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Fiscal Year 2013 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 2013
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    200 PNEUMOTHORAX W CC 0.8463   3.7 2.9 1
    201 PNEUMOTHORAX W/O CC/MCC 0.5151   2.8 2.3 1
    202 BRONCHITIS & ASTHMA AGE >17 W CC/MCC 0.8426   3.7 3.0 1
    203 BRONCHITIS & ASTHMA AGE >17 W/O CC/MCC 0.6022   2.7 2.2 1
    204 RESPIRATORY SIGNS & SYMPTOMS 0.6294   2.2 1.7 1
    205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.1336   4.8 3.4 1
    206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.7274   2.3 1.9 1
    207 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 6.0440   15.2 12.9 4
    208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS 2.0765   5.6 4.0 1
    209 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 0.3717   1.5 1.4 1
    210 URETHRAL STRICTURE AGE 0-17 0.5196 # 2.2 2.1 2
    211 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 0.5810   3.8 2.6 1
    212 TESTES PROCEDURES AGE 0-17 0.4754   1.2 1.1 1
    213 SPLENECTOMY AGE 0-17 1.4164 # 3.3 2.7 1
    214 RED BLOOD CELL DISORDERS AGE 0-17 0.4757   3.0 2.3 1
    215 OTHER HEART ASSIST SYSTEM IMPLANT 15.6550 * 15.0 8.5 2
    216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC 10.5936   14.5 11.8 2
    217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC 6.3344   9.6 8.5 2
    218 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC 6.6545   7.4 6.1 1
    219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 7.7454   10.2 8.2 2
    220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 5.0415   6.3 5.7 2
    221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC 4.5406   4.8 4.5 2
    222 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC 8.8573   12.2 9.4 2
    223 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC 8.1850   8.0 5.8 1
    224 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC 6.9726   9.0 7.6 2
    225 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC 5.9686   4.1 3.4 1
    226 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6.3866   6.5 4.6 1
    227 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 4.9215   3.3 2.3 1
    228 OTHER CARDIOTHORACIC PROCEDURES W MCC 6.2034   10.8 8.1 1
    229 OTHER CARDIOTHORACIC PROCEDURES W CC 4.0467   6.5 5.7 2
    230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC 2.9147   4.1 3.7 1
    231 CORONARY BYPASS W PTCA W MCC 6.7697   7.6 6.4 1
    232 CORONARY BYPASS W PTCA W/O MCC 6.3938   8.3 7.5 3
    233 CORONARY BYPASS W CARDIAC CATH W MCC 7.7330   11.5 10.4 4
    234 CORONARY BYPASS W CARDIAC CATH W/O MCC 5.3806   7.9 7.5 3
    235 CORONARY BYPASS W/O CARDIAC CATH W MCC 6.0711   9.2 8.1 3
    236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC 4.0074   5.5 5.1 2
    237 MAJOR CARDIOVASC PROCEDURES W MCC 5.0299   9.1 6.4 1
    238 MAJOR CARDIOVASC PROCEDURES W/O MCC 3.0495   4.5 3.3 1
    239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 6.2938   18.7 14.2 2
    240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 2.9982   10.4 8.9 2
    241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.6456 * 5.7 4.7 3
    242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 3.9505   5.9 4.4 1
    243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC 2.8324   3.7 3.0 1
    244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.3180   2.7 2.2 1
    245 AICD GENERATOR PROCEDURES 3.5876   2.4 1.9 1
    246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 3.4076   4.0 3.1 1
    247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 2.5124   2.2 1.9 1
    248 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS 3.4900   4.8 3.7 1
    249 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 2.3365   2.5 2.2 1
    250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 3.5302   5.8 4.2 1
    251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 2.8191   2.3 1.9 1
    252 OTHER VASCULAR PROCEDURES W MCC 3.6584   8.3 5.4 1
    253 OTHER VASCULAR PROCEDURES W CC 2.6449   5.0 3.7 1
    254 OTHER VASCULAR PROCEDURES W/O CC/MCC 1.8882   2.4 1.9 1
    255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.7063 * 8.8 6.7 2
    256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 2.1726   9.4 6.3 1
    257 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 1.0584 * 4.2 3.2 2
    258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 2.9909 * 6.5 5.0 1
    259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 2.0635 * 3.3 2.5 1
    260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 3.1514   7.7 4.7 1
    261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.6153   3.0 2.5 1
    262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.5981   2.7 2.2 1
    263 VEIN LIGATION & STRIPPING 2.1191 * 5.9 3.8 1
    264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 2.4407   7.5 5.4 1
    265 AICD LEAD PROCEDURES 2.8361   4.5 3.0 1
    266 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE 0-17 5.6193   18.0 10.3 1
    267 VIRAL ILLNESS & FEVER AGE 0-17 0.3568   2.3 2.0 1
    268 SEPTICEMIA OR SEVERE SEPSIS AGE 0-17 1.6880   6.6 4.5 1
    269 TRAUMATIC INJURY AGE 0-17 0.5883   2.5 1.7 1
    270 ALLERGIC REACTIONS AGE 0-17 0.2292   1.2 1.2 1
    271 POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 0.3666   1.7 1.4 1
    280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 2.1075   5.4 4.4 1
    281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 1.2214   2.8 2.4 1
    282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.9778   1.9 1.7 1
    283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 2.2532   4.7 2.8 1
    284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.8927 * 2.6 1.9 1
    285 ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.5942 * 1.7 1.4 1
    286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.2248   6.0 4.3 1
    287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.2656   2.4 1.9 1
    288 ACUTE & SUBACUTE ENDOCARDITIS W MCC 2.9101   13.1 10.1 2
    289 ACUTE & SUBACUTE ENDOCARDITIS W CC 1.4955   5.0 3.9 1
    290 ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.3422 * 5.0 4.1 2
    291 HEART FAILURE & SHOCK W MCC 1.4982   5.7 4.4 1
    292 HEART FAILURE & SHOCK W CC 0.9439   4.3 3.4 1
    293 HEART FAILURE & SHOCK W/O CC/MCC 0.6698   2.9 2.4 1
    294 DEEP VEIN THROMBOPHLEBITIS W CC/MCC 1.3672   5.1 4.3 1
    295 DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.7188 * 4.0 3.5 1
    296 CARDIAC ARREST, UNEXPLAINED W MCC 1.5108   2.1 1.8 1
    297 CARDIAC ARREST, UNEXPLAINED W CC 0.7165 * 1.5 1.3 1
    298 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.5074 * 1.2 1.1 1
    299 PERIPHERAL VASCULAR DISORDERS W MCC 1.1728   4.8 3.9 1