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Fiscal Year 2013 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 2013
    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 0.9826   3.9 3.5 1
    601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.5445   2.5 2.2 1
    602 CELLULITIS AGE >17 W MCC 1.4389   5.7 4.6 1
    603 CELLULITIS AGE >17 W/O MCC 0.6652   3.4 2.9 1
    604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W MCC 2.7693   7.6 5.1 1
    605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W/O MCC 0.7843   1.9 1.5 1
    606 MINOR SKIN DISORDERS W MCC 1.2583   5.4 3.8 1
    607 MINOR SKIN DISORDERS W/O MCC 0.5015   2.8 2.2 1
    608 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1.8019 # 12.7 7.4 1
    609 OTHER RESPIRATORY PROBLEMS AFTER BIRTH 0.8576   6.7 3.2 1
    610 NEONATE, DIED W/IN ONE DAY OF BIRTH 0.1250   1.0 1.0 1
    611 NEONATE, TRANSFERRED <5 DAYS OLD 0.2687   1.2 1.1 1
    612 NEONATE, BIRTHWT <750G, DISCHARGED ALIVE 22.5265   88.3 62.1 6
    613 NEONATE, BIRTHWT <750G, DIED 6.5191   11.7 3.3 1
    614 ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.4622   4.8 3.7 1
    615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.6141   2.5 2.1 1
    616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC 2.9750   10.1 9.0 3
    617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC 1.7178   5.8 4.7 1
    618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC 1.2529 * 5.0 4.0 2
    619 O.R. PROCEDURES FOR OBESITY W MCC 3.3735   6.0 4.2 1
    620 O.R. PROCEDURES FOR OBESITY W CC 2.0682   2.6 2.2 1
    621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.8079   1.8 1.7 1
    622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 3.9591 * 12.8 9.7 2
    623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 1.6895   6.0 4.7 1
    624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 1.0725 * 4.4 3.6 2
    625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.8406   8.2 5.3 1
    626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.4417   2.5 1.9 1
    627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 1.0434   1.4 1.2 1
    628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 4.5824   14.2 11.2 3
    629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.1568   6.8 5.1 1
    630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 1.3348   3.0 2.4 1
    631 NEONATE, BIRTHWT 750-999G, DISCHARGED ALIVE 17.3324   73.1 63.8 18
    632 NEONATE, BIRTHWT 750-999G, DIED 4.8285 # 10.4 4.8 1
    633 NEONATE, BIRTHWT 1000-1499G, W SIGNIF O.R. PROC, DISCHARGED ALIVE 21.3201   87.1 79.9 35
    634 NEONATE, BIRTHWT 1000-1499G, W/O SIGNIF O.R. PROC, DISCHARGED ALIVE 8.1524   45.2 40.6 15
    635 NEONATE, BIRTHWT 1000-1499G, DIED 7.5721   18.2 8.5 1
    636 NEONATE, BIRTHWT 1500-1999G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 13.7842   58.8 55.0 26
    637 DIABETES W MCC 1.5690   5.2 4.3 1
    638 DIABETES W CC 0.6965   3.1 2.5 1
    639 DIABETES W/O CC/MCC 0.4885   2.3 2.0 1
    640 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES >17 W MCC 1.3038   5.1 3.6 1
    641 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES >17 W/O MCC 0.6438   3.0 2.3 1
    642 INBORN AND OTHER DISORDERS OF METABOLISM 1.4252   4.8 3.1 1
    643 ENDOCRINE DISORDERS W MCC 1.3488   5.7 4.7 1
    644 ENDOCRINE DISORDERS W CC 0.9666   4.2 3.3 1
    645 ENDOCRINE DISORDERS W/O CC/MCC 0.5642   2.5 2.1 1
    646 NEONATE, BIRTHWT 1500-1999G, W SIGNIF O.R. PROC, W/O MULT MAJOR PROB 11.3081 # 37.3 33.9 21
    647 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MULT MAJOR PROB 5.9715   30.3 27.0 9
    648 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MAJOR PROB 3.9660   23.1 20.2 6
    649 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W MINOR PROB 3.1185   21.3 17.8 4
    650 NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W OTHER PROB 2.2537   15.3 12.1 2
    651 NEONATE, BIRTHWT 2000-2499G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 13.4064   49.7 37.0 8
    652 KIDNEY TRANSPLANT 3.2033   6.2 5.5 2
    653 MAJOR BLADDER PROCEDURES W MCC 6.8430 * 16.0 13.1 4
    654 MAJOR BLADDER PROCEDURES W CC 3.1299   9.5 7.7 2
    655 MAJOR BLADDER PROCEDURES W/O CC/MCC 1.4793   3.0 2.4 1
    656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 3.4163   8.2 6.0 1
    657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 2.0340   4.4 3.9 1
    658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.6761   2.9 2.6 1
    659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 2.7950   7.5 5.6 1
    660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.5660   3.6 2.7 1
    661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.2733   2.1 1.8 1
    662 MINOR BLADDER PROCEDURES W MCC 3.3235 * 10.3 7.5 1
    663 MINOR BLADDER PROCEDURES W CC 1.6189   3.4 2.5 1
    664 MINOR BLADDER PROCEDURES W/O CC/MCC 0.9765   1.7 1.4 1
    665 PROSTATECTOMY W MCC 3.4118 * 11.9 9.5 1
    666 PROSTATECTOMY W CC 1.8428 * 6.2 4.5 1
    667 PROSTATECTOMY W/O CC/MCC 0.7597   1.6 1.5 1
    668 TRANSURETHRAL PROCEDURES W MCC 3.5906   10.0 6.5 1
    669 TRANSURETHRAL PROCEDURES W CC 1.0997   2.3 1.8 1
    670 TRANSURETHRAL PROCEDURES W/O CC/MCC 0.9454   1.8 1.5 1
    671 URETHRAL PROCEDURES AGE >17 W CC/MCC 1.5500 # 4.7 3.5 1
    672 URETHRAL PROCEDURES AGE >17 W/O CC/MCC 0.9627   1.7 1.5 1
    673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 3.0874   9.7 6.1 1
    674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.1554   6.8 5.0 1
    675 OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.2922   3.2 2.2 1
    676 NEONATE, BIRTHWT 2000-2499G, W SIGNIF O.R. PROC, W/O MULT MAJOR PROB 5.2262 # 25.5 21.0 7
    677 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MULT MAJOR PROB 3.4189   16.5 13.8 4
    678 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MAJOR PROB 2.2412   13.0 10.6 2
    679 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W MINOR PROB 1.4835   9.3 6.8 1
    680 NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W OTHER PROB 0.8820   6.8 4.9 1
    681 NEONATE, BIRTHWT >2499G, W SIGNIF O.R. PROC, W MULT MAJOR PROB 10.5769   32.0 20.6 3
    682 RENAL FAILURE W MCC 1.6658   6.0 4.4 1
    683 RENAL FAILURE W CC 0.8703   3.9 3.1 1
    684 RENAL FAILURE W/O CC/MCC 0.5929   2.8 2.4 1
    685 ADMIT FOR RENAL DIALYSIS 2.0058   4.9 3.5 1
    686 KIDNEY & URINARY TRACT NEOPLASMS W MCC 1.8674 * 7.2 5.4 1
    687 KIDNEY & URINARY TRACT NEOPLASMS W CC 1.2125   5.1 4.0 1
    688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.7554 * 2.9 2.2 1
    689 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W MCC 1.3314   6.1 4.4 1
    690 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O MCC 0.7123   3.2 2.6 1
    691 URINARY STONES W ESW LITHOTRIPSY W CC/MCC 1.2728   2.4 2.0 1
    692 URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC 0.8196   1.9 1.7 1
    693 URINARY STONES W/O ESW LITHOTRIPSY W MCC 1.1129   4.2 3.0 1
    694 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 0.6453   1.8 1.5 1
    695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W MCC 1.0985 # 4.4 3.6 1
    696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W/O MCC 0.4744   2.5 2.0 1
    697 URETHRAL STRICTURE AGE >17 0.7642 # 2.2 1.8 1
    698 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W MCC 1.3861   6.0 4.7 1
    699 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC 0.9046   3.9 3.1 1