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Fiscal Year 2011 DRG Weights and Rates
for DRG Numbers Between 600 and 699
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
    600 NON-MALIGNANT BREAST DISORDERS W CC/MCC 0.8828   4.2 3.5 1
    601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.5032   2.9 2.5 1
    602 CELLULITIS AGE >17 W MCC 1.3114   6.0 4.8 1
    603 CELLULITIS AGE >17 W/O MCC 0.6995   3.7 3.1 1
    604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W MCC 1.1712   3.7 2.7 1
    605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W/O MCC 0.8092   1.9 1.5 1
    606 MINOR SKIN DISORDERS W MCC 1.4776   6.5 3.9 1
    607 MINOR SKIN DISORDERS W/O MCC 0.4558   2.8 2.3 1
    608 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1.5275 # 11.2 9.0 5
    609 OTHER RESPIRATORY PROBLEMS AFTER BIRTH 0.9060 # 6.0 4.5 3
    610 NEONATE, DIED W/IN ONE DAY OF BIRTH 0.1962   1.0 1.0 1
    611 NEONATE, TRANSFERRED <5 DAYS OLD 0.2588   1.2 1.1 1
    612 NEONATE, BIRTHWT <750G, DISCHARGED ALIVE 27.9016   95.8 78.3 16
    613 NEONATE, BIRTHWT <750G, DIED 4.2947   9.7 3.3 1
    614 ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.0767   4.3 3.6 1
    615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.5796   2.8 2.5 1
    616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC 4.9877 * 15.6 12.4 4
    617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC 2.2303   7.0 6.0 2
    618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC 1.3327 * 5.1 4.1 4
    619 O.R. PROCEDURES FOR OBESITY W MCC 3.4812   4.8 3.8 1
    620 O.R. PROCEDURES FOR OBESITY W CC 2.1568   2.8 2.3 1
    621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.7503   1.7 1.5 1
    622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 3.7924 * 12.5 9.4 4
    623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 1.6711   6.0 5.2 1
    624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 1.1235 * 4.7 3.8 4
    625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.5604   6.5 4.8 1
    626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.2444   2.0 1.7 1
    627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 0.9802   1.4 1.2 1
    628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 5.3336   11.9 7.0 1
    629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 1.9506   7.0 5.6 1
    630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 1.7619   3.3 2.5 1
    631 NEONATE, BIRTHWT 750-999G, DISCHARGED ALIVE 16.6234   74.3 66.6 23
    632 NEONATE, BIRTHWT 750-999G, DIED 6.9116 # 16.0 12.1 9
    633 NEONATE, BIRTHWT 1000-1499G, W SIGNIF O.R. PROC, DISCHARGED ALIVE 18.0062   79.1 73.8 35
    634 NEONATE, BIRTHWT 1000-1499G, W/O SIGNIF O.R. PROC, DISCHARGED ALIVE 7.9711   42.3 37.6 13
    635 NEONATE, BIRTHWT 1000-1499G, DIED 5.5977   11.6 4.6 1
    636 NEONATE, BIRTHWT 1500-1999G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 14.4921   51.4 39.7 8
    637 DIABETES W MCC 1.6803   6.2 4.4 1
    638 DIABETES W CC 0.7471   3.4 2.7 1
    639 DIABETES W/O CC/MCC 0.4802   2.3 2.0 1
    640 NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W MCC 1.1553   4.7 3.4 1
    641 NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W/O MCC 0.6244   2.9 2.3 1
    642 INBORN ERRORS OF METABOLISM 0.9953   3.9 2.7 1
    643 ENDOCRINE DISORDERS W MCC 1.6949   6.2 4.7 1
    644 ENDOCRINE DISORDERS W CC 0.9404   4.1 3.1 1
    645 ENDOCRINE DISORDERS W/O CC/MCC 0.5704   2.4 2.0 1
    646 NEONATE, BIRTHWT 1500-1999G, W SIGNIF O.R. PROC, W/O MULT MAJOR PROB 5.0203 # 26.7 23.6 13
    647 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MULT MAJOR PROB 5.8576   27.7 23.0 5
    648 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MAJOR PROB 3.6052   21.8 19.0 6
    649 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MINOR PROB 1.7482   16.5 14.2 4
    650 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W OTHER PROB 1.9593   14.3 11.0 2
    651 NEONATE, BIRTHWT 2000-2499G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 6.6692   29.4 25.1 8
    652 KIDNEY TRANSPLANT 3.0197   5.9 5.4 2
    653 MAJOR BLADDER PROCEDURES W MCC 5.3633   13.5 11.5 3
    654 MAJOR BLADDER PROCEDURES W CC 2.6525   7.8 6.7 2
    655 MAJOR BLADDER PROCEDURES W/O CC/MCC 1.6319   4.5 3.7 1
    656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 3.7968   8.8 6.7 1
    657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 2.1092   4.7 4.2 1
    658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.5461   3.2 2.8 1
    659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 2.8432   9.1 6.7 1
    660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.5936   3.9 3.0 1
    661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.2810   2.2 1.9 1
    662 MINOR BLADDER PROCEDURES W MCC 3.3475 * 10.7 7.5 2
    663 MINOR BLADDER PROCEDURES W CC 0.8818   2.5 2.1 1
    664 MINOR BLADDER PROCEDURES W/O CC/MCC 1.1477   1.6 1.4 1
    665 PROSTATECTOMY W MCC 3.1805 * 11.3 8.7 3
    666 PROSTATECTOMY W CC 1.8248 * 6.4 4.5 3
    667 PROSTATECTOMY W/O CC/MCC 0.8546   1.7 1.5 1
    668 TRANSURETHRAL PROCEDURES W MCC 2.1447   6.0 4.3 1
    669 TRANSURETHRAL PROCEDURES W CC 1.1283   2.5 2.0 1
    670 TRANSURETHRAL PROCEDURES W/O CC/MCC 0.8618   1.7 1.5 1
    671 URETHRAL PROCEDURES AGE >17 W CC/MCC 1.2872 # 3.3 3.1 2
    672 URETHRAL PROCEDURES AGE >17 W/O CC/MCC 0.8452   1.7 1.4 1
    673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 3.5976   9.9 5.4 1
    674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.1493   6.1 4.1 1
    675 OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.5745   1.9 1.4 1
    676 NEONATE, BIRTHWT 2000-2499G, W SIGNIF O.R. PROC, W/O MULT MAJOR PROB 4.0160 # 20.5 17.6 11
    677 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MULT MAJOR PROB 3.5567   17.0 13.3 3
    678 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MAJOR PROB 1.9885   12.2 10.4 3
    679 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MINOR PROB 1.4745   10.5 8.0 1
    680 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W OTHER PROB 0.9344   7.0 5.1 1
    681 NEONATE, BIRTHWT >2499G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 8.9744   30.8 20.5 3
    682 RENAL FAILURE W MCC 1.8341   6.7 4.8 1
    683 RENAL FAILURE W CC 0.9848   4.3 3.4 1
    684 RENAL FAILURE W/O CC/MCC 0.6645   2.8 2.3 1
    685 ADMIT FOR RENAL DIALYSIS 0.8841   3.6 2.8 1
    686 KIDNEY & URINARY TRACT NEOPLASMS W MCC 2.3763   8.6 6.5 1
    687 KIDNEY & URINARY TRACT NEOPLASMS W CC 0.9439   3.3 2.8 1
    688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.6350   2.3 1.8 1
    689 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W MCC 1.1646   5.1 4.0 1
    690 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O MCC 0.7020   3.2 2.6 1
    691 URINARY STONES W ESW LITHOTRIPSY W CC/MCC 1.1964   2.5 2.0 1
    692 URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC 1.1111   1.8 1.5 1
    693 URINARY STONES W/O ESW LITHOTRIPSY W MCC 1.1523   3.4 2.9 1
    694 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 0.6611   1.9 1.6 1
    695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W MCC 0.8884 # 3.2 3.2 2
    696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W/O MCC 0.7496   3.2 2.4 1
    697 URETHRAL STRICTURE AGE >17 0.6383   2.3 1.8 1
    698 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W MCC 1.7733   7.1 4.9 1
    699 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC 1.0091   4.1 3.2 1