MS-DRGs in MDC 12
Weights in this category range from 0.5900 (DRG 724) to 2.2900 (DRG 715); the change column compares FY2027 with FY2026.
| DRG | Title | Type | Weight | GMLOS | Change |
|---|---|---|---|---|---|
| 707 | Major Male Pelvic Procedures with CC/MCC | Surgical | 2.0460 | 2.3 | +2.3% |
| 708 | Major Male Pelvic Procedures without CC/MCC | Surgical | 1.5120 | 1.3 | -1.4% |
| 709 | Penis Procedures with CC/MCC | Surgical | 2.0940 | 3.3 | -10.0% |
| 710 | Penis Procedures without CC/MCC | Surgical | 1.5180 | 1.5 | +8.4% |
| 711 | Testes Procedures with CC/MCC | Surgical | 1.9530 | 4.5 | -6.3% |
| 712 | Testes Procedures without CC/MCC | Surgical | 1.0810 | 2.5 | -1.7% |
| 713 | Transurethral Prostatectomy with CC/MCC | Surgical | 1.5480 | 2.3 | +3.0% |
| 714 | Transurethral Prostatectomy without CC/MCC | Surgical | 1.1570 | 1.5 | +9.5% |
| 715 | Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC | Surgical | 2.2900 | 3.0 | +2.4% |
| 716 | Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC | Surgical | 1.4610 | 1.3 | -0.7% |
| 717 | Other Male Reproductive System O.R. Procedures with CC/MCC | Surgical | 1.9560 | 3.6 | +3.4% |
| 718 | Other Male Reproductive System O.R. Procedures without CC/MCC | Surgical | 1.3280 | 2.0 | -1.1% |
| 722 | Malignancy, Male Reproductive System with MCC | Medical | 1.6680 | 4.8 | -7.9% |
| 723 | Malignancy, Male Reproductive System with CC | Medical | 1.0690 | 3.3 | -6.5% |
| 724 | Malignancy, Male Reproductive System without CC/MCC | Medical | 0.5900 | 1.8 | -10.1% |
| 725 | Benign Prostatic Hypertrophy with MCC | Medical | 1.1570 | 3.6 | -1.1% |
| 726 | Benign Prostatic Hypertrophy without MCC | Medical | 0.7250 | 2.5 | +0.4% |
| 727 | Inflammation of the Male Reproductive System with MCC | Medical | 1.3690 | 4.3 | -7.7% |
| 728 | Inflammation of the Male Reproductive System without MCC | Medical | 0.8220 | 2.9 | +1.4% |
| 729 | Other Male Reproductive System Diagnoses with CC/MCC | Medical | 1.0550 | 3.1 | -0.4% |
| 730 | Other Male Reproductive System Diagnoses without CC/MCC | Medical | 0.6590 | 2.0 | -1.9% |
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 12?
21 MS-DRGs are assigned to MDC 12 (Assignment of Diagnosis Codes) in the FY2027 v44 grouper: 12 surgical and 9 medical.
Which MDC 12 DRG has the highest weight?
DRG 715, Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC, carries the highest FY2027 relative weight in this category at 2.2900; the lowest is DRG 724 at 0.5900.
How is a stay assigned to this MDC?
The grouper maps the principal diagnosis to MDC 12, 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.