TRICARE logo DHA Home About DHA Conferences TRICARE Contacts Feedback Site Map
DRG Home
Fiscal Year 2011 DRG Weights and Rates
for DRG Numbers Between 200 and 299
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
    200 PNEUMOTHORAX W CC 0.9180   3.8 3.1 1
    201 PNEUMOTHORAX W/O CC/MCC 0.5965   3.1 2.5 1
    202 BRONCHITIS & ASTHMA AGE >17 W CC/MCC 0.8868   4.0 3.1 1
    203 BRONCHITIS & ASTHMA AGE >17 W/O CC/MCC 0.6032   2.8 2.4 1
    204 RESPIRATORY SIGNS & SYMPTOMS 0.6465   2.3 1.8 1
    205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.2846   4.9 3.4 1
    206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.7694   2.5 1.9 1
    207 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 5.9663   14.6 12.6 4
    208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS 2.1737   5.7 4.2 1
    209 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 0.3291   1.6 1.4 1
    210 URETHRAL STRICTURE AGE 0-17 0.4968 # 1.9 1.9 2
    211 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 0.7937   4.2 3.2 1
    212 TESTES PROCEDURES AGE 0-17 0.6958   1.7 1.4 1
    213 SPLENECTOMY AGE 0-17 1.3016   2.9 2.7 1
    214 RED BLOOD CELL DISORDERS AGE 0-17 0.5430   3.5 2.7 1
    215 OTHER HEART ASSIST SYSTEM IMPLANT 13.9955 * 12.2 6.9 6
    216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC 11.8954   17.7 14.9 4
    217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC 7.1227   9.7 8.8 3
    218 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC 5.5332   7.8 6.8 2
    219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 7.3745   10.3 8.2 2
    220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 5.0798   6.7 6.0 2
    221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC 4.5027   5.1 4.8 2
    222 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC 8.3613   10.4 8.7 2
    223 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC 6.7196   4.9 4.1 1
    224 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC 6.9256   8.1 6.8 2
    225 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC 5.9201   4.2 3.6 1
    226 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6.9348   8.0 4.8 1
    227 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 5.1170   2.7 1.9 1
    228 OTHER CARDIOTHORACIC PROCEDURES W MCC 6.3959   10.5 8.2 2
    229 OTHER CARDIOTHORACIC PROCEDURES W CC 4.3948   6.7 5.4 1
    230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC 3.1630   4.3 3.6 1
    231 CORONARY BYPASS W PTCA W MCC 7.6904   10.9 9.7 3
    232 CORONARY BYPASS W PTCA W/O MCC 6.6250   8.4 8.0 4
    233 CORONARY BYPASS W CARDIAC CATH W MCC 7.1526   11.5 10.2 3
    234 CORONARY BYPASS W CARDIAC CATH W/O MCC 5.0750   7.6 7.2 3
    235 CORONARY BYPASS W/O CARDIAC CATH W MCC 5.2944   8.2 7.5 3
    236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC 3.9746   5.7 5.4 2
    237 MAJOR CARDIOVASC PROCEDURES W MCC OR THORACIC AORTIC ANEURYSM REPAIR 5.7349   9.7 6.7 1
    238 MAJOR CARDIOVASC PROCEDURES W/O MCC 2.9933   4.2 3.2 1
    239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 5.3150   13.4 9.6 1
    240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 2.7470   10.1 8.8 3
    241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.6240 * 6.0 5.0 7
    242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 4.0598   6.2 4.9 1
    243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC 3.0637   4.0 3.1 1
    244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.2038   2.3 2.0 1
    245 AICD GENERATOR PROCEDURES 4.6619   3.6 2.3 1
    246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 3.6812   3.9 2.8 1
    247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 2.6203   2.1 1.8 1
    248 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS 3.3588   4.9 3.6 1
    249 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 2.2823   2.4 2.0 1
    250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 3.1904   5.9 4.1 1
    251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 2.6135   2.3 1.8 1
    252 OTHER VASCULAR PROCEDURES W MCC 3.5574   7.2 4.8 1
    253 OTHER VASCULAR PROCEDURES W CC 2.7635   5.0 3.7 1
    254 OTHER VASCULAR PROCEDURES W/O CC/MCC 1.9762   2.4 1.9 1
    255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.7798 * 9.2 7.0 4
    256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 1.3836   5.5 4.1 1
    257 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 1.0823 * 4.3 3.4 4
    258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 3.2057 * 7.0 5.2 2
    259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 2.0351 * 3.2 2.4 2
    260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 2.3078   6.6 6.0 2
    261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.8469   4.9 3.3 1
    262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.1623   2.8 2.1 1
    263 VEIN LIGATION & STRIPPING 1.5683   3.6 2.6 1
    264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 3.2683   10.7 6.7 1
    265 AICD LEAD PROCEDURES 3.5814   2.7 2.1 1
    266 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE 0-17 5.5898   16.3 9.7 1
    267 VIRAL ILLNESS & FEVER AGE 0-17 0.3647   2.3 2.0 1
    268 SEPTICEMIA OR SEVERE SEPSIS AGE 0-17 1.2551   5.5 3.9 1
    269 TRAUMATIC INJURY AGE 0-17 0.4184   1.4 1.3 1
    270 ALLERGIC REACTIONS AGE 0-17 0.2586   1.5 1.3 1
    271 POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 0.3733   1.8 1.4 1
    280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 2.2712   6.5 4.7 1
    281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 1.3600   3.3 2.6 1
    282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 1.0568   2.0 1.7 1
    283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 2.2096   4.4 3.0 1
    284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.9866 * 3.0 2.1 2
    285 ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.6340 * 1.8 1.4 2
    286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.1289   5.5 4.0 1
    287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.2297   2.3 1.9 1
    288 ACUTE & SUBACUTE ENDOCARDITIS W MCC 4.5787   12.9 9.7 1
    289 ACUTE & SUBACUTE ENDOCARDITIS W CC 2.0526 * 7.8 6.4 4
    290 ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.4384 * 5.6 4.4 4
    291 HEART FAILURE & SHOCK W MCC 1.6120   6.0 4.4 1
    292 HEART FAILURE & SHOCK W CC 1.0280   4.3 3.5 1
    293 HEART FAILURE & SHOCK W/O CC/MCC 0.7101   2.8 2.4 1
    294 DEEP VEIN THROMBOPHLEBITIS W CC/MCC 0.8088   6.0 4.2 1
    295 DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.7107 * 4.0 3.4 3
    296 CARDIAC ARREST, UNEXPLAINED W MCC 1.8271   3.6 2.0 1
    297 CARDIAC ARREST, UNEXPLAINED W CC 1.3671   1.8 1.5 1
    298 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.4992 * 1.2 1.1 2
    299 PERIPHERAL VASCULAR DISORDERS W MCC 1.0973   4.6 3.7 1