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  3. Diagnosis Codes in MS-DRG 696 - Kidney And Urinary Tract Signs And Symptoms Without MCC

Diagnosis Codes in MS-DRG 696 - Kidney And Urinary Tract Signs And Symptoms Without 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: Kidney and Urinary Tract Signs and Symptoms without MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 696

MS-DRG Title: Kidney and Urinary Tract Signs and Symptoms without MCC

MCD: 11

Relative Weight: 0.6917 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: 0.69 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: 2.30 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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    • R32 - Unspecified urinary incontinence

  • N39 - Other disorders of urinary system

    • N39.3 - Stress incontinence (female) (male)

  • N39.4 - Other specified urinary incontinence

    • N39.41 - Urge incontinence

    • N39.42 - Incontinence without sensory awareness

    • N39.43 - Post-void dribbling

    • N39.44 - Nocturnal enuresis

    • N39.45 - Continuous leakage

    • N39.46 - Mixed incontinence

  • N39.49 - Other specified urinary incontinence

    • N39.490 - Overflow incontinence

    • N39.491 - Coital incontinence

    • N39.492 - Postural (urinary) incontinence

    • N39.498 - Other specified urinary incontinence

  • R30 - Pain associated with micturition

    • R30.0 - Dysuria

    • R30.1 - Vesical tenesmus

    • R30.9 - Painful micturition, unspecified

  • R31 - Hematuria

    • R31.0 - Gross hematuria

    • R31.1 - Benign essential microscopic hematuria

    • R31.9 - Hematuria, unspecified

  • R31.2 - Other microscopic hematuria

    • R31.21 - Asymptomatic microscopic hematuria

    • R31.29 - Other microscopic hematuria

  • R33 - Retention of urine

    • R33.0 - Drug induced retention of urine

    • R33.8 - Other retention of urine

    • R33.9 - Retention of urine, unspecified

  • R35 - Polyuria

    • R35.0 - Frequency of micturition

    • R35.1 - Nocturia

  • R35.8 - Other polyuria

  • R36 - Urethral discharge

    • R36.0 - Urethral discharge without blood

    • R36.9 - Urethral discharge, unspecified

  • R39 - Other and unspecified symptoms and signs involving the genitourinary system

    • R39.0 - Extravasation of urine

    • R39.2 - Extrarenal uremia

    • R39.9 - Unspecified symptoms and signs involving the genitourinary system

  • R39.1 - Other difficulties with micturition

    • R39.11 - Hesitancy of micturition

    • R39.12 - Poor urinary stream

    • R39.13 - Splitting of urinary stream

    • R39.14 - Feeling of incomplete bladder emptying

    • R39.15 - Urgency of urination

    • R39.16 - Straining to void

  • R39.19 - Other difficulties with micturition

    • R39.191 - Need to immediately re-void

    • R39.192 - Position dependent micturition

    • R39.198 - Other difficulties with micturition

  • R39.8 - Other symptoms and signs involving the genitourinary system

    • R39.81 - Functional urinary incontinence

    • R39.82 - Chronic bladder pain

    • R39.83 - Unilateral non-palpable testicle

    • R39.84 - Bilateral non-palpable testicles

    • R39.89 - Other symptoms and signs involving the genitourinary system

  • R80 - Proteinuria

    • R80.0 - Isolated proteinuria

    • R80.1 - Persistent proteinuria, unspecified

    • R80.3 - Bence Jones proteinuria

    • R80.8 - Other proteinuria

    • R80.9 - Proteinuria, unspecified

  • R82 - Other and unspecified abnormal findings in urine

    • R82.0 - Chyluria

    • R82.3 - Hemoglobinuria

    • R82.5 - Elevated urine levels of drugs, medicaments and biological substances

    • R82.6 - Abnormal urine levels of substances chiefly nonmedicinal as to source

  • R82.7 - Abnormal findings on microbiological examination of urine

    • R82.71 - Bacteriuria

    • R82.79 - Other abnormal findings on microbiological examination of urine

  • R82.8 - Abnormal findings on cytological and histological examination of urine

    • R82.81 - Pyuria

    • R82.89 - Other abnormal findings on cytological and histological examination of urine

  • R82.9 - Other and unspecified abnormal findings in urine

    • R82.90 - Unspecified abnormal findings in urine

    • R82.91 - Other chromoabnormalities of urine

  • R82.99 - Other abnormal findings in urine

  • R93.4 - Abnormal findings on diagnostic imaging of urinary organs

    • R93.41 - Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder

    • R93.49 - Abnormal radiologic findings on diagnostic imaging of other urinary organs

  • R93.42 - Abnormal radiologic findings on diagnostic imaging of kidney

    • R93.421 - Abnormal radiologic findings on diagnostic imaging of right kidney

    • R93.422 - Abnormal radiologic findings on diagnostic imaging of left kidney

    • R93.429 - Abnormal radiologic findings on diagnostic imaging of unspecified kidney

  • R94 - Abnormal results of function studies

    • R94.4 - Abnormal results of kidney function studies

    • R94.8 - Abnormal results of function studies of other organs and systems