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Fiscal Year 2014 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 2014
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    300 PERIPHERAL VASCULAR DISORDERS W CC 0.8506   3.8 3.0 1
    301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.6005   2.9 2.4 1
    302 ATHEROSCLEROSIS W MCC 1.4118   4.8 3.2 1
    303 ATHEROSCLEROSIS W/O MCC 0.6512   1.9 1.6 1
    304 HYPERTENSION W MCC 1.2369   4.4 3.3 1
    305 HYPERTENSION W/O MCC 0.7125   2.2 1.8 1
    306 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W MCC 0.9821   5.8 4.3 1
    307 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W/O MCC 0.6922   2.4 2.1 1
    308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.2368   4.5 3.4 1
    309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.7055   2.7 2.2 1
    310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5102   1.9 1.6 1
    311 ANGINA PECTORIS 0.5525   1.7 1.4 1
    312 SYNCOPE & COLLAPSE 0.7193   2.2 1.8 1
    313 CHEST PAIN 0.6067   1.6 1.4 1
    314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 2.0230   7.6 5.4 1
    315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 1.0666   4.0 3.1 1
    316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.5936   2.2 1.8 1
    326 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W MCC 4.8076   11.2 7.8 1
    327 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W CC 2.3765   6.0 4.1 1
    328 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W/O CC/MCC 1.6397   2.6 2.0 1
    329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 4.6680   13.4 10.5 2
    330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.3784   7.3 6.1 1
    331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.8077   4.5 4.1 1
    332 RECTAL RESECTION W MCC 4.9834   12.0 9.1 1
    333 RECTAL RESECTION W CC 2.1323   6.3 5.5 1
    334 RECTAL RESECTION W/O CC/MCC 1.8827   4.3 3.8 1
    335 PERITONEAL ADHESIOLYSIS W MCC 3.8101   10.1 8.2 2
    336 PERITONEAL ADHESIOLYSIS W CC 2.2743   7.2 5.7 1
    337 PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.5862   4.1 3.3 1
    338 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 2.4960   8.2 6.8 2
    339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.7445   5.5 4.6 1
    340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.2530   3.6 2.9 1
    341 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 2.3288   5.0 4.0 1
    342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.2162   2.5 2.0 1
    343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.0079   1.5 1.3 1
    344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 2.1393   8.1 6.3 1
    345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.3904   5.7 4.8 1
    346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.0881   3.6 3.2 1
    347 ANAL & STOMAL PROCEDURES W MCC 3.2080   10.8 7.2 1
    348 ANAL & STOMAL PROCEDURES W CC 1.3819   4.5 3.3 1
    349 ANAL & STOMAL PROCEDURES W/O CC/MCC 0.8958   2.4 2.0 1
    350 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W MCC 3.0632 # 6.1 4.2 1
    351 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC 1.3636   3.9 2.9 1
    352 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC/MCC 1.1094   1.9 1.6 1
    353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W MCC 3.5924   8.4 6.4 1
    354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC 1.8094   4.2 3.3 1
    355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC/MCC 1.2718   2.6 2.1 1
    356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 3.8895   11.2 8.4 1
    357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.1667   7.2 5.2 1
    358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.2955   3.1 2.6 1
    368 MAJOR ESOPHAGEAL DISORDERS W MCC 2.5701   7.8 5.7 1
    369 MAJOR ESOPHAGEAL DISORDERS W CC 1.0007   3.2 2.6 1
    370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.6157   2.3 1.9 1
    371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 1.7899   7.5 5.8 1
    372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 0.9745   4.7 3.9 1
    373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.6415   3.4 2.9 1
    374 DIGESTIVE MALIGNANCY W MCC 2.1598   9.2 7.1 1
    375 DIGESTIVE MALIGNANCY W CC 1.4703   6.1 4.3 1
    376 DIGESTIVE MALIGNANCY W/O CC/MCC 0.8165   2.5 2.0 1
    377 G.I. HEMORRHAGE W MCC 1.6247   5.5 4.2 1
    378 G.I. HEMORRHAGE W CC 0.8872   3.2 2.7 1
    379 G.I. HEMORRHAGE W/O CC/MCC 0.6200   2.2 1.9 1
    380 COMPLICATED PEPTIC ULCER W MCC 2.4070   8.3 5.5 1
    381 COMPLICATED PEPTIC ULCER W CC 1.0661   3.8 3.2 1
    382 COMPLICATED PEPTIC ULCER W/O CC/MCC 0.7251   2.7 2.3 1
    383 UNCOMPLICATED PEPTIC ULCER W MCC 1.1275   4.4 3.4 1
    384 UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8040   3.1 2.7 1
    385 INFLAMMATORY BOWEL DISEASE W MCC 1.4641   7.0 5.4 1
    386 INFLAMMATORY BOWEL DISEASE W CC 0.9920   4.6 3.6 1
    387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7475   3.6 2.9 1
    388 G.I. OBSTRUCTION W MCC 1.4586   6.1 4.8 1
    389 G.I. OBSTRUCTION W CC 0.8387   4.1 3.3 1
    390 G.I. OBSTRUCTION W/O CC/MCC 0.5352   2.8 2.3 1
    391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W MCC 1.1501   4.5 3.5 1
    392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O MCC 0.6984   2.9 2.3 1
    393 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W MCC 1.5681   5.8 4.2 1
    394 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC 0.8856   3.7 2.9 1
    395 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC/MCC 0.7085   2.6 2.1 1