Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC
Major Diagnostic Category 12·Grouped by procedure·FY 2027
MS-DRG 716 is a Surgical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 12 (MDC 12) without a significant Complication or Comorbidity. It maps to 38 ICD-10-CM diagnosis codes. For FY 2027 it carries a relative weight of 1.4619 with a geometric mean length of stay of 1.3 days and an arithmetic mean of 1.5 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:
- 1.4619 (payment multiplier vs. the average case (1.0))
- Geometric mean stay:
- 1.3 days (used for transfer payments)
- Average stay:
- 1.5 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 |
|---|---|---|---|
| 715 | Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC | 2.2906 | 3 days |
| 716 | Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC (this page) | 1.4619 | 1.3 days |
Diagnosis codes (38)
As the principal diagnosis, these ICD-10-CM codes can group to DRG 716. 100% of the codes listed are billable.
- C60.0Malignant neoplasm of prepuce
- C60.1Malignant neoplasm of glans penis
- C60.2Malignant neoplasm of body of penis
- C60.8Malignant neoplasm of overlapping sites of penis
- C60.9Malignant neoplasm of penis, unspecified
- C61Malignant neoplasm of prostate
- C62.00Malignant neoplasm of unspecified undescended testis
- C62.01Malignant neoplasm of undescended right testis
- C62.02Malignant neoplasm of undescended left testis
- C62.10Malignant neoplasm of unspecified descended testis
- C62.11Malignant neoplasm of descended right testis
- C62.12Malignant neoplasm of descended left testis
- C62.90Malignant neoplasm of unspecified testis, unspecified whether descended or undescended
- C62.91Malignant neoplasm of right testis, unspecified whether descended or undescended
- C62.92Malignant neoplasm of left testis, unspecified whether descended or undescended
- C63.00Malignant neoplasm of unspecified epididymis
- C63.01Malignant neoplasm of right epididymis
- C63.02Malignant neoplasm of left epididymis
- C63.10Malignant neoplasm of unspecified spermatic cord
- C63.11Malignant neoplasm of right spermatic cord
- C63.12Malignant neoplasm of left spermatic cord
- C63.2Malignant neoplasm of scrotum
- C63.7Malignant neoplasm of other specified male genital organs
- C63.8Malignant neoplasm of overlapping sites of male genital organs
- C63.9Malignant neoplasm of male genital organ, unspecified
- C76.3Malignant neoplasm of pelvis
- C79.82Secondary malignant neoplasm of genital organs
- D07.4Carcinoma in situ of penis
- D07.5Carcinoma in situ of prostate
- D07.60Carcinoma in situ of unspecified male genital organs
- D07.61Carcinoma in situ of scrotum
- D07.69Carcinoma in situ of other male genital organs
- D40.0Neoplasm of uncertain behavior of prostate
- D40.10Neoplasm of uncertain behavior of unspecified testis
- D40.11Neoplasm of uncertain behavior of right testis
- D40.12Neoplasm of uncertain behavior of left testis
- D40.8Neoplasm of uncertain behavior of other specified male genital organs
- D40.9Neoplasm of uncertain behavior of male genital organ, unspecified
