726 MS-DRG: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
MS-DRG 726 groups Medicare inpatient hospital stays for: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC. This is a medical MS-DRG. It falls under MDC 12 (Diseases and Disorders of the Male Reproductive System).
Payment & Classification Data
Official CMS values from the FY2027 IPPS Final Rule Table 5.
| Major Diagnostic Category | MDC 12 — Diseases and Disorders of the Male Reproductive System |
| DRG Type | Medical |
| Severity Level | None |
| Relative Weight | 0.7252 |
| Relative Weight (10% Cap Applied) | 0.7252 |
| Geometric Mean Length of Stay | 2.5 days |
| Arithmetic Mean Length of Stay | 3.1 days |
| Post-Acute Transfer DRG | No |
| Special Pay Transfer DRG | No |
Defining Codes (FY2027)
5 diagnosis codes can drive assignment here: N40.0, N40.1, N40.2, N40.3, N42.83.
From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.
Contextual Map
Every relationship of 726 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Major Diagnostic Category
- MDC 12 — Diseases and Disorders of the Male Reproductive System[MDC]— CMS MS-DRG Definitions Manual · FY2027
Defining diagnoses
- N40.0 — Benign prostatic hyperplasia without lower urinary tract symptoms[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- N40.1 — Benign prostatic hyperplasia with lower urinary tract symptoms[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- N40.2 — Nodular prostate without lower urinary tract symptoms[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- N40.3 — Nodular prostate with lower urinary tract symptoms[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- N42.83 — Cyst of prostate[Grouper diagnosis]— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
DRG family
- DRG 725 — BENIGN PROSTATIC HYPERTROPHY WITH MCC[DRG family]: “BENIGN PROSTATIC HYPERTROPHY WITH MCC — same CMS DRG family (725-726), split by severity.”— CMS MS-DRG Definitions Manual (DRG family 725-726) · FY2027
Read from: CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44. All data sources · How to read the labels