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MS-DRG 729 · MDC 12 · Medical

MS-DRG 729: Other Male Reproductive System Diagnoses with CC/MCC

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Data effective
Data currency: IPPS Table 5 FY2027 final rule (effective October 1, 2026); Definitions Manual v44 (effective October 1, 2026). Next CMS release: April 1, 2027 (v44.1 mid-year update), then the FY2028 final rule in August 2027.

Key facts for DRG 729

FY2027 relative weight
1.0550
Higher than 25% of all MS-DRGs
Change vs FY2026
-0.4%
FY2026 weight 1.0590
Geometric mean LOS
3.1 days
Arithmetic mean 4.3 days
MDC
12
Assignment of Diagnosis Codes
Severity level
with CC (complication or comorbidity)
Transfer policy
Not a transfer DRG

TL;DR

MS-DRG 729 is a medical group in MDC 12 (Assignment of Diagnosis Codes) at the middle severity level of its family. CMS assigns it a FY2027 relative weight of 1.0550 with a geometric mean length of stay of 3.1 days and an arithmetic mean of 4.3. Its weight moved down 0.4% from FY2026 (1.0590). That weight is higher than 25% of all medical and surgical MS-DRGs. Its CC/MCC family (DRG 730) spans weights 0.6590 to 1.0550. The v44 Definitions Manual assigns it through 250 principal diagnosis codes.

What changed from FY2026 to FY2027

CMS recalibrates every MS-DRG weight annually from the prior year's MedPAR claims. For DRG 729 the FY2027 relative weight is 1.0550 against 1.0590 in FY2026, a fall of 0.38%.

FY2026 versus FY2027 payment factors for MS-DRG 729
MetricFY2026FY2027Change
Relative weight1.05901.0550-0.0040
Geometric mean LOS (days)3.13.1+0.0
Arithmetic mean LOS (days)4.14.3+0.2
Weights shown are the FY2027 final values after the 10% cap on year-over-year reductions where applicable.

CC and MCC family

DRG 729 shares its base definition with 1 other MS-DRG split by severity. The family's weights span 0.6590 to 1.0550, a 1.60× spread, which is the payment effect of documenting qualifying complications and comorbidities.

MS-DRGs in the same base group as DRG 729
DRGTitleFY2027 weightGMLOS
729Other Male Reproductive System Diagnoses with CC/MCC1.05503.1
730Other Male Reproductive System Diagnoses without CC/MCC0.65902.0

Grouper logic (v44 Definitions Manual)

Principal Diagnosis: 250 ICD-10 codes drive assignment to this group; the first 12 are shown.

Principal Diagnosis codes assigned to DRG 729 (sample)
ICD-10 codeDescription
D176Benign lipomatous neoplasm of spermatic cord
D290Benign neoplasm of penis
D291Benign neoplasm of prostate
D2920Benign neoplasm of unspecified testis
D2921Benign neoplasm of right testis
D2922Benign neoplasm of left testis
D2930Benign neoplasm of unspecified epididymis
D2931Benign neoplasm of right epididymis
D2932Benign neoplasm of left epididymis
D294Benign neoplasm of scrotum
D298Benign neoplasm of other specified male genital organs
D299Benign neoplasm of male genital organ, unspecified

Documentation and denial exposure

As a medical DRG, assignment depends on the principal diagnosis sequenced from the attending's documentation; a secondary condition sequenced first, or a symptom code in place of the confirmed diagnosis, changes the MDC or the DRG. Because this family splits by severity, auditors target CC and MCC capture: each secondary diagnosis must be documented as present, monitored, evaluated or treated during the stay to survive a DRG-validation review. Typical inpatient denial codes for this group: CARC 16 (claim lacks information needed to group the stay), CARC 50 (the admission or procedure is judged not medically necessary), CARC 97 (a service is bundled into the DRG payment).

How QuickIntell uses DRG 729 data

QuickCode groups inpatient encounters against the current v44 logic, flags CC and MCC candidates that lack supporting documentation, and shows the weight difference across the family before the claim drops. QuickScribe captures the attending's language that supports severity, and QuickRCM works DRG-validation denials with the grouper evidence attached.

Frequently asked questions — DRG 729

What is MS-DRG 729?

MS-DRG 729 is "Other Male Reproductive System Diagnoses with CC/MCC", a medical Medicare Severity Diagnosis-Related Group in MDC 12, Assignment of Diagnosis Codes. Medicare pays inpatient stays grouped here at the hospital's base rate multiplied by the DRG relative weight.

What is the FY2027 relative weight for DRG 729?

The FY2027 relative weight is 1.0550 (IPPS final rule Table 5, effective October 1, 2026). In FY2026 it was 1.0590, a change of -0.4%.

What is the average length of stay for DRG 729?

CMS reports a geometric mean length of stay of 3.1 days and an arithmetic mean of 4.3 days for FY2027. The geometric mean is used for transfer-payment calculations.

Which DRGs are in the same CC/MCC family as 729?

DRG 730 (Other Male Reproductive System Diagnoses without CC/MCC, weight 0.6590). The family's weights range from 0.6590 to 1.0550, so documented complications and comorbidities change payment materially.

What documentation supports the severity level of DRG 729?

DRG 729 is reached when the stay carries a secondary diagnosis from the CMS Complication or Comorbidity list but none from the MCC list. Common CC captures include chronic kidney disease stage 3 and above, uncontrolled diabetes with manifestations, malnutrition of specified severity and heart failure of a stated type. Each must be documented by the treating clinician and show clinical relevance in the record; a condition listed only in the problem list without assessment is the most frequent reason a CC is removed on audit and the stay drops to the base DRG.

Which codes group to DRG 729?

The v44 Definitions Manual lists 250 principal diagnosis codes for this group. Examples from the principal diagnosis list: D176 (Benign lipomatous neoplasm of spermatic cord); D290 (Benign neoplasm of penis); D291 (Benign neoplasm of prostate); D2920 (Benign neoplasm of unspecified testis).

Is DRG 729 a post-acute transfer DRG?

No. DRG 729 is not on the FY2027 post-acute care transfer list, so the transfer per-diem policy does not apply to it.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-01. Verify against the primary file before billing or contracting decisions.

Disclaimer

This page is an operational reference compiled from the CMS IPPS FY2027 final rule (Table 5) and the v44 ICD-10 MS-DRG Definitions Manual. Relative weights are national factors; actual payment depends on each hospital's wage-adjusted base rate, add-ons, outliers and transfer adjustments. Nothing here is legal, clinical or billing advice; verify grouping against your encoder and the published CMS files.