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Kidney Transplant with Hemodialysis without MCC: Inpatient Reimbursement Overview
DRG 651 applies to inpatient stays for kidney transplant recipients who receive hemodialysis during the admission without a Major Complication or Comorbidity, defining the clinical scope and expected resource use for payment. It matters for inpatient reimbursement because Medicare payment uses Diagnosis-Related Group assignment to set the prospective bundled payment for these combined surgical and dialysis services.
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DRG 651 Overview
DRG 651 covers hospital stays for patients undergoing kidney transplant who receive hemodialysis during the same inpatient episode without a Major Complication or Comorbidity. This Diagnosis-Related Group captures the resource use associated with transplantation plus perioperative dialysis support and affects Medicare payment by grouping charges into a single prospective payment category. Accurate coding of diagnoses and procedures determines assignment to this DRG and therefore impacts reimbursement. The classification distinguishes higher-acuity cases that include Major Complication or Comorbidity from this category.