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MS-DRG v44.0 · MDC 11: Diseases and Disorders of the Kidney and Urinary Tract

651 — Kidney Transplant with Hemodialysis without MCC

Source: CMS MS-DRG v44.0 and FY2027 IPPS final rule. Page updated September 29, 2026.
Relative weight
3.7695
Geometric mean LOS
5.2 days
Arithmetic mean LOS
5.8 days
Type
Surgical

About MS-DRG 651

MS-DRG 651, Kidney Transplant with Hemodialysis without 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 3.7695, so Medicare's base payment for this DRG is about 3.77 times the average inpatient case, before hospital-specific adjustments. The geometric mean length of stay is 5.2 days and the arithmetic mean is 5.8 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 651 (0)

This DRG is assigned by procedure, not by a diagnosis list.

Common questions about DRG 651

What is the relative weight of DRG 651?

3.7695 for FY2027 (MS-DRG v44.0), from the IPPS final rule Table 5.

What is the average length of stay for DRG 651?

The geometric mean length of stay is 5.2 days; the arithmetic mean is 5.8 days.

Is DRG 651 medical or surgical?

DRG 651 is a surgical DRG.