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Fiscal Year 2011 DRG Weights and Rates
for DRG Numbers Between 800 and 899
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
    800 SPLENECTOMY AGE >17 W CC 2.6942   6.3 5.2 1
    801 SPLENECTOMY AGE >17 W/O CC/MCC 1.6294   3.9 3.2 1
    802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 4.0150 * 12.1 8.5 3
    803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 1.9198   6.2 4.3 1
    804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.1298   2.7 2.2 1
    808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.3169   8.2 6.0 1
    809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.1693   4.7 3.8 1
    810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.6641   3.2 2.7 1
    811 RED BLOOD CELL DISORDERS AGE >17 W MCC 1.6032   6.1 4.3 1
    812 RED BLOOD CELL DISORDERS AGE >17 W/O MCC 0.7477   3.4 2.5 1
    813 COAGULATION DISORDERS 1.2216   3.2 2.4 1
    814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 4.2117   10.1 5.4 1
    815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.9229   3.9 2.8 1
    816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.6031   3.0 2.4 1
    820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 8.2974   20.8 13.8 1
    821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.6039   7.7 5.5 1
    822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.2984   2.8 2.1 1
    823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC 6.4923   19.6 15.2 3
    824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.1032   6.5 5.1 1
    825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC 1.7235   3.5 2.4 1
    826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 5.0160   15.1 11.6 2
    827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.3412   7.1 5.6 1
    828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 2.0113   4.4 3.1 1
    829 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC 2.9785   10.0 6.4 1
    830 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC 1.3471   3.7 3.0 1
    834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W MCC 8.2002   25.0 16.7 2
    835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W CC 4.9904   19.5 11.5 1
    836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W/O CC/MCC 1.9859   7.8 3.9 1
    837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 6.2365   22.4 16.4 3
    838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 2.8065   10.2 6.8 1
    839 CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 1.1596   5.3 4.3 1
    840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 4.6953   14.7 10.1 1
    841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.9900   6.7 4.7 1
    842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.2723   4.2 2.8 1
    843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 2.4031   8.2 6.3 1
    844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.3085   5.5 3.8 1
    845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.8724   3.9 3.0 1
    846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 3.1127   9.7 6.7 1
    847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.0674   3.7 3.1 1
    848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 1.1092   3.5 2.8 1
    849 RADIOTHERAPY 0.9861   5.1 2.7 1
    853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 6.5981   15.8 12.2 2
    854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.5605   8.2 6.9 2
    855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.3892   4.7 3.9 1
    856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 5.0426   14.1 9.4 1
    857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 1.8205   6.4 4.7 1
    858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.2496   4.4 3.6 1
    862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.5725   6.2 4.8 1
    863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.8251   3.9 3.2 1
    864 FEVER AGE >17 0.8306   3.3 2.6 1
    865 VIRAL ILLNESS AGE >17 W MCC 2.0599   5.5 4.1 1
    866 VIRAL ILLNESS AGE >17 W/O MCC 0.7309   3.1 2.5 1
    867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.5722   8.3 6.3 1
    868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 0.8620   3.8 3.3 1
    869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.8912   3.5 2.9 1
    870 SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS AGE >17 7.0338   15.2 13.2 4
    871 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS AGE >17 W MCC 2.1547   6.7 5.0 1
    872 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS AGE >17 W/O MCC 1.0672   4.5 3.7 1
    876 O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 3.1239 * 12.7 8.1 5
    880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6997   3.2 2.2 1
    881 DEPRESSIVE NEUROSES 0.3570   4.0 3.0 1
    882 NEUROSES EXCEPT DEPRESSIVE 0.3894   4.2 2.9 1
    883 DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.0887   11.5 6.1 1
    884 ORGANIC DISTURBANCES & MENTAL RETARDATION 0.9649   7.8 3.4 1
    885 PSYCHOSES 0.6334   7.0 5.1 1
    886 BEHAVIORAL & DEVELOPMENTAL DISORDERS 0.7596   11.1 7.6 1
    887 OTHER MENTAL DISORDER DIAGNOSES 1.2462   14.5 6.6 1
    894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.3874   4.1 2.3 1
    895 ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 0.7557   16.0 12.5 2
    896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.5404   5.8 4.4 1
    898 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC 0.4312   5.1 3.6 1
    899 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE <=21 W/O MCC 0.2981   5.8 3.8 1