MS-DRGs in MDC 11
Weights in this category range from 0.6000 (DRG 684) to 5.2140 (DRG 653); the change column compares FY2027 with FY2026.
| DRG | Title | Type | Weight | GMLOS | Change |
|---|---|---|---|---|---|
| 650 | Kidney Transplant with Hemodialysis with MCC | Surgical | 4.6920 | 6.1 | -0.2% |
| 651 | Kidney Transplant with Hemodialysis without MCC | Surgical | 3.7680 | 5.2 | +1.7% |
| 652 | Kidney Transplant | Surgical | 3.1790 | 4.2 | -1.6% |
| 653 | Major Bladder Procedures with MCC | Surgical | 5.2140 | 9.4 | +0.4% |
| 654 | Major Bladder Procedures with CC | Surgical | 2.8200 | 5.0 | +0.8% |
| 655 | Major Bladder Procedures without CC/MCC | Surgical | 2.0540 | 2.9 | -3.0% |
| 656 | Kidney and Ureter Procedures for Neoplasm with MCC | Surgical | 3.2780 | 4.9 | +3.0% |
| 657 | Kidney and Ureter Procedures for Neoplasm with CC | Surgical | 1.8370 | 2.4 | +0.4% |
| 658 | Kidney and Ureter Procedures for Neoplasm without CC/MCC | Surgical | 1.5390 | 1.5 | -0.8% |
| 659 | Kidney and Ureter Procedures for Non-Neoplasm with MCC | Surgical | 2.4400 | 5.4 | -4.0% |
| 660 | Kidney and Ureter Procedures for Non-Neoplasm with CC | Surgical | 1.3020 | 2.7 | -1.5% |
| 661 | Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | Surgical | 1.0440 | 1.7 | +0.9% |
| 662 | Minor Bladder Procedures with MCC | Surgical | 3.0490 | 7.0 | -0.4% |
| 663 | Minor Bladder Procedures with CC | Surgical | 1.5270 | 3.6 | +0.5% |
| 664 | Minor Bladder Procedures without CC/MCC | Surgical | 1.0450 | 1.9 | -0.2% |
| 665 | Prostatectomy with MCC | Surgical | 3.2520 | 7.7 | +4.2% |
| 666 | Prostatectomy with CC | Surgical | 1.8050 | 3.7 | +3.2% |
| 667 | Prostatectomy without CC/MCC | Surgical | 1.1310 | 1.9 | +2.3% |
| 668 | Transurethral Procedures with MCC | Surgical | 2.8720 | 7.0 | -1.6% |
| 669 | Transurethral Procedures with CC | Surgical | 1.5580 | 3.7 | +0.4% |
| 670 | Transurethral Procedures without CC/MCC | Surgical | 1.0300 | 2.1 | +5.4% |
| 671 | Urethral Procedures with CC/MCC | Surgical | 1.9680 | 4.0 | +9.6% |
| 672 | Urethral Procedures without CC/MCC | Surgical | 0.9720 | 1.5 | -9.9% |
| 673 | Other Kidney and Urinary Tract Procedures with MCC | Surgical | 4.2520 | 10.0 | +1.2% |
| 674 | Other Kidney and Urinary Tract Procedures with CC | Surgical | 2.2500 | 5.3 | -3.8% |
| 675 | Other Kidney and Urinary Tract Procedures without CC/MCC | Surgical | 1.5890 | 2.8 | -3.2% |
| 682 | Renal Failure with MCC | Medical | 1.4660 | 4.2 | -1.0% |
| 683 | Renal Failure with CC | Medical | 0.8650 | 2.9 | -1.3% |
| 684 | Renal Failure without CC/MCC | Medical | 0.6000 | 2.2 | +0.0% |
| 686 | Kidney and Urinary Tract Neoplasms with MCC | Medical | 1.7240 | 5.1 | -4.4% |
| 687 | Kidney and Urinary Tract Neoplasms with CC | Medical | 0.9950 | 3.1 | -5.1% |
| 688 | Kidney and Urinary Tract Neoplasms without CC/MCC | Medical | 0.7330 | 2.1 | -7.2% |
| 689 | Kidney and Urinary Tract Infections with MCC | Medical | 1.1410 | 3.7 | -1.6% |
| 690 | Kidney and Urinary Tract Infections without MCC | Medical | 0.8010 | 2.8 | -1.0% |
| 693 | Urinary Stones with MCC | Medical | 1.3150 | 3.6 | -2.2% |
| 694 | Urinary Stones without MCC | Medical | 0.7810 | 2.1 | -0.1% |
| 695 | Kidney and Urinary Tract Signs and Symptoms with MCC | Medical | 1.1140 | 3.5 | -2.6% |
| 696 | Kidney and Urinary Tract Signs and Symptoms without MCC | Medical | 0.6680 | 2.3 | -3.1% |
| 697 | Urethral Stricture | Medical | 0.9700 | 2.5 | -10.0% |
| 698 | Other Kidney and Urinary Tract Diagnoses with MCC | Medical | 1.6400 | 4.7 | -0.9% |
| 699 | Other Kidney and Urinary Tract Diagnoses with CC | Medical | 1.0000 | 3.2 | -1.5% |
| 700 | Other Kidney and Urinary Tract Diagnoses without CC/MCC | Medical | 0.6740 | 2.3 | -2.3% |
How to read this table
The relative weight is the payment multiplier CMS applies to a hospital's wage-adjusted standardized amount; a weight of 2.0 pays roughly twice an average inpatient case before outliers and add-ons. Geometric mean length of stay is the figure used in post-acute transfer calculations, so stays shorter than it in a transfer DRG are paid per diem. The change column compares the FY2027 final weight with FY2026; moves larger than two percent usually come from code reassignments in the final rule's Table 6 series or from updated cost data, and are worth re-checking in contract models and budgets before October 1. Surgical DRGs require a qualifying operating-room procedure; medical DRGs are reached when no such procedure is coded.
Frequently asked questions
How many MS-DRGs are in MDC 11?
42 MS-DRGs are assigned to MDC 11 (Assignment of Diagnosis Codes) in the FY2027 v44 grouper: 26 surgical and 16 medical.
Which MDC 11 DRG has the highest weight?
DRG 653, Major Bladder Procedures with MCC, carries the highest FY2027 relative weight in this category at 5.2140; the lowest is DRG 684 at 0.6000.
How is a stay assigned to this MDC?
The grouper maps the principal diagnosis to MDC 11, then checks for a qualifying operating-room procedure to choose between the surgical and medical DRG partitions, and finally applies CC/MCC severity splits.
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.
- IPPS FY2027 Final Rule Table 5 (CMS-1849-F)Version v44 FY2027 · effective 2026-10-01 · file CMS-1849-F Table 5.txtSHA-256 01003dd571c1e2f5…
- IPPS FY2026 Final Rule Table 5 (CMS-1833-F)Version v43 FY2026 · effective 2025-10-01 · file CMS-1833-F Table 5.txtSHA-256 bf8c390d14b3cd3e…
Disclaimer
Operational reference compiled from CMS publications. Relative weights are national factors; actual payment depends on hospital-specific rates and adjustments. Not legal, clinical or billing advice.