter
BillableChapter 2 - D41.22
Neoplasm of uncertain behavior of left ureter
BillableChapter 2 - D41.3
Neoplasm of uncertain behavior of urethra
BillableChapter 2 - D41.4
Neoplasm of uncertain behavior of bladder
BillableChapter 2 - D41.8
Neoplasm of uncertain behavior of other specified urinary organs
BillableChapter 2 - D41.9
Neoplasm of uncertain behavior of unspecified urinary organ
BillableChapter 2 - D49.4
Neoplasm of unspecified behavior of bladder
BillableChapter 2 - D49.511
Neoplasm of unspecified behavior of right kidney
BillableChapter 2 - D49.512
Neoplasm of unspecified behavior of left kidney
BillableChapter 2 - D49.519
Neoplasm of unspecified behavior of unspecified kidney
BillableChapter 2 - D49.59
Neoplasm of unspecified behavior of other genitourinary organ
BillableChapter 2