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Fiscal Year 2012 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 2012
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    800 SPLENECTOMY AGE >17 W CC 2.4782   5.5 4.4 1
    801 SPLENECTOMY AGE >17 W/O CC/MCC 1.4484   2.9 2.5 1
    802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 5.7864   18.5 11.2 2
    803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 2.5906   7.6 5.4 1
    804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.2884   3.1 2.2 1
    808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.4673   8.0 6.0 1
    809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.1544   4.8 3.7 1
    810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.7233   3.1 2.6 1
    811 RED BLOOD CELL DISORDERS AGE >17 W MCC 1.3786   6.0 4.2 1
    812 RED BLOOD CELL DISORDERS AGE >17 W/O MCC 0.7498   3.2 2.4 1
    813 COAGULATION DISORDERS 1.1790   3.3 2.4 1
    814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 1.7489   5.3 4.4 1
    815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.9952   4.4 3.3 1
    816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.5780   2.7 2.3 1
    820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 8.3975   17.2 12.0 2
    821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.8856   6.1 3.8 1
    822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.1926   2.5 1.9 1
    823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC 4.9073   13.1 9.8 2
    824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.6329   6.5 4.9 1
    825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC 1.4036   3.4 2.6 1
    826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 6.8411   17.6 12.7 2
    827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.3960   5.8 4.5 1
    828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.9601   3.8 3.1 1
    829 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC 3.0690   9.8 6.3 1
    830 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC 1.2894 * 3.1 2.3 2
    834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W MCC 8.3374   26.1 18.3 2
    835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W CC 4.2455   15.5 10.1 1
    836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W/O CC/MCC 2.1312   7.4 4.5 1
    837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 5.2315   21.0 14.6 2
    838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 3.0984   9.9 6.9 1
    839 CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 0.9286   4.2 3.7 1
    840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 5.8036   17.9 11.6 1
    841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC 2.1499   7.7 5.6 1
    842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.2767   3.9 3.0 1
    843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 2.7390   8.8 6.4 1
    844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.2285   5.5 4.2 1
    845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.9801   3.7 3.0 1
    846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 2.5476   8.3 5.9 1
    847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.1016   3.7 3.1 1
    848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.7304   2.5 2.0 1
    849 RADIOTHERAPY 1.0386   3.8 2.9 1
    853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 6.2013   16.0 11.5 2
    854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.6111   7.7 5.8 1
    855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.5068   4.9 3.8 1
    856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 4.3517   12.1 8.9 1
    857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 1.7265   5.7 4.5 1
    858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.2619   4.4 3.5 1
    862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.5190   6.0 4.3 1
    863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.8260   3.9 3.1 1
    864 FEVER AGE > 17 0.7599   3.2 2.6 1
    865 VIRAL ILLNESS AGE >17 W MCC 2.4624   6.6 5.0 1
    866 VIRAL ILLNESS AGE >17 W/O MCC 0.7082   3.2 2.5 1
    867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.8008   8.0 5.9 1
    868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 0.8353   3.9 3.2 1
    869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 1.0525   3.3 2.6 1
    870 SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS AGE >17 7.3004   15.4 13.2 4
    871 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS AGE >17 W MCC 2.1280   6.7 5.0 1
    872 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS AGE >17 W/O MCC 1.0181   4.3 3.6 1
    876 O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 3.1434 * 12.3 7.6 2
    880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6715   3.4 2.3 1
    881 DEPRESSIVE NEUROSES 0.3728   4.1 3.0 1
    882 NEUROSES EXCEPT DEPRESSIVE 0.4073   4.4 3.1 1
    883 DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.1213   12.5 7.1 1
    884 ORGANIC DISTURBANCES & MENTAL RETARDATION 0.6942   3.7 2.5 1
    885 PSYCHOSES 0.5920   6.3 4.7 1
    886 BEHAVIORAL & DEVELOPMENTAL DISORDERS 0.6834   8.6 6.0 1
    887 OTHER MENTAL DISORDER DIAGNOSES 1.1705   11.8 5.1 1
    894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.3239   3.4 2.1 1
    895 ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 0.8849   17.2 12.9 2
    896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.3759   5.5 3.9 1
    898 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC 0.4656   4.6 3.3 1
    899 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE <=21 W/O MCC 0.3239   3.8 2.9 1