Kidney and Urinary Tract Signs and Symptoms without MCC
Major Diagnostic Category 11·Grouped by diagnosis·FY 2027
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 2027 it carries a relative weight of 0.6679 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.
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FY 2027 payment data
From Table 5 of the FY 2027 IPPS Final Rule (CMS).
- Relative weight:
- 0.6679 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 2.3 days (used for transfer payments)
- Average stay:
- 2.9 days (arithmetic mean)
- Post-acute transfer policy:
- No (not subject to it)
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 |
|---|---|---|---|
| 695 | Kidney and Urinary Tract Signs and Symptoms with MCC | 1.1139 | 3.5 days |
| 696 | Kidney and Urinary Tract Signs and Symptoms without MCC (this page) | 0.6679 | 2.3 days |
Diagnosis codes (81)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 696. 100% of the codes listed are billable.
- E72.540Dietary hyperoxaluria
- E72.541Enteric hyperoxaluria
- E72.548Other secondary hyperoxaluria
- E72.549Secondary hyperoxaluria, unspecified
- N39.3Stress incontinence (female) (male)
- N39.41Urge incontinence
- N39.42Incontinence without sensory awareness
- N39.43Post-void dribbling
- N39.44Nocturnal enuresis
- N39.45Continuous leakage
- N39.46Mixed incontinence
- N39.490Overflow incontinence
- N39.491Coital incontinence
- N39.492Postural (urinary) incontinence
- N39.498Other specified urinary incontinence
- R30.0Dysuria
- R30.1Vesical tenesmus
- R30.9Painful micturition, unspecified
- R31.0Gross hematuria
- R31.1Benign essential microscopic hematuria
- R31.21Asymptomatic microscopic hematuria
- R31.29Other microscopic hematuria
- R31.9Hematuria, unspecified
- R32Unspecified urinary incontinence
- R33.0Drug induced retention of urine
- R33.8Other retention of urine
- R33.9Retention of urine, unspecified
- R35.0Frequency of micturition
- R35.1Nocturia
- R35.81Nocturnal polyuria
- R35.89Other polyuria
- R36.0Urethral discharge without blood
- R36.9Urethral discharge, unspecified
- R39.0Extravasation of urine
- R39.11Hesitancy of micturition
- R39.12Poor urinary stream
- R39.13Splitting of urinary stream
- R39.14Feeling of incomplete bladder emptying
- R39.15Urgency of urination
- R39.16Straining to void
- R39.191Need to immediately re-void
- R39.192Position dependent micturition
- R39.198Other difficulties with micturition
- R39.2Extrarenal uremia
- R39.81Functional urinary incontinence
- R39.82Chronic bladder pain
- R39.83Unilateral non-palpable testicle
- R39.84Bilateral non-palpable testicles
- R39.851Costovertebral (angle) tenderness, right side
- R39.852Costovertebral (angle) tenderness, left side
- R39.853Costovertebral (angle) tenderness, bilateral
- R39.859Costovertebral (angle) tenderness, unspecified side
- R39.89Other symptoms and signs involving the genitourinary system
- R39.9Unspecified symptoms and signs involving the genitourinary system
- R80.0Isolated proteinuria
- R80.1Persistent proteinuria, unspecified
- R80.3Bence Jones proteinuria
- R80.8Other proteinuria
- R80.9Proteinuria, unspecified
- R82.0Chyluria
- R82.3Hemoglobinuria
- R82.5Elevated urine levels of drugs, medicaments and biological substances
- R82.6Abnormal urine levels of substances chiefly nonmedicinal as to source
- R82.71Bacteriuria
- R82.79Other abnormal findings on microbiological examination of urine
- R82.81Pyuria
- R82.89Other abnormal findings on cytological and histological examination of urine
- R82.90Unspecified abnormal findings in urine
- R82.91Other chromoabnormalities of urine
- R82.991Hypocitraturia
- R82.992Hyperoxaluria
- R82.993Hyperuricosuria
- R82.994Hypercalciuria
- R82.998Other abnormal findings in urine
- R93.41Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder
- R93.421Abnormal radiologic findings on diagnostic imaging of right kidney
- R93.422Abnormal radiologic findings on diagnostic imaging of left kidney
- R93.429Abnormal radiologic findings on diagnostic imaging of unspecified kidney
- R93.49Abnormal radiologic findings on diagnostic imaging of other urinary organs
- R94.4Abnormal results of kidney function studies
- R94.8Abnormal results of function studies of other organs and systems
