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  3. Diagnosis Codes in MS-DRG 675 - Other Kidney And Urinary Tract Procedures Without CC/MCC

Diagnosis Codes in MS-DRG 675 - Other Kidney And Urinary Tract Procedures Without CC/MCC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the diagnosis codes included in MS-DRG V42.0: Other Kidney and Urinary Tract Procedures without CC/MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 675

MS-DRG Title: Other Kidney and Urinary Tract Procedures without CC/MCC

MCD: 11

Relative Weight: 1.5652 Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Geometric LOS: 1.57 Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.

Arithmetic LOS: 2.90 Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

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    • N19 - Unspecified kidney failure

    • R34 - Anuria and oliguria

  • E09.2 - Drug or chemical induced diabetes mellitus with kidney complications

    • E09.22 - Drug or chemical induced diabetes mellitus with diabetic chronic kidney disease

  • E10.2 - Type 1 diabetes mellitus with kidney complications

    • E10.21 - Type 1 diabetes mellitus with diabetic nephropathy

    • E10.22 - Type 1 diabetes mellitus with diabetic chronic kidney disease

    • E10.29 - Type 1 diabetes mellitus with other diabetic kidney complication

  • E11.2 - Type 2 diabetes mellitus with kidney complications

    • E11.22 - Type 2 diabetes mellitus with diabetic chronic kidney disease

  • E13.2 - Other specified diabetes mellitus with kidney complications

    • E13.22 - Other specified diabetes mellitus with diabetic chronic kidney disease

  • E88 - Other and unspecified metabolic disorders

    • E88.3 - Tumor lysis syndrome

  • I12 - Hypertensive chronic kidney disease

    • I12.0 - Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease

  • I13.1 - Hypertensive heart and chronic kidney disease without heart failure

    • I13.11 - Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease

  • N17 - Acute kidney failure

    • N17.0 - Acute kidney failure with tubular necrosis

    • N17.1 - Acute kidney failure with acute cortical necrosis

    • N17.2 - Acute kidney failure with medullary necrosis

    • N17.8 - Other acute kidney failure

    • N17.9 - Acute kidney failure, unspecified

  • N18 - Chronic kidney disease (CKD)

    • N18.5 - Chronic kidney disease, stage 5

    • N18.6 - End stage renal disease

  • T79.5 - Traumatic anuria

    • T79.5XXA - Traumatic anuria, initial encounter

  • T82.41 - Breakdown (mechanical) of vascular dialysis catheter

    • T82.41XA - Breakdown (mechanical) of vascular dialysis catheter, initial encounter

  • T82.42 - Displacement of vascular dialysis catheter

    • T82.42XA - Displacement of vascular dialysis catheter, initial encounter

  • T82.43 - Leakage of vascular dialysis catheter

    • T82.43XA - Leakage of vascular dialysis catheter, initial encounter

  • T82.49 - Other complication of vascular dialysis catheter

    • T82.49XA - Other complication of vascular dialysis catheter, initial encounter

  • T86.1 - Complications of kidney transplant

    • T86.11 - Kidney transplant rejection

    • T86.12 - Kidney transplant failure

    • T86.13 - Kidney transplant infection

    • T86.19 - Other complication of kidney transplant