TRICARE logo DHA Home About DHA Conferences TRICARE Contacts Feedback Site Map
DRG Home
Fiscal Year 2012 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 2012
    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 0.8632   4.0 3.5 1
    601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.5595   3.3 2.8 1
    602 CELLULITIS AGE >17 W MCC 1.2838   6.1 4.8 1
    603 CELLULITIS AGE >17 W/O MCC 0.6733   3.6 3.0 1
    604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W MCC 1.4735   3.2 2.4 1
    605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W/O MCC 0.7723   1.9 1.6 1
    606 MINOR SKIN DISORDERS W MCC 1.0713   5.9 4.0 1
    607 MINOR SKIN DISORDERS W/O MCC 0.4495   2.7 2.2 1
    608 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 3.6403   14.9 6.6 1
    609 OTHER RESPIRATORY PROBLEMS AFTER BIRTH 1.0143 # 6.9 3.8 1
    610 NEONATE, DIED W/IN ONE DAY OF BIRTH 0.1946   1.0 1.0 1
    611 NEONATE, TRANSFERRED <5 DAYS OLD 0.2569   1.2 1.1 1
    612 NEONATE, BIRTHWT <750G, DISCHARGED ALIVE 23.0815   82.6 60.6 7
    613 NEONATE, BIRTHWT <750G, DIED 5.1910   10.5 4.6 1
    614 ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.0626   4.5 3.6 1
    615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.4709   2.7 2.2 1
    616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC 4.4464   15.8 13.6 4
    617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC 2.0936   7.5 6.3 1
    618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC 1.2894 * 4.9 3.6 2
    619 O.R. PROCEDURES FOR OBESITY W MCC 4.5083   8.5 5.2 1
    620 O.R. PROCEDURES FOR OBESITY W CC 2.1007   2.6 2.2 1
    621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.7638   1.7 1.6 1
    622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 4.2556 * 13.9 10.0 2
    623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 2.2461   6.5 5.7 2
    624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 1.1061 * 4.3 3.5 2
    625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.1519   4.4 3.3 1
    626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.4244   2.2 1.7 1
    627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 1.0244   1.4 1.2 1
    628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 4.5542   10.3 7.5 1
    629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.0963   6.4 4.9 1
    630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 2.1302   5.0 3.2 1
    631 NEONATE, BIRTHWT 750-999G, DISCHARGED ALIVE 17.4874   73.4 63.2 17
    632 NEONATE, BIRTHWT 750-999G, DIED 3.9052   9.3 4.8 1
    633 NEONATE, BIRTHWT 1000-1499G, W SIGNIF O.R. PROC, DISCHARGED ALIVE 18.2726   70.1 62.8 22
    634 NEONATE, BIRTHWT 1000-1499G, W/O SIGNIF O.R. PROC, DISCHARGED ALIVE 8.7058   45.2 40.9 16
    635 NEONATE, BIRTHWT 1000-1499G, DIED 4.9719 # 14.0 5.3 1
    636 NEONATE, BIRTHWT 1500-1999G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 11.9885   46.1 35.8 6
    637 DIABETES W MCC 1.5272   5.0 4.0 1
    638 DIABETES W CC 0.7207   3.1 2.7 1
    639 DIABETES W/O CC/MCC 0.4617   2.2 1.9 1
    640 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES >17 W MCC 1.0558   4.1 3.1 1
    641 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES >17 W/O MCC 0.6250   2.8 2.2 1
    642 INBORN AND OTHER DISORDERS OF METABOLISM 0.8473   4.3 3.2 1
    643 ENDOCRINE DISORDERS W MCC 1.3968   6.0 4.4 1
    644 ENDOCRINE DISORDERS W CC 0.8736   4.0 3.0 1
    645 ENDOCRINE DISORDERS W/O CC/MCC 0.5931   2.2 1.9 1
    646 NEONATE, BIRTHWT 1500-1999G, W SIGNIF O.R. PROC, W/O MULT MAJOR PROB 9.2612 # 34.3 31.3 20
    647 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MULT MAJOR PROB 5.8852   28.5 24.3 7
    648 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MAJOR PROB 3.7550   21.8 19.1 6
    649 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MINOR PROB 2.7208   17.1 12.7 2
    650 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W OTHER PROB 1.9976   14.5 11.6 2
    651 NEONATE, BIRTHWT 2000-2499G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 8.2969   35.7 26.6 4
    652 KIDNEY TRANSPLANT 3.0991   6.2 5.6 2
    653 MAJOR BLADDER PROCEDURES W MCC 6.5766 * 16.1 13.3 3
    654 MAJOR BLADDER PROCEDURES W CC 2.6859   8.3 7.0 2
    655 MAJOR BLADDER PROCEDURES W/O CC/MCC 2.0177   4.9 3.9 1
    656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 4.1438   8.7 6.5 1
    657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 2.2140   4.6 4.0 1
    658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.6984   2.9 2.6 1
    659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 3.1785   9.6 7.2 1
    660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.5093   3.7 2.9 1
    661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.2660   2.2 1.9 1
    662 MINOR BLADDER PROCEDURES W MCC 3.3004 * 10.2 7.6 1
    663 MINOR BLADDER PROCEDURES W CC 1.7437   5.0 3.2 1
    664 MINOR BLADDER PROCEDURES W/O CC/MCC 1.1037   1.4 1.3 1
    665 PROSTATECTOMY W MCC 3.7490 * 12.2 9.5 1
    666 PROSTATECTOMY W CC 1.7653 * 6.3 4.4 1
    667 PROSTATECTOMY W/O CC/MCC 0.9141   2.0 1.7 1
    668 TRANSURETHRAL PROCEDURES W MCC 2.8049   5.6 3.9 1
    669 TRANSURETHRAL PROCEDURES W CC 1.1192   2.3 1.9 1
    670 TRANSURETHRAL PROCEDURES W/O CC/MCC 0.8657   1.9 1.6 1
    671 URETHRAL PROCEDURES AGE >17 W CC/MCC 1.4161   3.8 2.5 1
    672 URETHRAL PROCEDURES AGE >17 W/O CC/MCC 1.1310   2.1 1.8 1
    673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 3.7961   11.4 6.5 1
    674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.4200   7.7 4.9 1
    675 OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.7094   2.5 1.9 1
    676 NEONATE, BIRTHWT 2000-2499G, W SIGNIF O.R. PROC, W/O MULT MAJOR PROB 4.6698 # 22.3 18.6 6
    677 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MULT MAJOR PROB 4.0653   17.2 13.5 3
    678 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MAJOR PROB 2.2353   12.8 10.7 3
    679 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MINOR PROB 1.6875   11.5 8.1 1
    680 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W OTHER PROB 0.9510   6.9 5.0 1
    681 NEONATE, BIRTHWT >2499G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 10.7061   35.1 23.1 3
    682 RENAL FAILURE W MCC 1.7935   6.3 4.7 1
    683 RENAL FAILURE W CC 1.0169   4.1 3.3 1
    684 RENAL FAILURE W/O CC/MCC 0.5624   2.5 2.1 1
    685 ADMIT FOR RENAL DIALYSIS 0.9724   4.6 3.6 1
    686 KIDNEY & URINARY TRACT NEOPLASMS W MCC 2.3339   10.3 7.4 1
    687 KIDNEY & URINARY TRACT NEOPLASMS W CC 1.4087   5.2 3.4 1
    688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.4946   1.9 1.7 1
    689 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W MCC 1.2596   5.3 4.2 1
    690 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O MCC 0.6965   3.0 2.5 1
    691 URINARY STONES W ESW LITHOTRIPSY W CC/MCC 1.4508   2.6 2.0 1
    692 URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC 1.0087   1.9 1.6 1
    693 URINARY STONES W/O ESW LITHOTRIPSY W MCC 1.4039   4.6 3.7 1
    694 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 0.6527   1.8 1.6 1
    695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W MCC 0.8312 # 3.7 3.0 1
    696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W/O MCC 0.6303   2.9 2.3 1
    697 URETHRAL STRICTURE AGE >17 0.7435 # 2.6 2.0 1
    698 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W MCC 2.1303   7.3 5.3 1
    699 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC 0.8886   3.4 2.7 1