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Fiscal Year 2014 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 2014
    DRG Number Description CHAMPUS Weight Arithmetic Mean
    Length
    of Stay
    Geometric Mean
    Length
    of Stay
    Short Stay
    Threshold
    800 SPLENECTOMY AGE >17 W CC 2.1121   5.8 4.8 1
    801 SPLENECTOMY AGE >17 W/O CC/MCC 1.6759   3.0 2.4 1
    802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 3.4626   7.7 5.3 1
    803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 2.3709   5.5 4.3 1
    804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.3940   3.4 2.6 1
    808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.1361   7.9 5.9 1
    809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.0224   4.5 3.5 1
    810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.6867   3.2 2.6 1
    811 RED BLOOD CELL DISORDERS AGE >17 W MCC 1.5763   5.9 4.1 1
    812 RED BLOOD CELL DISORDERS AGE >17 W/O MCC 0.7373   3.2 2.4 1
    813 COAGULATION DISORDERS 1.7005   3.6 2.6 1
    814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 2.3373   5.3 3.8 1
    815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.8923   3.6 3.1 1
    816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.5016   2.7 2.3 1
    820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 9.1083   19.0 11.3 1
    821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.3514   5.8 4.0 1
    822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.4739   2.5 1.9 1
    823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC 6.5607   20.2 13.7 2
    824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.1356   7.2 5.8 1
    825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC 1.4688   4.2 2.8 1
    826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 6.1705   14.1 10.3 2
    827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.6345   8.3 6.4 1
    828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.5305   4.2 3.6 1
    829 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC 3.1215   9.6 5.8 1
    830 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC 1.4899   2.4 1.8 1
    834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W MCC 8.1348   27.0 19.5 2
    835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W CC 5.0371   19.1 10.5 1
    836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 W/O CC/MCC 0.9736   4.2 3.0 1
    837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 6.2235   18.8 13.6 2
    838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 2.8070   9.7 6.8 1
    839 CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 0.9755   4.3 3.4 1
    840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 4.7350   14.4 9.1 1
    841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC 2.2025   6.9 4.7 1
    842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.5979   4.1 3.1 1
    843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 1.8970   7.1 4.9 1
    844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.0699   3.8 2.8 1
    845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 1.4935   3.2 2.2 1
    846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 2.3683   8.0 6.0 1
    847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 0.9638   3.6 3.0 1
    848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.6080   2.0 1.6 1
    849 RADIOTHERAPY 0.8118   2.4 1.9 1
    853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 5.5562   14.9 11.0 2
    854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.2158   7.4 5.8 1
    855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.7592 * 4.9 3.6 1
    856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 3.0994   10.2 7.9 1
    857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 1.5957   5.7 4.5 1
    858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.3524   4.8 3.9 1
    862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.3877   5.8 4.5 1
    863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.7611   3.7 3.0 1
    864 FEVER AGE > 17 0.7902   3.1 2.6 1
    865 VIRAL ILLNESS AGE >17 W MCC 0.9377   4.1 3.4 1
    866 VIRAL ILLNESS AGE >17 W/O MCC 0.6458   2.8 2.4 1
    867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.6467   8.3 5.9 1
    868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 0.9618   4.1 3.3 1
    869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.5771   3.0 2.7 1
    870 SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS AGE >17 7.2527   16.0 13.9 4
    871 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS AGE >17 W MCC 1.9702   6.5 4.9 1
    872 SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS AGE >17 W/O MCC 0.9592   4.3 3.5 1
    876 O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 3.1271 * 12.3 7.5 2
    880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6024   3.4 2.4 1
    881 DEPRESSIVE NEUROSES 0.6156   6.4 4.5 1
    882 NEUROSES EXCEPT DEPRESSIVE 0.7542   7.8 5.2 1
    883 DISORDERS OF PERSONALITY & IMPULSE CONTROL 0.7919   10.6 5.7 1
    884 ORGANIC DISTURBANCES & MENTAL RETARDATION 0.6274   5.1 3.1 1
    885 PSYCHOSES 0.5976   6.6 5.1 1
    886 BEHAVIORAL & DEVELOPMENTAL DISORDERS 0.6511   8.8 7.0 1
    887 OTHER MENTAL DISORDER DIAGNOSES 1.3091   13.4 5.6 1
    894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.3885   3.4 2.0 1
    895 ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 0.5795   15.4 11.5 2
    896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.5705   5.9 4.4 1
    898 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC 0.4055   4.3 3.2 1
    899 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE <=21 W/O MCC 0.2997   4.9 3.5 1