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725

MS-DRG 725: BENIGN PROSTATIC HYPERTROPHY WITH MCC

DRGMedicalMDC 12

MS-DRG 725 is benign prostatic hypertrophy with mcc, in MDC 12 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.1578, 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. 5 ICD-10-CM principal diagnoses group into MS-DRGs 725–726 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.1578
Geometric mean LOS
3.60
Arithmetic mean LOS
4.60
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 725–726

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 5 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 725–726 the case lands in. The 5 most-searched:

  • N40.1Benign prostatic hyperplasia with lower urinary tract symptoms
  • N40.0Benign prostatic hyperplasia without lower urinary tract symptoms
  • N40.2Nodular prostate without lower urinary tract symptoms
  • N40.3Nodular prostate with lower urinary tract symptoms
  • N42.83Cyst of prostate

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 725.

725BENIGN PROSTATIC HYPERTROPHY WITH MCC1.1578
726BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC0.7252-0.4326

All FY2027 MS-DRGs · MDC 12

MS-DRG (IPPS Table 5)FY2027