MS-DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
MS-DRG 690 is kidney and urinary tract infections without mcc, in MDC 11 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.8010, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.80 days. 39 ICD-10-CM principal diagnoses group into MS-DRGs 689–690 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 0.8010
- Geometric mean LOS
- 2.80
- Arithmetic mean LOS
- 3.40
- Post-acute transfer
- Yes
This DRG is subject to the post-acute care transfer policy: a discharge to a qualifying setting below the mean length of stay is paid per diem rather than in full.
Principal diagnoses that group to MS-DRGs 689–690
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 39 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 689–690 the case lands in. The 24 most-searched:
- N39.0Urinary tract infection, site not specified
- N10Acute pyelonephritis
- N12Tubulo-interstitial nephritis, not specified as acute or chronic
- N30.00Acute cystitis without hematuria
- N13.6Pyonephrosis
- N30.01Acute cystitis with hematuria
- N30.90Cystitis, unspecified without hematuria
- N30.10Interstitial cystitis (chronic) without hematuria
- N13.5Crossing vessel and stricture of ureter without hydronephrosis
- N30.20Other chronic cystitis without hematuria
- N11.9Chronic tubulo-interstitial nephritis, unspecified
- B65.0Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis]
- N11.0Nonobstructive reflux-associated chronic pyelonephritis
- N11.8Other chronic tubulo-interstitial nephritis
- N15.1Renal and perinephric abscess
- N30.91Cystitis, unspecified with hematuria
- N34.2Other urethritis
- A18.10Tuberculosis of genitourinary system, unspecified
- A18.11Tuberculosis of kidney and ureter
- A18.12Tuberculosis of bladder
- A18.13Tuberculosis of other urinary organs
- A36.85Diphtheritic cystitis
- A52.75Syphilis of kidney and ureter
- A54.01Gonococcal cystitis and urethritis, unspecified
15 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 690.
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 1.1415 | +0.3405 |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 0.8010 |
Choosing the principal diagnosis: Urinary tract infection (UTI) ICD-10 codes, Urolithiasis ICD-10 codes.
All FY2027 MS-DRGs · MDC 11