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Fiscal Year 2013 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 2013
    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 0.7151   2.9 2.3 1
    707 MAJOR MALE PELVIC PROCEDURES W CC/MCC 2.0731   3.5 2.7 1
    708 MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 1.6916   1.5 1.3 1
    709 PENIS PROCEDURES W CC/MCC 2.1855   8.0 3.4 1
    710 PENIS PROCEDURES W/O CC/MCC 1.4653   1.6 1.3 1
    711 TESTES PROCEDURES AGE >17 W CC/MCC 2.2283 # 6.7 4.6 1
    712 TESTES PROCEDURES AGE >17 W/O CC/MCC 0.7745   1.4 1.3 1
    713 TRANSURETHRAL PROSTATECTOMY W CC/MCC 1.2877   3.3 2.3 1
    714 TRANSURETHRAL PROSTATECTOMY W/O CC/MCC 0.9058   1.6 1.5 1
    715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC 2.1255 * 6.6 4.4 1
    716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC 1.3689   1.6 1.3 1
    717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC 1.9160 * 6.2 4.5 1
    718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC 0.9609 * 3.0 2.2 1
    722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC 1.8526 * 7.2 5.4 1
    723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC 1.2283 * 5.1 4.0 1
    724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.7225 * 2.6 2.0 1
    725 BENIGN PROSTATIC HYPERTROPHY W MCC 1.4403 * 5.9 4.6 1
    726 BENIGN PROSTATIC HYPERTROPHY W/O MCC 0.6051   2.7 2.4 1
    727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC 1.0785   4.1 3.6 1
    728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC 0.5670   2.8 2.3 1
    729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC 1.1496 * 4.4 3.4 1
    730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.4865   2.1 1.6 1
    734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC 2.4886   5.5 4.0 1
    735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC 1.6105   1.9 1.6 1
    736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC 3.9333   10.3 8.7 2
    737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC 1.8522   5.3 4.6 1
    738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC 1.3606   2.6 2.3 1
    739 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC 3.6873 * 9.2 6.8 1
    740 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.7034   3.4 2.7 1
    741 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC 1.3257   1.7 1.5 1
    742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC 1.4668   2.8 2.3 1
    743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC 1.1746   1.8 1.6 1
    744 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC 1.4487   3.6 2.5 1
    745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC 1.0195   1.7 1.5 1
    746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC 1.4194   4.0 2.3 1
    747 VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC 1.0025   1.5 1.3 1
    748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.1318   1.4 1.3 1
    749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC 2.2754   6.0 4.2 1
    750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.2243   2.3 2.0 1
    754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC 1.8859   6.9 4.5 1
    755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 0.9028   3.7 2.7 1
    756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6412 * 2.7 2.1 1
    757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC 1.8809 * 7.8 6.0 1
    758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC 0.9398   4.0 3.2 1
    759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.5623   2.8 2.4 1
    760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC 0.7379   2.7 2.2 1
    761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC 0.4454   1.7 1.5 1
    765 CESAREAN SECTION W CC/MCC 0.8662   4.2 3.6 1
    766 CESAREAN SECTION W/O CC/MCC 0.6936   2.9 2.8 1
    767 VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.7358   2.6 2.2 1
    768 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 0.7527   3.4 2.9 1
    769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.4139   3.0 2.4 1
    770 ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6955   1.6 1.3 1
    774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.5059   2.6 2.3 1
    775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.4076   2.1 2.0 1
    776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.5182   2.7 2.2 1
    777 ECTOPIC PREGNANCY 0.9387   1.8 1.5 1
    778 THREATENED ABORTION 0.4433   3.5 2.3 1
    779 ABORTION W/O D&C 0.3956   1.5 1.3 1
    780 FALSE LABOR 0.2204   1.8 1.3 1
    781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.5543   3.4 2.3 1
    782 OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.3666   2.5 1.7 1
    787 NEONATE, BIRTHWT >2499G, W SIGNIF O.R. PROC, W/O MULT MAJOR PROB 1.8921   8.7 4.8 1
    788 NEONATE, BIRTHWT >2499G, W MINOR ABDOM PROCEDURE 0.5578   2.2 2.0 1
    789 NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W MULT MAJOR PROB 2.3790   10.0 6.7 1
    790 NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W MAJOR PROB 0.7795   4.9 3.7 1
    791 NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W MINOR PROB 0.3980   3.4 2.8 1
    792 NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W OTHER PROB 0.2144   2.5 2.3 1
    793 NEONATAL AFTERCARE FOR WEIGHT GAIN 0.9702 # 8.0 6.4 4
    794 NEONATAL DIAGNOSIS, AGE > 28 DAYS 2.7497   15.8 7.1 1
    795 NORMAL NEWBORN 0.1140   2.0 1.9 1
    796 MULTIPLE, OTHER AND UNSPECIFIED CONGENITAL ANOMALIES, W CC/MCC 2.9865 # 9.0 4.3 1
    797 MULTIPLE, OTHER AND UNSPECIFIED CONGENITAL ANOMALIES, W/O CC/MCC 0.4052 # 2.1 2.0 1
    799 SPLENECTOMY AGE >17 W MCC 3.5444   11.6 8.4 2