11

Diseases and Disorders of the Kidney and Urinary Tract

Surgical hierarchy

In the order the grouper applies them, highest first. A patient with several procedures is assigned to the highest surgical class one of them belongs to, so this ordering decides the DRG, not the order procedures appear on the claim.

1. 1 Kidney Transplant with Hemodialysis
   • 650 Kidney Transplant with Hemodialysis with MCC 4.6941
   • 651 Kidney Transplant with Hemodialysis without MCC 3.7695
2. 2 Major Bladder Procedures
   • 653 Major Bladder Procedures with MCC 5.2155
   • 654 Major Bladder Procedures with CC 2.8208
   • 655 Major Bladder Procedures without CC/MCC 2.0552
3. 3 Kidney Transplant
   • 652 Kidney Transplant 3.1808
4. 4 Prostatectomy
   • 665 Prostatectomy with MCC 3.2529
   • 666 Prostatectomy with CC 1.8058
   • 667 Prostatectomy without CC/MCC 1.1310
5. 5 Kidney and Ureter Procedures for Neoplasm
   • 656 Kidney and Ureter Procedures for Neoplasm with MCC 3.2786
   • 657 Kidney and Ureter Procedures for Neoplasm with CC 1.8365
   • 658 Kidney and Ureter Procedures for Neoplasm without CC/MCC 1.5380
6. 6 Minor Bladder Procedures
   • 662 Minor Bladder Procedures with MCC 3.0498
   • 663 Minor Bladder Procedures with CC 1.5272
   • 664 Minor Bladder Procedures without CC/MCC 1.0452
7. 7 Transurethral Procedures
   • 668 Transurethral Procedures with MCC 2.8731
   • 669 Transurethral Procedures with CC 1.5580
   • 670 Transurethral Procedures without CC/MCC 1.0306
8. 8 Urethral Procedures
   • 671 Urethral Procedures with CC/MCC 1.9694
   • 672 Urethral Procedures without CC/MCC 0.9716
9. 9 Kidney and Ureter Procedures for Non-Neoplasm
   • 659 Kidney and Ureter Procedures for Non-Neoplasm with MCC 2.4399
   • 660 Kidney and Ureter Procedures for Non-Neoplasm with CC 1.3020
   • 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC 1.0441
10. 10 Other Kidney and Urinary Tract Procedures
    • 673 Other Kidney and Urinary Tract Procedures with MCC 4.2525
    • 674 Other Kidney and Urinary Tract Procedures with CC 2.2504
    • 675 Other Kidney and Urinary Tract Procedures without CC/MCC 1.5887

Medical DRGs

16 medical DRGs. The surgical hierarchy does not apply to these, so they are listed by number.

• 682 Renal Failure with MCC 1.4656
• 683 Renal Failure with CC 0.8647
• 684 Renal Failure without CC/MCC 0.6003
• 686 Kidney and Urinary Tract Neoplasms with MCC 1.7237
• 687 Kidney and Urinary Tract Neoplasms with CC 0.9957
• 688 Kidney and Urinary Tract Neoplasms without CC/MCC 0.7333
• 689 Kidney and Urinary Tract Infections with MCC 1.1415
• 690 Kidney and Urinary Tract Infections without MCC 0.8010
• 693 Urinary Stones with MCC 1.3168
• 694 Urinary Stones without MCC 0.7815
• 695 Kidney and Urinary Tract Signs and Symptoms with MCC 1.1139
• 696 Kidney and Urinary Tract Signs and Symptoms without MCC 0.6679
• 697 Urethral Stricture 0.9700
• 698 Other Kidney and Urinary Tract Diagnoses with MCC 1.6398
• 699 Other Kidney and Urinary Tract Diagnoses with CC 1.0003
• 700 Other Kidney and Urinary Tract Diagnoses without CC/MCC 0.6741