MCMedicalCodingSoftware
693

MS-DRG 693: URINARY STONES WITH MCC

DRGMedicalMDC 11

MS-DRG 693 is urinary stones with mcc, in MDC 11 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.3168, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.60 days. 18 ICD-10-CM principal diagnoses group into MS-DRGs 693–694 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.3168
Geometric mean LOS
3.60
Arithmetic mean LOS
5.10
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 693–694

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 18 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 693–694 the case lands in. The 18 most-searched:

  • N20.0Calculus of kidney
  • N23Unspecified renal colic
  • N13.2Hydronephrosis with renal and ureteral calculous obstruction
  • N13.30Unspecified hydronephrosis
  • N20.1Calculus of ureter
  • N13.8Other obstructive and reflux uropathy
  • N13.1Hydronephrosis with ureteral stricture, not elsewhere classified
  • N13.39Other hydronephrosis
  • N20.2Calculus of kidney with calculus of ureter
  • N21.0Calculus in bladder
  • N13.0Hydronephrosis with ureteropelvic junction obstruction
  • N20.9Urinary calculus, unspecified
  • N11.1Chronic obstructive pyelonephritis
  • N13.4Hydroureter
  • N21.1Calculus in urethra
  • N22Calculus of urinary tract in diseases classified elsewhere
  • N21.8Other lower urinary tract calculus
  • N21.9Calculus of lower urinary tract, unspecified

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 693.

693URINARY STONES WITH MCC1.3168
694URINARY STONES WITHOUT MCC0.7815-0.5353

Choosing the principal diagnosis: Urolithiasis ICD-10 codes.

All FY2027 MS-DRGs · MDC 11

MS-DRG (IPPS Table 5)FY2027