DRG 689
Medical DRGKidney and Urinary Tract Infections with MCC
What is MS-DRG 689?
MS-DRG 689 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 39 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.1603 with a geometric mean length of stay of 3.8 days and an arithmetic mean of 4.9 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.
| DRG | Title | Rel. Weight | GMLOS |
|---|---|---|---|
| 689 | Kidney and Urinary Tract Infections with MCCThis page | 1.1603 | 3.8 days |
| 690 | Kidney and Urinary Tract Infections without MCC | 0.8095 | 2.8 days |
Linked ICD-10-CM Diagnosis Mappings
- A18.10
Tuberculosis of genitourinary system, unspecified
BillableChapter 1 - A18.11
Tuberculosis of kidney and ureter
BillableChapter 1 - A18.12
Tuberculosis of bladder
BillableChapter 1 - A18.13
Tuberculosis of other urinary organs
BillableChapter 1 - A36.85
Diphtheritic cystitis
BillableChapter 1 - A52.75
Syphilis of kidney and ureter
BillableChapter 1 - A54.01
Gonococcal cystitis and urethritis, unspecified
BillableChapter 1 - A56.11
Chlamydial female pelvic inflammatory disease
BillableChapter 1 - A56.19
Other chlamydial genitourinary infection
BillableChapter 1 - A98.5
Hemorrhagic fever with renal syndrome
BillableChapter 1 - B65.0
Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]
BillableChapter 1 - B90.1
Sequelae of genitourinary tuberculosis
BillableChapter 1 - N10
Acute pyelonephritis
BillableChapter 14 - N11.0
Nonobstructive reflux-associated chronic pyelonephritis
BillableChapter 14 - N11.8
Other chronic tubulo-interstitial nephritis
BillableChapter 14 - N11.9
Chronic tubulo-interstitial nephritis, unspecified
BillableChapter 14 - N12
Tubulo-interstitial nephritis, not specified as acute or chronic
BillableChapter 14 - N13.5
Crossing vessel and stricture of ureter without hydronephrosis
BillableChapter 14 - N13.6
Pyonephrosis
BillableChapter 14 - N15.1
Renal and perinephric abscess
BillableChapter 14 - N28.84
Pyelitis cystica
BillableChapter 14 - N28.85
Pyeloureteritis cystica
BillableChapter 14 - N28.86
Ureteritis cystica
BillableChapter 14 - N30.00
Acute cystitis without hematuria
BillableChapter 14 - N30.01
Acute cystitis with hematuria
BillableChapter 14 - N30.10
Interstitial cystitis (chronic) without hematuria
BillableChapter 14 - N30.11
Interstitial cystitis (chronic) with hematuria
BillableChapter 14 - N30.20
Other chronic cystitis without hematuria
BillableChapter 14 - N30.21
Other chronic cystitis with hematuria
BillableChapter 14 - N30.30
Trigonitis without hematuria
BillableChapter 14 - N30.31
Trigonitis with hematuria
BillableChapter 14 - N30.80
Other cystitis without hematuria
BillableChapter 14 - N30.81
Other cystitis with hematuria
BillableChapter 14 - N30.90
Cystitis, unspecified without hematuria
BillableChapter 14 - N30.91
Cystitis, unspecified with hematuria
BillableChapter 14 - N34.0
Urethral abscess
BillableChapter 14 - N34.2
Other urethritis
BillableChapter 14 - N34.3
Urethral syndrome, unspecified
BillableChapter 14 - N39.0
Urinary tract infection, site not specified
BillableChapter 14