All ICD10 Codes

DRG 725

Medical DRG

Benign Prostatic Hypertrophy with MCC

TypeMedicalMDC12Dx Codes5

What is MS-DRG 725?

MS-DRG 725 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 12 (MDC 12) with a Major Complication or Comorbidity (MCC). It maps to 5 ICD-10-CM diagnosis codes. For FY 2026 it carries a relative weight of 1.1702 with a geometric mean length of stay of 3.8 days and an arithmetic mean of 4.9 days. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.

Classification
Medical DRG
Diagnosis-driven grouping
MDC
Major Diagnostic Category 12
Linked Codes
5 diagnosis
Billable Dx
100%
5 of 5 shown

FY 2026 Payment Data

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

Relative Weight
1.1702
Payment multiplier vs. average case (1.0)
Geometric Mean LOS
3.8 days
Used for transfer payment calculations
Arithmetic Mean LOS
4.9 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
725Benign Prostatic Hypertrophy with MCCThis page1.17023.8 days
726Benign Prostatic Hypertrophy without MCC0.72202.5 days

Linked ICD-10-CM Diagnosis Mappings

  • N40.0

    Benign prostatic hyperplasia without lower urinary tract symptoms

    BillableChapter 14
  • N40.1

    Benign prostatic hyperplasia with lower urinary tract symptoms

    BillableChapter 14
  • N40.2

    Nodular prostate without lower urinary tract symptoms

    BillableChapter 14
  • N40.3

    Nodular prostate with lower urinary tract symptoms

    BillableChapter 14
  • N42.83

    Cyst of prostate

    BillableChapter 14