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Fiscal Year 2014 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 2014
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    200 PNEUMOTHORAX W CC 0.9007   3.7 2.7 1
    201 PNEUMOTHORAX W/O CC/MCC 0.5903   3.4 2.7 1
    202 BRONCHITIS & ASTHMA AGE >17 W CC/MCC 0.8619   3.8 2.9 1
    203 BRONCHITIS & ASTHMA AGE >17 W/O CC/MCC 0.6033   2.7 2.3 1
    204 RESPIRATORY SIGNS & SYMPTOMS 0.5981   2.2 1.7 1
    205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.1357   4.3 3.3 1
    206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.7150   2.3 1.8 1
    207 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 5.4732   13.9 11.8 3
    208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS 2.2460   5.9 4.1 1
    209 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 0.2977   1.5 1.4 1
    210 URETHRAL STRICTURE AGE 0-17 0.5051 # 2.0 2.0 2
    211 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 0.6414   3.1 2.4 1
    212 TESTES PROCEDURES AGE 0-17 0.7149   1.6 1.3 1
    213 SPLENECTOMY AGE 0-17 1.3641   3.1 2.7 1
    214 RED BLOOD CELL DISORDERS AGE 0-17 0.4953   3.2 2.5 1
    215 OTHER HEART ASSIST SYSTEM IMPLANT 16.4047 * 16.7 10.0 2
    216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC 10.4770   16.1 14.0 4
    217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC 6.7068   8.7 7.2 1
    218 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC 5.9618   5.9 4.8 1
    219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 7.1279   10.2 8.5 2
    220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 4.8984   6.1 5.6 2
    221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC 4.7560   5.4 5.0 2
    222 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC 8.4617   13.0 10.3 2
    223 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC 7.1325 * 6.2 4.6 1
    224 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC 8.7193   9.1 8.3 3
    225 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC 5.5661   5.2 4.3 1
    226 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6.8202   8.3 5.3 1
    227 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 4.8943   2.8 2.0 1
    228 OTHER CARDIOTHORACIC PROCEDURES W MCC 6.3116   9.7 7.5 2
    229 OTHER CARDIOTHORACIC PROCEDURES W CC 3.5261   5.7 5.0 1
    230 OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC 3.4412   4.1 3.7 1
    231 CORONARY BYPASS W PTCA W MCC 7.2805   9.0 7.7 2
    232 CORONARY BYPASS W PTCA W/O MCC 7.4129   8.3 7.9 4
    233 CORONARY BYPASS W CARDIAC CATH W MCC 7.1973   11.5 10.5 4
    234 CORONARY BYPASS W CARDIAC CATH W/O MCC 5.5466   7.9 7.5 3
    235 CORONARY BYPASS W/O CARDIAC CATH W MCC 6.4486   9.0 7.6 2
    236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC 4.2538   5.6 5.3 2
    237 MAJOR CARDIOVASC PROCEDURES W MCC 5.2044   9.9 6.6 1
    238 MAJOR CARDIOVASC PROCEDURES W/O MCC 3.1739   4.2 3.0 1
    239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 6.8636   21.3 17.1 3
    240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 4.0708   13.0 9.3 1
    241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.5791 * 5.5 4.6 3
    242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 3.6988   5.9 4.4 1
    243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC 2.9826   4.0 3.0 1
    244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.4128   2.6 2.2 1
    245 AICD GENERATOR PROCEDURES 5.0823   4.2 2.9 1
    246 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 3.4994   3.9 3.1 1
    247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 2.6036   2.3 2.0 1
    248 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS 3.9865   6.0 4.2 1
    249 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 2.3439   2.6 2.2 1
    250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 3.6080   6.8 4.8 1
    251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 2.8255   2.4 1.9 1
    252 OTHER VASCULAR PROCEDURES W MCC 3.2368   7.1 4.4 1
    253 OTHER VASCULAR PROCEDURES W CC 2.7876   4.6 3.3 1
    254 OTHER VASCULAR PROCEDURES W/O CC/MCC 2.1050   2.8 2.2 1
    255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.9308 * 8.8 6.8 2
    256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 1.0400   4.7 4.4 2
    257 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 1.0009 * 3.7 3.0 2
    258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 3.0224 * 6.2 4.9 1
    259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 1.3177   1.9 1.6 1
    260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 4.1334 * 10.5 7.7 1
    261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.7622   3.9 2.9 1
    262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.1618   2.3 1.9 1
    263 VEIN LIGATION & STRIPPING 1.3689   3.6 2.5 1
    264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 2.3446   7.9 4.8 1
    265 AICD LEAD PROCEDURES 2.5082   3.1 1.9 1
    266 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE 0-17 5.0061   15.0 7.9 1
    267 VIRAL ILLNESS & FEVER AGE 0-17 0.3426   2.3 1.9 1
    268 SEPTICEMIA OR SEVERE SEPSIS AGE 0-17 1.2660   5.5 3.9 1
    269 TRAUMATIC INJURY AGE 0-17 0.5075   1.9 1.6 1
    270 ALLERGIC REACTIONS AGE 0-17 0.1919   1.4 1.2 1
    271 POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 0.3423   1.7 1.4 1
    280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 2.0313   5.8 4.7 1
    281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 1.2681   2.9 2.5 1
    282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 1.0852   2.2 1.9 1
    283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 2.3308   4.5 2.4 1
    284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.5933   1.3 1.1 1
    285 ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.5802 * 1.7 1.4 1
    286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.0939   5.9 4.3 1
    287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.2460   2.4 1.9 1
    288 ACUTE & SUBACUTE ENDOCARDITIS W MCC 4.8464   15.2 8.9 1
    289 ACUTE & SUBACUTE ENDOCARDITIS W CC 1.1346   5.6 5.0 1
    290 ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.3718 * 4.8 3.9 2
    291 HEART FAILURE & SHOCK W MCC 1.5220   5.9 4.4 1
    292 HEART FAILURE & SHOCK W CC 0.9575   4.4 3.6 1
    293 HEART FAILURE & SHOCK W/O CC/MCC 0.6327   2.7 2.2 1
    294 DEEP VEIN THROMBOPHLEBITIS W CC/MCC 1.0477 * 4.9 4.0 1
    295 DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.6979 * 3.6 3.1 1
    296 CARDIAC ARREST, UNEXPLAINED W MCC 2.3897   4.2 2.3 1
    297 CARDIAC ARREST, UNEXPLAINED W CC 0.6730 * 1.5 1.2 1
    298 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.4729 * 1.1 1.0 1
    299 PERIPHERAL VASCULAR DISORDERS W MCC 1.0742   4.4 3.4 1