DRG 694

Medical DRG

Urinary Stones without MCC

TypeMedicalMDC11Dx Codes18

What is MS-DRG 694?

MS-DRG 694 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) without a significant Complication or Comorbidity. It maps to 18 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 0.7817 with a geometric mean length of stay of 2.1 days and an arithmetic mean of 2.7 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
18 diagnosis
Billable Dx
100%
18 of 18 shown

FY 2026 Payment Data

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

Relative Weight
0.7817
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.1 days
Used for transfer payment calculations
Arithmetic Mean LOS
2.7 days
Average length of stay
Post-Acute Transfer
No
Not subject to the 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
693Urinary Stones with MCC1.34453.7 days
694Urinary Stones without MCCThis page0.78172.1 days

Linked ICD-10-CM Diagnosis Mappings

  • N11.1

    Chronic obstructive pyelonephritis

    BillableChapter 14
  • N13.0

    Hydronephrosis with ureteropelvic junction obstruction

    BillableChapter 14
  • N13.1

    Hydronephrosis with ureteral stricture, not elsewhere classified

    BillableChapter 14
  • N13.2

    Hydronephrosis with renal and ureteral calculous obstruction

    BillableChapter 14
  • N13.30

    Unspecified hydronephrosis

    BillableChapter 14
  • N13.39

    Other hydronephrosis

    BillableChapter 14
  • N13.4

    Hydroureter

    BillableChapter 14
  • N13.8

    Other obstructive and reflux uropathy

    BillableChapter 14
  • N20.0

    Calculus of kidney

    BillableChapter 14
  • N20.1

    Calculus of ureter

    BillableChapter 14
  • N20.2

    Calculus of kidney with calculus of ureter

    BillableChapter 14
  • N20.9

    Urinary calculus, unspecified

    BillableChapter 14
  • N21.0

    Calculus in bladder

    BillableChapter 14
  • N21.1

    Calculus in urethra

    BillableChapter 14
  • N21.8

    Other lower urinary tract calculus

    BillableChapter 14
  • N21.9

    Calculus of lower urinary tract, unspecified

    BillableChapter 14
  • N22

    Calculus of urinary tract in diseases classified elsewhere

    BillableChapter 14
  • N23

    Unspecified renal colic

    BillableChapter 14