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Fiscal Year 2011 DRG Weights and Rates
for DRG Numbers Between 100 and 199
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 2011
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    100 SEIZURES AGE >17 W MCC 1.5076   4.6 3.5 1
    101 SEIZURES AGE >17 W/O MCC 0.7784   2.9 2.4 1
    102 HEADACHES AGE >17 W MCC 1.3510   5.2 3.6 1
    103 HEADACHES AGE >17 W/O MCC 0.7691   3.1 2.4 1
    104 CRANIOTOMY, VENTRICULAR SHUNT & ENDOVASC INTRACRANIAL PROC AGE 0-17 2.8195   6.4 3.6 1
    105 TRAUMATIC STUPOR & COMA, COMA <1 HR AGE 0-17 0.4963   1.9 1.5 1
    106 CONCUSSION AGE 0-17 0.5547   1.3 1.2 1
    107 SEIZURES & HEADACHES AGE 0-17 0.5367   2.4 1.9 1
    108 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 2.2347   9.6 3.8 1
    109 OTHER DISORDERS OF THE EYE AGE 0-17 0.7063   4.0 2.3 1
    110 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES AGE 0-17 0.8043   2.3 1.7 1
    111 SINUS & MASTOID PROCEDURES AGE 0-17 1.6771   6.8 4.2 1
    112 OTITIS MEDIA & URI AGE 0-17 0.3193   2.1 1.8 1
    113 ORBITAL PROCEDURES W CC/MCC 1.9387   3.8 2.8 1
    114 ORBITAL PROCEDURES W/O CC/MCC 1.0342   2.2 1.7 1
    115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17 1.0459   3.6 2.6 1
    116 INTRAOCULAR PROCEDURES W CC/MCC 1.4069 * 4.4 3.0 2
    117 INTRAOCULAR PROCEDURES W/O CC/MCC 0.8541   1.7 1.6 1
    118 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17 0.4446   2.4 2.0 1
    119 DENTAL & ORAL DISEASES AGE 0-17 0.5353   2.9 2.3 1
    120 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17 1.7403   9.2 6.7 1
    121 ACUTE MAJOR EYE INFECTIONS W CC/MCC 0.9050   4.0 3.1 1
    122 ACUTE MAJOR EYE INFECTIONS W/O CC/MCC 0.5803   3.5 2.9 1
    123 NEUROLOGICAL EYE DISORDERS 0.8563   2.7 2.2 1
    124 OTHER DISORDERS OF THE EYE AGE >17 W MCC 0.8190 # 2.1 2.3 2
    125 OTHER DISORDERS OF THE EYE AGE >17 W/O MCC 0.6913   2.7 2.1 1
    129 MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE 1.9658   3.5 2.6 1
    130 MAJOR HEAD & NECK PROCEDURES W/O CC/MCC 1.2951   2.5 2.1 1
    131 CRANIAL/FACIAL PROCEDURES W CC/MCC 2.3984   3.9 2.9 1
    132 CRANIAL/FACIAL PROCEDURES W/O CC/MCC 1.3885   1.6 1.4 1
    133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES AGE >17 W CC/MCC 1.1496   3.4 2.5 1
    134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES AGE >17 W/O CC/MCC 0.9424   1.8 1.5 1
    135 SINUS & MASTOID PROCEDURES AGE >17 W CC/MCC 2.1428   7.3 4.7 1
    136 SINUS & MASTOID PROCEDURES AGE >17 W/O CC/MCC 1.1184   2.1 1.8 1
    137 MOUTH PROCEDURES W CC/MCC 1.0520   3.4 3.0 1
    138 MOUTH PROCEDURES W/O CC/MCC 0.7563   2.3 1.8 1
    139 SALIVARY GLAND PROCEDURES 0.8963   1.5 1.4 1
    140 SIMPLE PNEUMONIA & PLEURISY AGE 0-17 0.4672   2.7 2.3 1
    141 BRONCHITIS & ASTHMA AGE 0-17 0.4002   2.4 2.0 1
    142 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE 0-17 2.7449   8.1 3.4 1
    143 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE 0-17 0.9589   4.1 3.0 1
    144 HERNIA PROCEDURES AGE 0-17 0.6106   2.0 1.5 1
    145 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17 0.3994   2.5 1.9 1
    146 EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC 1.3891   6.4 5.3 1
    147 EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC 1.1795   6.0 4.6 1
    148 EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC 0.8953 * 3.3 2.4 3
    149 DYSEQUILIBRIUM 0.7057   2.1 1.8 1
    150 EPISTAXIS W MCC 1.4217 * 5.0 3.7 2
    151 EPISTAXIS W/O MCC 0.6255   2.3 1.9 1
    152 OTITIS MEDIA & URI AGE >17 W MCC 0.7911   3.8 3.3 1
    153 OTITIS MEDIA & URI AGE >17 W/O MCC 0.5345   2.5 2.1 1
    154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 W MCC 0.9052   3.9 2.9 1
    155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 W CC 0.6866   2.7 2.3 1
    156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 W/O CC/MCC 0.5825   2.3 1.9 1
    157 DENTAL & ORAL DISEASES AGE >17 W MCC 1.9074   6.0 4.3 1
    158 DENTAL & ORAL DISEASES AGE >17 W CC 0.9269   3.6 2.7 1
    159 DENTAL & ORAL DISEASES AGE >17 W/O CC/MCC 0.7379   2.6 2.0 1
    160 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 0.5575   2.9 1.9 1
    161 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 1.3546   3.1 2.4 1
    162 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE 0-17 0.9497   1.8 1.5 1
    163 MAJOR CHEST PROCEDURES W MCC 4.5039   11.8 9.8 2
    164 MAJOR CHEST PROCEDURES W CC 2.3144   6.3 5.3 1
    165 MAJOR CHEST PROCEDURES W/O CC/MCC 1.6311   4.1 3.3 1
    166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC 3.9375   11.4 8.3 1
    167 OTHER RESP SYSTEM O.R. PROCEDURES W CC 2.1237   6.4 5.1 1
    168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC 1.2841   4.0 3.1 1
    169 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH AGE 0-17 0.4413   1.5 1.3 1
    170 CELLULITIS AGE 0-17 0.4250   2.5 2.1 1
    171 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE 0-17 0.6266   1.7 1.5 1
    172 NUTRITIONAL & MISC METABOLIC DISORDERS AGE 0-17 0.3334   2.5 1.9 1
    173 URETHRAL PROCEDURES AGE 0-17 0.7732 # 3.0 2.6 2
    174 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 0.4411   2.9 2.5 1
    175 PULMONARY EMBOLISM W MCC 1.8252   6.6 5.4 1
    176 PULMONARY EMBOLISM W/O MCC 0.9862   4.2 3.6 1
    177 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W MCC 2.3630   9.3 7.1 1
    178 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 1.6396   6.8 5.5 1
    179 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W/O CC/MCC 1.1450   5.2 3.8 1
    180 RESPIRATORY NEOPLASMS W MCC 2.1110   7.7 5.7 1
    181 RESPIRATORY NEOPLASMS W CC 1.2831   5.4 4.0 1
    182 RESPIRATORY NEOPLASMS W/O CC/MCC 1.0069   4.2 3.1 1
    183 MAJOR CHEST TRAUMA W MCC 1.5871   5.3 3.9 1
    184 MAJOR CHEST TRAUMA W CC 0.9189   3.3 2.7 1
    185 MAJOR CHEST TRAUMA W/O CC/MCC 0.7393   2.0 1.7 1
    186 PLEURAL EFFUSION W MCC 1.5473   6.2 4.5 1
    187 PLEURAL EFFUSION W CC 1.1369   4.3 3.3 1
    188 PLEURAL EFFUSION W/O CC/MCC 0.8518   3.1 2.5 1
    189 PULMONARY EDEMA & RESPIRATORY FAILURE 1.2201   4.9 3.8 1
    190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 1.2035   5.2 4.1 1
    191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 1.0258   4.3 3.5 1
    192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 0.7596   3.4 2.8 1
    193 SIMPLE PNEUMONIA & PLEURISY AGE >17 W MCC 1.5532   6.0 4.9 1
    194 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 0.9976   4.2 3.5 1
    195 SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC/MCC 0.6650   3.0 2.6 1
    196 INTERSTITIAL LUNG DISEASE W MCC 1.6919   7.0 5.6 1
    197 INTERSTITIAL LUNG DISEASE W CC 1.1322   4.4 3.7 1
    198 INTERSTITIAL LUNG DISEASE W/O CC/MCC 1.0981   4.0 3.2 1
    199 PNEUMOTHORAX W MCC 1.6490   6.1 5.0 1