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MS-DRG - 694 URINARY STONES WITHOUT MCC

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for MS-DRG - 694 URINARY STONES WITHOUT Major Complication or Comorbidity diseases in version MS-DRG V40.0 applicable from 10/01/2022 through 09/30/2023.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
694 URINARY STONES WITHOUT MCC 11 0.7971 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.		 2.00 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.		 2.60 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.

ICD-10 Codes in Diagnostic Related Group

  • N11.1 - Chronic obstructive pyelonephritis BILLABLE CODE
  • N13.0 - Hydronephrosis with ureteropelvic junction obstruction BILLABLE CODE
  • N13.1 - Hydronephrosis with ureteral stricture, not elsewhere classified BILLABLE CODE
  • N13.2 - Hydronephrosis with renal and ureteral calculous obstruction BILLABLE CODE
  • N13.30 - Unspecified hydronephrosis BILLABLE CODE
  • N13.39 - Other hydronephrosis BILLABLE CODE
  • N13.4 - Hydroureter BILLABLE CODE
  • N13.8 - Other obstructive and reflux uropathy BILLABLE CODE
  • N20.0 - Calculus of kidney BILLABLE CODE
  • N20.1 - Calculus of ureter BILLABLE CODE
  • N20.2 - Calculus of kidney with calculus of ureter BILLABLE CODE
  • N20.9 - Urinary calculus, unspecified BILLABLE CODE
  • N21.0 - Calculus in bladder BILLABLE CODE
  • N21.1 - Calculus in urethra BILLABLE CODE
  • N21.8 - Other lower urinary tract calculus BILLABLE CODE
  • N21.9 - Calculus of lower urinary tract, unspecified BILLABLE CODE
  • N22 - Calculus of urinary tract in diseases classified elsewhere BILLABLE CODE
  • N23 - Unspecified renal colic BILLABLE CODE