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Fiscal Year 2012 DRG Weights and Rates
for DRG Numbers Between 700 and 799
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
    700 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W/O CC/MCC 0.5962   2.4 2.0 1
    707 MAJOR MALE PELVIC PROCEDURES W CC/MCC 2.0401   3.5 2.6 1
    708 MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 1.7090   1.6 1.4 1
    709 PENIS PROCEDURES W CC/MCC 2.8113   3.0 2.2 1
    710 PENIS PROCEDURES W/O CC/MCC 1.4397   1.5 1.3 1
    711 TESTES PROCEDURES AGE >17 W CC/MCC 1.6325 # 5.5 3.7 1
    712 TESTES PROCEDURES AGE >17 W/O CC/MCC 0.8967   1.9 1.5 1
    713 TRANSURETHRAL PROSTATECTOMY W CC/MCC 1.1268   3.4 2.6 1
    714 TRANSURETHRAL PROSTATECTOMY W/O CC/MCC 0.8092   1.5 1.4 1
    715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC 1.9487 * 5.9 4.0 1
    716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC 0.9879   1.5 1.3 1
    717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC 1.8146 * 6.1 4.4 1
    718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC 0.9042 * 2.5 2.0 1
    722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC 1.7465 * 7.1 5.2 1
    723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC 1.1298 * 5.0 3.9 1
    724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.7464 * 2.8 2.1 1
    725 BENIGN PROSTATIC HYPERTROPHY W MCC 1.3827 * 6.0 4.6 1
    726 BENIGN PROSTATIC HYPERTROPHY W/O MCC 1.1403   3.8 2.8 1
    727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC 1.2615   5.3 4.7 1
    728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC 0.6455   3.2 2.7 1
    729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC 1.2102 * 5.0 3.6 1
    730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.4601   1.9 1.5 1
    734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC 2.2389   5.1 4.2 1
    735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC 1.4941   2.2 1.7 1
    736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC 4.1564   9.5 7.4 1
    737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC 1.9632   5.8 4.7 1
    738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC 1.3545   2.8 2.6 1
    739 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC 2.3475   5.6 4.6 1
    740 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.6268   3.0 2.4 1
    741 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC 1.2663   1.8 1.6 1
    742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC 1.4565   2.9 2.5 1
    743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC 1.1147   1.8 1.6 1
    744 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC 1.3606   3.4 2.6 1
    745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC 0.9128   2.0 1.7 1
    746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC 1.2684   2.8 2.2 1
    747 VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC 0.9931   1.6 1.4 1
    748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.1329   1.5 1.3 1
    749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC 2.1365   5.5 4.2 1
    750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.0876   2.8 2.3 1
    754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC 3.1199   11.7 7.2 1
    755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.0999   4.7 3.2 1
    756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6884 * 3.0 2.2 1
    757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC 1.7299 * 7.4 5.9 1
    758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC 0.8822   3.9 3.2 1
    759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.5936   2.7 2.4 1
    760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC 0.7240   2.7 2.1 1
    761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC 0.5156   1.8 1.6 1
    765 CESAREAN SECTION W CC/MCC 0.8779   4.3 3.6 1
    766 CESAREAN SECTION W/O CC/MCC 0.6835   3.0 2.8 1
    767 VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.7157   2.5 2.2 1
    768 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 0.8228   3.5 2.6 1
    769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.8782   4.2 2.7 1
    770 ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6290   1.5 1.3 1
    774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.4989   2.7 2.4 1
    775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.4056   2.1 2.0 1
    776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.5003   2.7 2.2 1
    777 ECTOPIC PREGNANCY 0.9249   1.8 1.5 1
    778 THREATENED ABORTION 0.4523   3.7 2.4 1
    779 ABORTION W/O D&C 0.3667   1.5 1.3 1
    780 FALSE LABOR 0.1793   1.5 1.2 1
    781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.5243   3.2 2.2 1
    782 OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.3725   2.8 1.8 1
    787 NEONATE, BIRTHWT >2499G, W SIGNIF O.R. PROC, W/O MULT MAJOR PROB 1.8199   7.7 4.8 1
    788 NEONATE, BIRTHWT >2499G, W MINOR ABDOM PROCEDURE 0.6668   2.4 2.2 1
    789 NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W MULT MAJOR PROB 2.4964   9.9 6.6 1
    790 NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W MAJOR PROB 0.8259   4.8 3.6 1
    791 NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W MINOR PROB 0.3854   3.0 2.5 1
    792 NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W OTHER PROB 0.2198   2.6 2.3 1
    793 NEONATAL AFTERCARE FOR WEIGHT GAIN 0.4179 # 6.9 6.4 5
    794 NEONATAL DIAGNOSIS, AGE > 28 DAYS 2.7102   13.3 6.2 1
    795 NORMAL NEWBORN 0.1130   2.0 1.9 1
    796 MULTIPLE, OTHER AND UNSPECIFIED CONGENITAL ANOMALIES, W CC/MCC 2.0840 # 8.8 4.9 2
    797 MULTIPLE, OTHER AND UNSPECIFIED CONGENITAL ANOMALIES, W/O CC/MCC 0.6160 # 4.7 3.5 2
    799 SPLENECTOMY AGE >17 W MCC 3.5970   9.3 6.2 1