MCMedicalCodingSoftware
673

MS-DRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

DRGSurgicalMDC 11

MS-DRG 673 is other kidney and urinary tract procedures with mcc, in MDC 11 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 4.2525, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 10.00 days. 25 ICD-10-CM principal diagnoses group into MS-DRGs 673–675 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
4.2525
Geometric mean LOS
10.00
Arithmetic mean LOS
13.00
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 673–675

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 25 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 673–675 the case lands in. The 24 most-searched:

  • N17.9Acute kidney failure, unspecified
  • E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease
  • N18.6End stage renal disease
  • I12.0Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
  • N18.5Chronic kidney disease, stage 5
  • N19Unspecified kidney failure
  • E10.22Type 1 diabetes mellitus with diabetic chronic kidney disease
  • I13.11Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
  • N17.0Acute kidney failure with tubular necrosis
  • N17.8Other acute kidney failure
  • R34Anuria and oliguria
  • T86.19Other complication of kidney transplant
  • T86.11Kidney transplant rejection
  • T86.12Kidney transplant failure
  • E13.22Other specified diabetes mellitus with diabetic chronic kidney disease
  • N17.1Acute kidney failure with acute cortical necrosis
  • E09.22Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease
  • E88.3Tumor lysis syndrome
  • N17.2Acute kidney failure with medullary necrosis
  • T79.5XXATraumatic anuria, initial encounter
  • T82.41XABreakdown (mechanical) of vascular dialysis catheter, initial encounter
  • T82.42XADisplacement of vascular dialysis catheter, initial encounter
  • T82.43XALeakage of vascular dialysis catheter, initial encounter
  • T82.49XAOther complication of vascular dialysis catheter, initial encounter

1 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.

The severity splits

Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 673.

673OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC4.2525
674OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC2.2504-2.0021
675OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC1.5887-2.6638

Choosing the principal diagnosis: Type 2 diabetes ICD-10 codes, Chronic kidney disease (CKD) ICD-10 codes, Hypertension ICD-10 codes.

All FY2027 MS-DRGs · MDC 11

MS-DRG (IPPS Table 5)FY2027