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Fiscal Year 2014 DRG Weights and Rates
for DRG Numbers Between 1 and 99
Notes:
  • * = low volume DRG with fewer than 10 cases. The Medicare weights and LOS are used for these DRGs.
  • # = PM-DRGs with fewer than 10 cases. An average weight over the past 5 years were used for these DRGs.
  • w cc = with Complications and Comorbidities.
  • w/o cc = without Complications or Comorbidities
  • CHAMPUS Weight and Threshold Summary for FY 2014
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    1 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 19.8346   33.7 24.6 5
    2 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 15.7102   21.4 17.6 5
    3 ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 19.3616   36.7 28.5 7
    4 TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 12.5538   28.4 22.0 5
    5 LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 11.3341   20.7 15.8 3
    6 LIVER TRANSPLANT W/O MCC 5.6242   10.3 8.9 3
    7 LUNG TRANSPLANT 8.6099   17.6 15.7 5
    8 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.7195 * 11.0 9.5 3
    10 PANCREAS TRANSPLANT 4.6125 * 10.3 8.8 2
    11 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 6.2535   14.9 11.0 3
    12 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.3981   9.8 8.4 3
    13 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 2.4581   6.1 5.8 3
    14 ALLOGENEIC BONE MARROW TRANSPLANT 15.9832   36.0 28.7 6
    16 AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 5.3687   19.2 17.6 7
    17 AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 3.4011   10.8 7.0 1
    20 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 11.2272   20.2 18.0 6
    21 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 7.5015   15.9 14.3 5
    22 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 5.2295 * 7.3 5.5 2
    23 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT 6.6032   12.2 8.6 1
    24 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 3.8414   6.0 4.0 1
    25 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES AGE >17 W MCC 4.6336   9.0 6.7 1
    26 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES AGE >17 W CC 3.1634   5.6 4.2 1
    27 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES AGE >17 W/O CC/MCC 2.4786   2.9 2.3 1
    28 SPINAL PROCEDURES W MCC 4.2237   8.7 6.4 1
    29 SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 3.2847   5.8 3.8 1
    30 SPINAL PROCEDURES W/O CC/MCC 1.7766   3.0 2.3 1
    31 VENTRICULAR SHUNT PROCEDURES AGE >17 W MCC 4.6842   14.8 10.3 1
    32 VENTRICULAR SHUNT PROCEDURES AGE >17 W CC 1.9271   4.0 2.6 1
    33 VENTRICULAR SHUNT PROCEDURES AGE >17 W/O CC/MCC 2.0178   2.5 2.0 1
    34 CAROTID ARTERY STENT PROCEDURE W MCC 3.7901 * 6.9 4.7 1
    35 CAROTID ARTERY STENT PROCEDURE W CC 2.2430   3.0 2.1 1
    36 CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.8662   1.5 1.2 1
    37 EXTRACRANIAL PROCEDURES W MCC 4.3844   9.5 6.2 1
    38 EXTRACRANIAL PROCEDURES W CC 2.0227   3.6 2.3 1
    39 EXTRACRANIAL PROCEDURES W/O CC/MCC 1.3392   1.7 1.4 1
    40 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 3.9164   11.4 7.9 1
    41 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 2.2911   5.7 4.1 1
    42 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 1.8390   2.8 2.1 1
    52 SPINAL DISORDERS & INJURIES W CC/MCC 1.9488   10.1 6.1 1
    53 SPINAL DISORDERS & INJURIES W/O CC/MCC 0.7566   2.2 2.0 1
    54 NERVOUS SYSTEM NEOPLASMS W MCC 1.3871   4.9 3.5 1
    55 NERVOUS SYSTEM NEOPLASMS W/O MCC 0.8968   3.3 2.4 1
    56 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 2.4322   8.3 6.4 1
    57 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 1.1811   4.7 3.2 1
    58 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC 2.3744   9.0 6.0 1
    59 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC 1.3484   4.9 4.1 1
    60 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC 1.0147   3.7 3.1 1
    61 ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC 2.6380   7.7 5.7 1
    62 ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC 1.9790   4.0 3.4 1
    63 ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC 1.8416   3.5 2.9 1
    64 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 2.2802   6.4 4.4 1
    65 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS 1.2518   4.1 3.3 1
    66 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 0.9670   2.7 2.3 1
    67 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC 1.5731 * 5.3 4.1 2
    68 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC 1.1563   2.7 2.2 1
    69 TRANSIENT ISCHEMIA 0.8397   2.0 1.7 1
    70 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 2.0240   6.5 4.6 1
    71 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 0.9063   3.7 2.7 1
    72 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC 0.8713   2.4 1.9 1
    73 CRANIAL & PERIPHERAL NERVE DISORDERS W MCC 1.3324   5.7 4.1 1
    74 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 0.9430   3.4 2.7 1
    75 VIRAL MENINGITIS W CC/MCC 1.2097   4.5 3.8 1
    76 VIRAL MENINGITIS W/O CC/MCC 0.6371   3.1 2.6 1
    77 HYPERTENSIVE ENCEPHALOPATHY W MCC 1.1490   4.4 3.6 1
    78 HYPERTENSIVE ENCEPHALOPATHY W CC 0.9232   3.1 2.2 1
    79 HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC 0.7901 * 2.8 2.3 1
    80 NONTRAUMATIC STUPOR & COMA W MCC 1.3906   3.9 2.8 1
    81 NONTRAUMATIC STUPOR & COMA W/O MCC 0.6762   2.4 1.9 1
    82 TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC 2.3663   5.2 3.0 1
    83 TRAUMATIC STUPOR & COMA, COMA >1 HR W CC 1.2007   3.5 2.6 1
    84 TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC 0.7923   2.6 2.0 1
    85 TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W MCC 2.7446   8.2 5.5 1
    86 TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W CC 1.1922   3.8 2.9 1
    87 TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W/O CC/MCC 0.7472   2.2 1.8 1
    88 CONCUSSION AGE >17 W MCC 1.3582   3.4 2.4 1
    89 CONCUSSION AGE >17 W CC 1.2137   2.6 2.1 1
    90 CONCUSSION AGE >17 W/O CC/MCC 0.7631   1.4 1.2 1
    91 OTHER DISORDERS OF NERVOUS SYSTEM W MCC 1.6789   4.9 3.6 1
    92 OTHER DISORDERS OF NERVOUS SYSTEM W CC 0.9330   3.3 2.4 1
    93 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC 0.7637   2.3 1.8 1
    94 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC 3.6566   11.0 9.1 2
    95 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC 1.9824   7.5 6.1 1
    96 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC 2.1268   6.1 4.9 1
    97 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC 3.1441   11.9 7.9 1
    98 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC 2.0309   6.5 5.5 1
    99 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC 1.2597   5.1 3.9 1