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Fiscal Year 2012 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 2012
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    300 PERIPHERAL VASCULAR DISORDERS W CC 0.8396   3.8 3.1 1
    301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.6637   3.3 2.6 1
    302 ATHEROSCLEROSIS W MCC 1.9480   5.4 3.5 1
    303 ATHEROSCLEROSIS W/O MCC 0.6807   1.9 1.6 1
    304 HYPERTENSION W MCC 0.7176   3.3 2.5 1
    305 HYPERTENSION W/O MCC 0.6339   2.1 1.8 1
    306 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W MCC 1.0033 # 3.9 2.9 1
    307 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W/O MCC 0.7684   2.6 2.1 1
    308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.3427   4.7 3.6 1
    309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.7354   2.8 2.3 1
    310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5237   1.9 1.6 1
    311 ANGINA PECTORIS 0.5706   1.7 1.4 1
    312 SYNCOPE & COLLAPSE 0.7412   2.1 1.8 1
    313 CHEST PAIN 0.6183   1.6 1.4 1
    314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 2.1568   7.4 5.5 1
    315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 1.0696   4.0 3.1 1
    316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.6259   2.1 1.7 1
    326 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W MCC 5.1867   13.1 10.0 2
    327 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W CC 2.5229   6.4 4.6 1
    328 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W/O CC/MCC 1.5279   2.7 2.1 1
    329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 4.9239   13.9 10.7 2
    330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.4623   7.6 6.4 2
    331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6940   4.7 4.1 1
    332 RECTAL RESECTION W MCC 3.8086   12.8 11.7 5
    333 RECTAL RESECTION W CC 2.1022   5.7 5.0 1
    334 RECTAL RESECTION W/O CC/MCC 1.8624   4.7 4.2 1
    335 PERITONEAL ADHESIOLYSIS W MCC 5.3958   13.5 10.3 2
    336 PERITONEAL ADHESIOLYSIS W CC 2.2189   7.3 5.8 1
    337 PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.4412   4.0 3.1 1
    338 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 3.5214   9.3 7.7 2
    339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.7963   5.8 5.0 1
    340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.2277   3.6 3.1 1
    341 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 2.2014   4.4 3.1 1
    342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.3709   2.7 2.1 1
    343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 0.9957   1.5 1.3 1
    344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 4.6799   11.5 9.3 2
    345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.3474   5.3 4.6 1
    346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.0678   3.9 3.5 1
    347 ANAL & STOMAL PROCEDURES W MCC 2.3137   7.6 5.2 1
    348 ANAL & STOMAL PROCEDURES W CC 1.4189   4.3 3.5 1
    349 ANAL & STOMAL PROCEDURES W/O CC/MCC 0.7772   2.3 1.9 1
    350 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W MCC 1.9346 # 4.5 3.3 1
    351 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC 1.5870   3.4 2.6 1
    352 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC/MCC 0.8873   1.8 1.6 1
    353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W MCC 2.4607   6.9 5.0 1
    354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC 1.6644   4.4 3.6 1
    355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC/MCC 1.2599   2.5 2.1 1
    356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 3.6216   10.7 7.8 1
    357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.0310   6.7 5.1 1
    358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3171   3.8 3.0 1
    368 MAJOR ESOPHAGEAL DISORDERS W MCC 1.5818   5.0 3.6 1
    369 MAJOR ESOPHAGEAL DISORDERS W CC 0.8556   3.1 2.7 1
    370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.8621   3.0 2.4 1
    371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 1.8124   7.5 5.7 1
    372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.0320   4.7 3.9 1
    373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.7254   3.6 3.1 1
    374 DIGESTIVE MALIGNANCY W MCC 2.5812   8.8 6.5 1
    375 DIGESTIVE MALIGNANCY W CC 1.2739   6.1 4.2 1
    376 DIGESTIVE MALIGNANCY W/O CC/MCC 0.6889   2.9 2.3 1
    377 G.I. HEMORRHAGE W MCC 1.7289   5.9 4.2 1
    378 G.I. HEMORRHAGE W CC 0.9132   3.3 2.7 1
    379 G.I. HEMORRHAGE W/O CC/MCC 0.6462   2.2 1.9 1
    380 COMPLICATED PEPTIC ULCER W MCC 1.6486   6.4 5.2 1
    381 COMPLICATED PEPTIC ULCER W CC 0.9760   3.8 3.2 1
    382 COMPLICATED PEPTIC ULCER W/O CC/MCC 0.8249   3.0 2.5 1
    383 UNCOMPLICATED PEPTIC ULCER W MCC 1.1130   4.3 3.7 1
    384 UNCOMPLICATED PEPTIC ULCER W/O MCC 0.9084   3.1 2.6 1
    385 INFLAMMATORY BOWEL DISEASE W MCC 1.4773   6.5 5.3 1
    386 INFLAMMATORY BOWEL DISEASE W CC 1.0420   4.9 3.9 1
    387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7645   3.8 3.2 1
    388 G.I. OBSTRUCTION W MCC 1.4915   6.8 4.8 1
    389 G.I. OBSTRUCTION W CC 0.8318   3.9 3.1 1
    390 G.I. OBSTRUCTION W/O CC/MCC 0.5542   2.6 2.2 1
    391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W MCC 1.2084   4.7 3.6 1
    392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O MCC 0.7206   2.9 2.3 1
    393 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W MCC 1.6914   6.1 4.1 1
    394 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC 0.9171   4.0 3.1 1
    395 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC/MCC 0.6942   2.7 2.2 1