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Fiscal Year 2011 DRG Weights and Rates
for DRG Numbers Between 300 and 399
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
    300 PERIPHERAL VASCULAR DISORDERS W CC 0.8596   4.0 3.3 1
    301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.6427   3.1 2.5 1
    302 ATHEROSCLEROSIS W MCC 1.0562   3.0 2.3 1
    303 ATHEROSCLEROSIS W/O MCC 0.6357   1.8 1.6 1
    304 HYPERTENSION W MCC 1.1617   4.5 3.4 1
    305 HYPERTENSION W/O MCC 0.6397   2.2 1.8 1
    306 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W MCC 1.0348   5.0 3.9 1
    307 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W/O MCC 0.8185   2.7 2.2 1
    308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.2481   4.7 3.6 1
    309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.7581   2.8 2.2 1
    310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5386   1.9 1.6 1
    311 ANGINA PECTORIS 0.5799   1.7 1.5 1
    312 SYNCOPE & COLLAPSE 0.7602   2.3 1.9 1
    313 CHEST PAIN 0.6174   1.6 1.4 1
    314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 2.1470   7.5 5.5 1
    315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 1.0590   4.2 3.1 1
    316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.5950   2.1 1.8 1
    326 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W MCC 5.6411   14.6 10.3 1
    327 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W CC 2.5650   7.2 5.2 1
    328 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W/O CC/MCC 1.5117   2.9 2.2 1
    329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 5.0604   14.0 10.7 2
    330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.4396   7.9 6.6 2
    331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6218   4.6 4.1 1
    332 RECTAL RESECTION W MCC 7.5368   16.1 12.0 2
    333 RECTAL RESECTION W CC 2.2769   6.5 5.7 2
    334 RECTAL RESECTION W/O CC/MCC 1.7772   4.5 4.1 1
    335 PERITONEAL ADHESIOLYSIS W MCC 3.7531   10.6 8.4 1
    336 PERITONEAL ADHESIOLYSIS W CC 2.0781   7.0 5.6 1
    337 PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.3784   3.8 3.1 1
    338 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 2.8156   8.1 6.7 1
    339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.9565   6.7 5.6 1
    340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.2818   3.5 3.0 1
    341 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 1.6428   3.6 2.8 1
    342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.2897   2.8 2.2 1
    343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 0.9932   1.6 1.4 1
    344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 2.8989   9.8 7.8 2
    345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.4233   5.8 4.9 1
    346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.1414   4.3 3.8 1
    347 ANAL & STOMAL PROCEDURES W MCC 1.7875   6.1 4.7 1
    348 ANAL & STOMAL PROCEDURES W CC 1.2010   4.0 3.0 1
    349 ANAL & STOMAL PROCEDURES W/O CC/MCC 0.8099   2.6 2.1 1
    350 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W MCC 1.8753 # 4.4 3.8 2
    351 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC 1.5769   3.5 2.7 1
    352 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC/MCC 1.0882   2.0 1.7 1
    353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W MCC 3.1851   7.9 5.6 1
    354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC 1.5813   4.1 3.4 1
    355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC/MCC 1.2460   2.6 2.2 1
    356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 3.6168   11.1 8.3 1
    357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.0852   6.3 4.8 1
    358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3122   3.5 2.9 1
    368 MAJOR ESOPHAGEAL DISORDERS W MCC 2.0320   5.6 4.0 1
    369 MAJOR ESOPHAGEAL DISORDERS W CC 0.7935   3.2 2.6 1
    370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.5991   2.2 1.9 1
    371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 2.2263   8.0 6.3 1
    372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.1336   5.3 4.2 1
    373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.7882   3.8 3.2 1
    374 DIGESTIVE MALIGNANCY W MCC 2.6960   8.9 6.1 1
    375 DIGESTIVE MALIGNANCY W CC 1.5774   5.6 4.1 1
    376 DIGESTIVE MALIGNANCY W/O CC/MCC 0.8477   3.5 2.7 1
    377 G.I. HEMORRHAGE W MCC 2.0022   6.1 4.3 1
    378 G.I. HEMORRHAGE W CC 0.9653   3.5 2.9 1
    379 G.I. HEMORRHAGE W/O CC/MCC 0.6773   2.4 2.1 1
    380 COMPLICATED PEPTIC ULCER W MCC 1.4586   5.8 4.8 1
    381 COMPLICATED PEPTIC ULCER W CC 1.1223   4.6 3.6 1
    382 COMPLICATED PEPTIC ULCER W/O CC/MCC 0.7632   3.3 2.6 1
    383 UNCOMPLICATED PEPTIC ULCER W MCC 1.4165   6.4 3.7 1
    384 UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8924   3.2 2.5 1
    385 INFLAMMATORY BOWEL DISEASE W MCC 1.7772   7.2 5.2 1
    386 INFLAMMATORY BOWEL DISEASE W CC 1.0618   4.9 3.9 1
    387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7778   3.6 3.1 1
    388 G.I. OBSTRUCTION W MCC 1.7057   7.1 5.1 1
    389 G.I. OBSTRUCTION W CC 0.8993   4.1 3.3 1
    390 G.I. OBSTRUCTION W/O CC/MCC 0.5977   2.8 2.3 1
    391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W MCC 1.1536   4.5 3.4 1
    392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O MCC 0.7559   2.9 2.4 1
    393 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W MCC 1.6041   6.3 4.5 1
    394 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC 0.9159   4.0 3.1 1
    395 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC/MCC 0.7223   2.8 2.2 1