DRG 696

Medical DRG

Kidney and Urinary Tract Signs and Symptoms without MCC

TypeMedicalMDC11Dx Codes81

What is MS-DRG 696?

MS-DRG 696 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 11 (MDC 11) without a significant Complication or Comorbidity. It maps to 81 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 0.6890 with a geometric mean length of stay of 2.3 days and an arithmetic mean of 2.9 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
Linked Codes
81 diagnosis
Billable Dx
100%
81 of 81 shown

FY 2026 Payment Data

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

Relative Weight
0.6890
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
2.3 days
Used for transfer payment calculations
Arithmetic Mean LOS
2.9 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
695Kidney and Urinary Tract Signs and Symptoms with MCC1.14383.6 days
696Kidney and Urinary Tract Signs and Symptoms without MCCThis page0.68902.3 days

Linked ICD-10-CM Diagnosis Mappings

  • E72.540

    Dietary hyperoxaluria

    BillableChapter 4
  • E72.541

    Enteric hyperoxaluria

    BillableChapter 4
  • E72.548

    Other secondary hyperoxaluria

    BillableChapter 4
  • E72.549

    Secondary hyperoxaluria, unspecified

    BillableChapter 4
  • N39.3

    Stress incontinence (female) (male)

    BillableChapter 14
  • N39.41

    Urge incontinence

    BillableChapter 14
  • N39.42

    Incontinence without sensory awareness

    BillableChapter 14
  • N39.43

    Post-void dribbling

    BillableChapter 14
  • N39.44

    Nocturnal enuresis

    BillableChapter 14
  • N39.45

    Continuous leakage

    BillableChapter 14
  • N39.46

    Mixed incontinence

    BillableChapter 14
  • N39.490

    Overflow incontinence

    BillableChapter 14
  • N39.491

    Coital incontinence

    BillableChapter 14
  • N39.492

    Postural (urinary) incontinence

    BillableChapter 14
  • N39.498

    Other specified urinary incontinence

    BillableChapter 14
  • R30.0

    Dysuria

    BillableChapter 18
  • R30.1

    Vesical tenesmus

    BillableChapter 18
  • R30.9

    Painful micturition, unspecified

    BillableChapter 18
  • R31.0

    Gross hematuria

    BillableChapter 18
  • R31.1

    Benign essential microscopic hematuria

    BillableChapter 18
  • R31.21

    Asymptomatic microscopic hematuria

    BillableChapter 18
  • R31.29

    Other microscopic hematuria

    BillableChapter 18
  • R31.9

    Hematuria, unspecified

    BillableChapter 18
  • R32

    Unspecified urinary incontinence

    BillableChapter 18
  • R33.0

    Drug induced retention of urine

    BillableChapter 18
  • R33.8

    Other retention of urine

    BillableChapter 18
  • R33.9

    Retention of urine, unspecified

    BillableChapter 18
  • R35.0

    Frequency of micturition

    BillableChapter 18
  • R35.1

    Nocturia

    BillableChapter 18
  • R35.81

    Nocturnal polyuria

    BillableChapter 18
  • R35.89

    Other polyuria

    BillableChapter 18
  • R36.0

    Urethral discharge without blood

    BillableChapter 18
  • R36.9

    Urethral discharge, unspecified

    BillableChapter 18
  • R39.0

    Extravasation of urine

    BillableChapter 18
  • R39.11

    Hesitancy of micturition

    BillableChapter 18
  • R39.12

    Poor urinary stream

    BillableChapter 18
  • R39.13

    Splitting of urinary stream

    BillableChapter 18
  • R39.14

    Feeling of incomplete bladder emptying

    BillableChapter 18
  • R39.15

    Urgency of urination

    BillableChapter 18
  • R39.16

    Straining to void

    BillableChapter 18
  • R39.191

    Need to immediately re-void

    BillableChapter 18
  • R39.192

    Position dependent micturition

    BillableChapter 18
  • R39.198

    Other difficulties with micturition

    BillableChapter 18
  • R39.2

    Extrarenal uremia

    BillableChapter 18
  • R39.81

    Functional urinary incontinence

    BillableChapter 18
  • R39.82

    Chronic bladder pain

    BillableChapter 18
  • R39.83

    Unilateral non-palpable testicle

    BillableChapter 18
  • R39.84

    Bilateral non-palpable testicles

    BillableChapter 18
  • R39.851

    Costovertebral (angle) tenderness, right side

    BillableChapter 18
  • R39.852

    Costovertebral (angle) tenderness, left side

    BillableChapter 18
  • R39.853

    Costovertebral (angle) tenderness, bilateral

    BillableChapter 18
  • R39.859

    Costovertebral (angle) tenderness, unspecified side

    BillableChapter 18
  • R39.89

    Other symptoms and signs involving the genitourinary system

    BillableChapter 18
  • R39.9

    Unspecified symptoms and signs involving the genitourinary system

    BillableChapter 18
  • R80.0

    Isolated proteinuria

    BillableChapter 18
  • R80.1

    Persistent proteinuria, unspecified

    BillableChapter 18
  • R80.3

    Bence Jones proteinuria

    BillableChapter 18
  • R80.8

    Other proteinuria

    BillableChapter 18
  • R80.9

    Proteinuria, unspecified

    BillableChapter 18
  • R82.0

    Chyluria

    BillableChapter 18
  • R82.3

    Hemoglobinuria

    BillableChapter 18
  • R82.5

    Elevated urine levels of drugs, medicaments and biological substances

    BillableChapter 18
  • R82.6

    Abnormal urine levels of substances chiefly nonmedicinal as to source

    BillableChapter 18
  • R82.71

    Bacteriuria

    BillableChapter 18
  • R82.79

    Other abnormal findings on microbiological examination of urine

    BillableChapter 18
  • R82.81

    Pyuria

    BillableChapter 18
  • R82.89

    Other abnormal findings on cytological and histological examination of urine

    BillableChapter 18
  • R82.90

    Unspecified abnormal findings in urine

    BillableChapter 18
  • R82.91

    Other chromoabnormalities of urine

    BillableChapter 18
  • R82.991

    Hypocitraturia

    BillableChapter 18
  • R82.992

    Hyperoxaluria

    BillableChapter 18
  • R82.993

    Hyperuricosuria

    BillableChapter 18
  • R82.994

    Hypercalciuria

    BillableChapter 18
  • R82.998

    Other abnormal findings in urine

    BillableChapter 18
  • R93.41

    Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder

    BillableChapter 18
  • R93.421

    Abnormal radiologic findings on diagnostic imaging of right kidney

    BillableChapter 18
  • R93.422

    Abnormal radiologic findings on diagnostic imaging of left kidney

    BillableChapter 18
  • R93.429

    Abnormal radiologic findings on diagnostic imaging of unspecified kidney

    BillableChapter 18
  • R93.49

    Abnormal radiologic findings on diagnostic imaging of other urinary organs

    BillableChapter 18
  • R94.4

    Abnormal results of kidney function studies

    BillableChapter 18
  • R94.8

    Abnormal results of function studies of other organs and systems

    BillableChapter 18