MS-DRG v44.0 · MDC 11: Diseases and Disorders of the Kidney and Urinary Tract
650 — Kidney Transplant with Hemodialysis with MCC
- Relative weight
- 4.6941
- Geometric mean LOS
- 6.1 days
- Arithmetic mean LOS
- 7.5 days
- Type
- Surgical
About MS-DRG 650
MS-DRG 650, Kidney Transplant with Hemodialysis with MCC, is a surgical DRG in MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract) under MS-DRG version 44.0, which applies to inpatient discharges from October 1, 2026 through September 30, 2027.
Its FY2027 relative weight is 4.6941, so Medicare's base payment for this DRG is about 4.69 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 6.1 days and the arithmetic mean is 7.5 days.
It belongs to a 2-level severity family: DRG 650 (with MCC, weight 4.6941) and DRG 651 (without MCC, weight 3.7695). The highest-severity level carries 1.2 times the weight of the lowest, which is why documenting CC and MCC conditions matters.
ICD-10-CM codes that group to DRG 650 (0)
This DRG is assigned by procedure, not by a diagnosis list.
Common questions about DRG 650
What is the relative weight of DRG 650?
- 4.6941 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.
What is the average length of stay for DRG 650?
- The geometric mean length of stay is 6.1 days; the arithmetic mean is 7.5 days.
Is DRG 650 medical or surgical?
- DRG 650 is a surgical DRG.