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Fiscal Year 2014 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 2014
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    100 SEIZURES AGE >17 W MCC 1.3829   4.4 3.3 1
    101 SEIZURES AGE >17 W/O MCC 0.7415   2.9 2.4 1
    102 HEADACHES AGE >17 W MCC 1.1887   4.8 3.4 1
    103 HEADACHES AGE >17 W/O MCC 0.7774   2.8 2.2 1
    104 CRANIOTOMY, VENTRICULAR SHUNT & ENDOVASC INTRACRANIAL PROC AGE 0-17 2.5298   5.8 3.5 1
    105 TRAUMATIC STUPOR & COMA, COMA <1 HR AGE 0-17 0.4318   1.9 1.5 1
    106 CONCUSSION AGE 0-17 0.4822   1.4 1.2 1
    107 SEIZURES & HEADACHES AGE 0-17 0.5243   2.4 1.9 1
    108 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 0.7531   1.7 1.4 1
    109 OTHER DISORDERS OF THE EYE AGE 0-17 0.3239   2.4 1.9 1
    110 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES AGE 0-17 0.7770   2.1 1.7 1
    111 SINUS & MASTOID PROCEDURES AGE 0-17 2.3586 # 6.9 4.4 1
    112 OTITIS MEDIA & URI AGE 0-17 0.2855   1.9 1.6 1
    113 ORBITAL PROCEDURES W CC/MCC 1.5273   3.3 2.8 1
    114 ORBITAL PROCEDURES W/O CC/MCC 0.8610   2.3 2.0 1
    115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17 1.5806   5.0 3.4 1
    116 INTRAOCULAR PROCEDURES W CC/MCC 1.6435 * 4.8 3.2 1
    117 INTRAOCULAR PROCEDURES W/O CC/MCC 0.7582   1.9 1.7 1
    118 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17 0.5619   2.9 2.0 1
    119 DENTAL & ORAL DISEASES AGE 0-17 0.5509   3.1 2.4 1
    120 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17 1.9839   8.3 6.1 1
    121 ACUTE MAJOR EYE INFECTIONS W CC/MCC 0.5968   3.7 3.4 1
    122 ACUTE MAJOR EYE INFECTIONS W/O CC/MCC 0.4633   2.8 2.2 1
    123 NEUROLOGICAL EYE DISORDERS 0.8292   2.8 2.2 1
    124 OTHER DISORDERS OF THE EYE AGE >17 W MCC 1.3702 # 4.0 3.1 1
    125 OTHER DISORDERS OF THE EYE AGE >17 W/O MCC 0.6350   2.6 2.1 1
    129 MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE 2.3732   6.9 4.1 1
    130 MAJOR HEAD & NECK PROCEDURES W/O CC/MCC 1.2217   3.0 2.4 1
    131 CRANIAL/FACIAL PROCEDURES W CC/MCC 2.6636   3.7 3.0 1
    132 CRANIAL/FACIAL PROCEDURES W/O CC/MCC 1.6474   1.7 1.5 1
    133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES AGE >17 W CC/MCC 1.5521   3.9 2.7 1
    134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES AGE >17 W/O CC/MCC 0.9282   1.9 1.6 1
    135 SINUS & MASTOID PROCEDURES AGE >17 W CC/MCC 2.9930   7.6 6.0 1
    136 SINUS & MASTOID PROCEDURES AGE >17 W/O CC/MCC 1.1981 # 2.1 1.7 1
    137 MOUTH PROCEDURES W CC/MCC 1.0139   3.0 2.7 1
    138 MOUTH PROCEDURES W/O CC/MCC 0.6495   2.0 1.7 1
    139 SALIVARY GLAND PROCEDURES 1.1539   1.6 1.4 1
    140 SIMPLE PNEUMONIA & PLEURISY AGE 0-17 0.4602   2.7 2.2 1
    141 BRONCHITIS & ASTHMA AGE 0-17 0.3774   2.3 1.9 1
    142 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE 0-17 0.5730   2.6 1.9 1
    143 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE 0-17 1.1418   3.9 2.7 1
    144 HERNIA PROCEDURES AGE 0-17 0.8084   2.3 1.5 1
    145 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17 0.3814   2.4 1.9 1
    146 EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC 2.2646 * 8.2 5.6 1
    147 EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC 1.0266   4.1 3.2 1
    148 EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC 0.8592   2.6 2.2 1
    149 DYSEQUILIBRIUM 0.6768   2.0 1.7 1
    150 EPISTAXIS W MCC 1.4761 * 4.9 3.7 1
    151 EPISTAXIS W/O MCC 0.5996   2.8 2.2 1
    152 OTITIS MEDIA & URI AGE >17 W MCC 0.8122   3.5 2.8 1
    153 OTITIS MEDIA & URI AGE >17 W/O MCC 0.5366   2.2 1.9 1
    154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 W MCC 1.7923   5.2 3.6 1
    155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 W CC 0.8711   3.2 2.5 1
    156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 W/O CC/MCC 0.5952   2.0 1.7 1
    157 DENTAL & ORAL DISEASES AGE >17 W MCC 1.3666   5.1 3.9 1
    158 DENTAL & ORAL DISEASES AGE >17 W CC 0.8530   3.7 2.8 1
    159 DENTAL & ORAL DISEASES AGE >17 W/O CC/MCC 0.4815   2.2 1.9 1
    160 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 0.5864   3.0 1.9 1
    161 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 1.3434   2.7 2.1 1
    162 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE 0-17 0.9936   1.8 1.5 1
    163 MAJOR CHEST PROCEDURES W MCC 4.7561   13.3 10.7 2
    164 MAJOR CHEST PROCEDURES W CC 2.4538   6.2 5.1 1
    165 MAJOR CHEST PROCEDURES W/O CC/MCC 1.8164   4.1 3.4 1
    166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC 4.2269   11.6 8.7 1
    167 OTHER RESP SYSTEM O.R. PROCEDURES W CC 1.9861   5.7 4.5 1
    168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3770   3.5 2.8 1
    169 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH AGE 0-17 0.4179   1.4 1.3 1
    170 CELLULITIS AGE 0-17 0.4044   2.5 2.1 1
    171 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE 0-17 0.3403   1.3 1.2 1
    172 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES 0-17 0.3391   2.6 2.0 1
    173 URETHRAL PROCEDURES AGE 0-17 0.8786 # 2.7 2.2 1
    174 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 0.3803   2.6 2.3 1
    175 PULMONARY EMBOLISM W MCC 1.4865   5.7 4.5 1
    176 PULMONARY EMBOLISM W/O MCC 0.8462   3.5 2.9 1
    177 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W MCC 2.1036   9.4 6.6 1
    178 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 1.4949   6.8 5.2 1
    179 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W/O CC/MCC 0.9572   4.2 3.3 1
    180 RESPIRATORY NEOPLASMS W MCC 1.7295   6.3 4.8 1
    181 RESPIRATORY NEOPLASMS W CC 1.3298   5.1 3.7 1
    182 RESPIRATORY NEOPLASMS W/O CC/MCC 0.9936   3.7 2.7 1
    183 MAJOR CHEST TRAUMA W MCC 1.3008   5.4 4.4 1
    184 MAJOR CHEST TRAUMA W CC 1.0481   3.2 2.7 1
    185 MAJOR CHEST TRAUMA W/O CC/MCC 0.5547   1.9 1.7 1
    186 PLEURAL EFFUSION W MCC 1.6649   6.8 5.3 1
    187 PLEURAL EFFUSION W CC 1.0691   3.9 3.0 1
    188 PLEURAL EFFUSION W/O CC/MCC 0.8181   3.3 2.4 1
    189 PULMONARY EDEMA & RESPIRATORY FAILURE 1.2186   4.6 3.7 1
    190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 1.1792   4.9 4.0 1
    191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 0.9582   4.1 3.4 1
    192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 0.6825   3.0 2.5 1
    193 SIMPLE PNEUMONIA & PLEURISY AGE >17 W MCC 1.3997   5.4 4.5 1
    194 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 0.9597   4.0 3.4 1
    195 SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC/MCC 0.7023   3.0 2.6 1
    196 INTERSTITIAL LUNG DISEASE W MCC 1.9681   7.9 5.6 1
    197 INTERSTITIAL LUNG DISEASE W CC 0.9597   4.2 3.3 1
    198 INTERSTITIAL LUNG DISEASE W/O CC/MCC 0.7713   3.1 2.5 1
    199 PNEUMOTHORAX W MCC 1.3342   5.6 4.6 1