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Fiscal Year 2013 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 2013
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    800 SPLENECTOMY AGE >17 W CC 1.9623   4.5 3.6 1
    801 SPLENECTOMY AGE >17 W/O CC/MCC 1.9024   2.9 2.5 1
    802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 4.0462 * 11.4 8.3 1
    803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 2.1858   5.6 4.5 1
    804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.3884   3.1 2.6 1
    808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.2522   8.2 6.3 1
    809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.1009   4.7 3.7 1
    810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.8698   3.2 2.7 1
    811 RED BLOOD CELL DISORDERS AGE >17 W MCC 1.2283   4.8 3.7 1
    812 RED BLOOD CELL DISORDERS AGE >17 W/O MCC 0.6983   3.0 2.3 1
    813 COAGULATION DISORDERS 1.2282   3.1 2.3 1
    814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 1.5786   5.0 3.7 1
    815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 1.0937   4.2 3.1 1
    816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.4606   2.5 2.1 1
    820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 10.5150   25.2 16.8 2
    821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 3.1156   6.8 5.0 1
    822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.5344   2.7 2.1 1
    823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC 8.5590   20.0 13.6 1
    824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.8427   7.0 5.2 1
    825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC 1.6036   3.0 2.3 1
    826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 3.9575   12.5 11.0 4
    827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.3759   6.4 4.9 1
    828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.3433   3.6 2.8 1
    829 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC 3.6932   15.6 9.3 1
    830 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC 1.8973   3.3 2.5 1
    834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W MCC 7.4156   23.0 15.7 2
    835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W CC 4.0199   16.2 7.8 1
    836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W/O CC/MCC 1.6816   7.3 3.6 1
    837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 6.4393   21.7 15.9 2
    838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 3.0093   8.0 5.7 1
    839 CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 0.7766   4.1 3.6 1
    840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 4.6995   13.8 8.5 1
    841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.7070   6.2 4.2 1
    842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.6520   4.0 2.8 1
    843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 1.4095   7.0 5.4 1
    844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.0094   4.9 3.7 1
    845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.9147   3.7 2.5 1
    846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 3.1068   9.9 7.0 1
    847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.1106   3.5 2.9 1
    848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.7224   2.6 2.1 1
    849 RADIOTHERAPY 1.5747   5.6 4.1 1
    853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 6.3883   15.4 11.9 2
    854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.1325   6.7 5.7 1
    855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.2583   4.7 4.2 1
    856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 4.1840   13.1 9.4 2
    857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 1.6398   5.7 4.4 1
    858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.2723   4.5 3.6 1
    862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.6671   6.7 4.9 1
    863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.8222   3.9 3.2 1
    864 FEVER AGE > 17 0.7521   3.0 2.5 1
    865 VIRAL ILLNESS AGE >17 W MCC 2.9612   8.5 5.3 1
    866 VIRAL ILLNESS AGE >17 W/O MCC 0.6875   2.8 2.3 1
    867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.2770   7.3 5.8 1
    868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 0.8927   4.1 3.3 1
    869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.5619   3.1 2.6 1
    870 SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS AGE >17 7.0336   15.4 12.9 4
    871 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS AGE >17 W MCC 1.9698   6.5 4.9 1
    872 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS AGE >17 W/O MCC 1.0113   4.2 3.5 1
    876 O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 1.7209   6.4 3.8 1
    880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.5728   3.2 2.3 1
    881 DEPRESSIVE NEUROSES 0.5953   6.6 4.4 1
    882 NEUROSES EXCEPT DEPRESSIVE 0.5410   6.0 4.0 1
    883 DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.4407   14.9 8.7 1
    884 ORGANIC DISTURBANCES & MENTAL RETARDATION 0.6267   3.8 2.5 1
    885 PSYCHOSES 0.6202   6.6 5.0 1
    886 BEHAVIORAL & DEVELOPMENTAL DISORDERS 0.5978   7.2 5.6 1
    887 OTHER MENTAL DISORDER DIAGNOSES 0.9006   9.9 5.3 1
    894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.3311   3.0 2.1 1
    895 ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 0.7173   16.5 12.8 2
    896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.2999   5.1 3.6 1
    898 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC 0.4649   4.3 3.2 1
    899 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE <=21 W/O MCC 0.2709   3.8 3.2 1