MS-DRG · FY 2027 v44.0

MS-DRG 651 – Kidney Transplant with Hemodialysis without MCC

A Surgical DRG in MDC 11 (Diseases & Disorders of the Kidney & Urinary Tract). Inpatient cases group to DRG 651 when one of the 12 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2027 relative weight is 3.7679 with a geometric mean length of stay of 5.2 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v44.0 dataset
3.7679
Relative Weight
5.2
Geometric Mean LOS (days)
5.8
Arithmetic Mean LOS (days)
12
Procedure Codes

Severity family

DRG 650with MCCWeight 4.6921 · GMLOS 6.1 daysDRG 651without MCCWeight 3.7679 · GMLOS 5.2 days
How a case is assigned to DRG 651

The grouper first assigns the case to MDC 11 from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG), then applies the severity split from secondary diagnoses: with MCC → 650; without MCC → 651.

ICD-10-PCS

Procedure Codes 12 codes · 3 categories

0TY0 Urinary System, Transplantation3 codes
  • 0TY00Z0 Transplantation of Right Kidney, Allogeneic, Open Approach
  • 0TY00Z1 Transplantation of Right Kidney, Syngeneic, Open Approach
  • 0TY00Z2 Transplantation of Right Kidney, Zooplastic, Open Approach
0TY1 Urinary System, Transplantation3 codes
  • 0TY10Z0 Transplantation of Left Kidney, Allogeneic, Open Approach
  • 0TY10Z1 Transplantation of Left Kidney, Syngeneic, Open Approach
  • 0TY10Z2 Transplantation of Left Kidney, Zooplastic, Open Approach
5A1D Extracorporeal or Systemic Assistance and Performance, Physiological Systems, Performance6 codes
  • 5A1D701 Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day, Selective Cytopheresis
  • 5A1D70Z Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day
  • 5A1D801 Performance of Urinary Filtration, Prolonged Intermittent, 6-18 hours Per Day, Selective Cytopheresis
  • 5A1D80Z Performance of Urinary Filtration, Prolonged Intermittent, 6-18 hours Per Day
  • 5A1D901 Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day, Selective Cytopheresis
  • 5A1D90Z Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day
ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 651?

MS-DRG 651 (Kidney Transplant with Hemodialysis without MCC) is a surgical DRG in MDC 11 (Diseases & Disorders of the Kidney & Urinary Tract). Its FY 2027 relative weight is 3.7679 with a geometric mean length of stay of 5.2 days.

What is the difference between DRG 650, 651?

All 2 share the same base category; the severity of secondary diagnoses separates them: 650 (with MCC), 651 (without MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.

How many procedure codes group to DRG 651?

12 ICD-10-PCS operating-room procedure codes group to this DRG.

What is the relative weight of DRG 651?

The FY 2027 relative weight of this DRG is 3.7679, meaning reimbursement of roughly 3.77 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 650 – Kidney Transplant with Hemodialysis with MCC
Source: CMS ICD-10 MS-DRG v44.0 Definitions Manual and the FY 2027 IPPS Final Rule (Table 5), effective October 1, 2026 through September 30, 2027. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.