Kidney and Urinary Tract Infections without MCC
Major Diagnostic Category 11·Grouped by diagnosis·FY 2027
MS-DRG 690 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) without a significant Complication or Comorbidity. It maps to 39 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 0.8010 with a geometric mean length of stay of 2.8 days and an arithmetic mean of 3.4 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:
- 0.8010 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.8 days (used for transfer payments)
- Average stay:
- 3.4 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.
| DRG | Title | Relative weight | Mean stay |
|---|---|---|---|
| 689 | Kidney and Urinary Tract Infections with MCC | 1.1415 | 3.7 days |
| 690 | Kidney and Urinary Tract Infections without MCC (this page) | 0.8010 | 2.8 days |
Diagnosis codes (39)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 690. 100% of the codes listed are billable.
- A18.10Tuberculosis of genitourinary system, unspecified
- A18.11Tuberculosis of kidney and ureter
- A18.12Tuberculosis of bladder
- A18.13Tuberculosis of other urinary organs
- A36.85Diphtheritic cystitis
- A52.75Syphilis of kidney and ureter
- A54.01Gonococcal cystitis and urethritis, unspecified
- A56.11Chlamydial female pelvic inflammatory disease
- A56.19Other chlamydial genitourinary infection
- A98.5Hemorrhagic fever with renal syndrome
- B65.0Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]
- B90.1Sequelae of genitourinary tuberculosis
- N10Acute pyelonephritis
- N11.0Nonobstructive reflux-associated chronic pyelonephritis
- N11.8Other chronic tubulo-interstitial nephritis
- N11.9Chronic tubulo-interstitial nephritis, unspecified
- N12Tubulo-interstitial nephritis, not specified as acute or chronic
- N13.5Crossing vessel and stricture of ureter without hydronephrosis
- N13.6Pyonephrosis
- N15.1Renal and perinephric abscess
- N28.84Pyelitis cystica
- N28.85Pyeloureteritis cystica
- N28.86Ureteritis cystica
- N30.00Acute cystitis without hematuria
- N30.01Acute cystitis with hematuria
- N30.10Interstitial cystitis (chronic) without hematuria
- N30.11Interstitial cystitis (chronic) with hematuria
- N30.20Other chronic cystitis without hematuria
- N30.21Other chronic cystitis with hematuria
- N30.30Trigonitis without hematuria
- N30.31Trigonitis with hematuria
- N30.80Other cystitis without hematuria
- N30.81Other cystitis with hematuria
- N30.90Cystitis, unspecified without hematuria
- N30.91Cystitis, unspecified with hematuria
- N34.0Urethral abscess
- N34.2Other urethritis
- N34.3Urethral syndrome, unspecified
- N39.0Urinary tract infection, site not specified
