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Fiscal Year 2013 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 2013
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    300 PERIPHERAL VASCULAR DISORDERS W CC 0.8001   3.8 3.0 1
    301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.6205   3.0 2.4 1
    302 ATHEROSCLEROSIS W MCC 1.1460   3.0 2.5 1
    303 ATHEROSCLEROSIS W/O MCC 0.6296   1.9 1.6 1
    304 HYPERTENSION W MCC 0.8446   3.4 2.8 1
    305 HYPERTENSION W/O MCC 0.6927   2.2 1.8 1
    306 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W MCC 0.9977 # 4.6 3.4 1
    307 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W/O MCC 0.6586   2.3 1.9 1
    308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.2688   4.4 3.2 1
    309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.7165   2.7 2.2 1
    310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.4968   1.8 1.6 1
    311 ANGINA PECTORIS 0.6015   1.7 1.5 1
    312 SYNCOPE & COLLAPSE 0.7650   2.3 1.8 1
    313 CHEST PAIN 0.6117   1.6 1.4 1
    314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 2.0604   7.3 5.3 1
    315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 0.9695   3.7 2.8 1
    316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.6734   2.3 1.9 1
    326 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W MCC 5.4235   12.6 9.0 1
    327 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W CC 2.6106   6.5 4.7 1
    328 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W/O CC/MCC 1.5631   2.7 2.1 1
    329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 5.2180   14.5 11.0 2
    330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.3735   7.3 6.2 2
    331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6941   4.5 4.0 1
    332 RECTAL RESECTION W MCC 5.4237   13.1 9.9 1
    333 RECTAL RESECTION W CC 2.2248   6.4 5.8 2
    334 RECTAL RESECTION W/O CC/MCC 1.9400   4.4 3.8 1
    335 PERITONEAL ADHESIOLYSIS W MCC 4.5194   12.8 10.2 2
    336 PERITONEAL ADHESIOLYSIS W CC 2.3487   7.1 5.8 1
    337 PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.5386   4.2 3.3 1
    338 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 3.0977   9.0 7.3 2
    339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.7546   5.9 4.8 1
    340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.2840   3.6 3.0 1
    341 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 1.8714   4.9 3.6 1
    342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.3231   3.0 2.3 1
    343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.0059   1.5 1.4 1
    344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 2.6783   5.7 4.6 1
    345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.4694   5.7 4.8 1
    346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.1287   3.9 3.5 1
    347 ANAL & STOMAL PROCEDURES W MCC 2.7332   7.7 5.5 1
    348 ANAL & STOMAL PROCEDURES W CC 1.2767   3.9 3.0 1
    349 ANAL & STOMAL PROCEDURES W/O CC/MCC 0.8050   2.5 2.1 1
    350 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W MCC 2.5149 # 5.9 4.3 1
    351 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC 1.3761   3.1 2.4 1
    352 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC/MCC 1.0643   2.0 1.7 1
    353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W MCC 2.7694   8.5 6.1 1
    354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC 1.5908   4.2 3.5 1
    355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC/MCC 1.2754   2.7 2.3 1
    356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 4.2785   12.8 9.0 1
    357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 1.8821   6.0 4.6 1
    358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3219   3.0 2.4 1
    368 MAJOR ESOPHAGEAL DISORDERS W MCC 1.9957   5.6 4.1 1
    369 MAJOR ESOPHAGEAL DISORDERS W CC 0.9928   3.6 2.8 1
    370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.7814   2.9 2.2 1
    371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 1.8951   8.0 5.8 1
    372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.0137   5.2 4.1 1
    373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.6580   3.4 2.9 1
    374 DIGESTIVE MALIGNANCY W MCC 2.8282   9.3 6.5 1
    375 DIGESTIVE MALIGNANCY W CC 1.2191   5.0 3.5 1
    376 DIGESTIVE MALIGNANCY W/O CC/MCC 1.1303   4.1 3.1 1
    377 G.I. HEMORRHAGE W MCC 1.9726   5.8 4.4 1
    378 G.I. HEMORRHAGE W CC 0.9043   3.1 2.7 1
    379 G.I. HEMORRHAGE W/O CC/MCC 0.6301   2.3 2.0 1
    380 COMPLICATED PEPTIC ULCER W MCC 1.5901   6.4 4.8 1
    381 COMPLICATED PEPTIC ULCER W CC 1.0818   4.4 3.4 1
    382 COMPLICATED PEPTIC ULCER W/O CC/MCC 0.7236   2.8 2.3 1
    383 UNCOMPLICATED PEPTIC ULCER W MCC 1.3087   4.1 3.3 1
    384 UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8790   3.1 2.5 1
    385 INFLAMMATORY BOWEL DISEASE W MCC 1.4401   6.6 4.9 1
    386 INFLAMMATORY BOWEL DISEASE W CC 0.9901   4.6 3.7 1
    387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.8047   3.7 3.0 1
    388 G.I. OBSTRUCTION W MCC 1.4539   6.2 4.4 1
    389 G.I. OBSTRUCTION W CC 0.8181   3.9 3.2 1
    390 G.I. OBSTRUCTION W/O CC/MCC 0.5508   2.7 2.3 1
    391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W MCC 1.1394   4.6 3.4 1
    392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O MCC 0.7353   3.0 2.4 1
    393 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W MCC 1.5155   6.0 4.5 1
    394 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC 0.9296   3.9 3.1 1
    395 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC/MCC 0.6786   2.6 2.2 1