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MS-DRG 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC

DRGMedicalMDC 11

MS-DRG 696 is kidney and urinary tract signs and symptoms without mcc, in MDC 11 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.6679, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.30 days. 81 ICD-10-CM principal diagnoses group into MS-DRGs 695–696 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
0.6679
Geometric mean LOS
2.30
Arithmetic mean LOS
2.90
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 695–696

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 81 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 695–696 the case lands in. The 24 most-searched:

  • R32Unspecified urinary incontinence
  • R30.0Dysuria
  • R35.0Frequency of micturition
  • N39.3Stress incontinence (female) (male)
  • R31.9Hematuria, unspecified
  • R33.9Retention of urine, unspecified
  • N39.41Urge incontinence
  • N39.46Mixed incontinence
  • R80.9Proteinuria, unspecified
  • R31.0Gross hematuria
  • R33.8Other retention of urine
  • R35.1Nocturia
  • R39.81Functional urinary incontinence
  • R39.9Unspecified symptoms and signs involving the genitourinary system
  • R82.90Unspecified abnormal findings in urine
  • R31.29Other microscopic hematuria
  • R39.15Urgency of urination
  • R82.998Other abnormal findings in urine
  • R94.4Abnormal results of kidney function studies
  • N39.42Incontinence without sensory awareness
  • N39.498Other specified urinary incontinence
  • R39.14Feeling of incomplete bladder emptying
  • R30.9Painful micturition, unspecified
  • R31.21Asymptomatic microscopic hematuria

57 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 696.

695KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC1.1139+0.4460
696KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC0.6679

Choosing the principal diagnosis: Urinary tract infection (UTI) ICD-10 codes.

All FY2027 MS-DRGs · MDC 11

MS-DRG (IPPS Table 5)FY2027