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Fiscal Year 2013 DRG Weights and Rates
for DRG Numbers Between 900 and 999
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
    901 WOUND DEBRIDEMENTS FOR INJURIES W MCC 4.8259 * 14.9 9.9 1
    902 WOUND DEBRIDEMENTS FOR INJURIES W CC 2.7489   7.1 4.8 1
    903 WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC 0.8643   3.0 2.2 1
    904 SKIN GRAFTS FOR INJURIES W CC/MCC 5.0277   12.0 8.6 1
    905 SKIN GRAFTS FOR INJURIES W/O CC/MCC 1.3812   4.7 3.5 1
    906 HAND PROCEDURES FOR INJURIES 1.5278   3.3 2.1 1
    907 OTHER O.R. PROCEDURES FOR INJURIES W MCC 4.9711   12.5 7.9 1
    908 OTHER O.R. PROCEDURES FOR INJURIES W CC 1.8298   5.4 3.8 1
    909 OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC 1.1976   2.7 2.1 1
    913 TRAUMATIC INJURY AGE >17 W MCC 1.6740 # 5.2 3.4 1
    914 TRAUMATIC INJURY AGE >17 W/O MCC 0.8074   2.0 1.7 1
    915 ALLERGIC REACTIONS AGE >17 W MCC 1.3586   3.3 2.6 1
    916 ALLERGIC REACTIONS AGE >17 W/O MCC 0.4029   1.8 1.5 1
    917 POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W MCC 1.4047   4.0 3.0 1
    918 POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W/O MCC 0.5325   2.1 1.7 1
    919 COMPLICATIONS OF TREATMENT W MCC 1.8227   6.2 3.8 1
    920 COMPLICATIONS OF TREATMENT W CC 0.9242   3.7 2.7 1
    921 COMPLICATIONS OF TREATMENT W/O CC/MCC 0.5787   2.4 2.0 1
    922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC 1.4537   3.7 2.7 1
    923 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC 0.4928   1.9 1.5 1
    927 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W SKIN GRAFT 10.7739   29.2 25.0 8
    928 FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC 4.5323   14.8 10.3 2
    929 FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC 1.5237   6.3 4.4 1
    933 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W/O SKIN GRAFT 2.6351 * 5.3 2.5 1
    934 FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ 0.4252   3.0 2.3 1
    935 NON-EXTENSIVE BURNS 0.8238   3.6 2.4 1
    939 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC 3.7659   13.6 9.0 1
    940 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC 2.4318   8.4 4.6 1
    941 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC 1.7371   2.4 1.9 1
    945 REHABILITATION W CC/MCC 1.7535   13.8 11.0 2
    946 REHABILITATION W/O CC/MCC 0.8186   7.2 5.8 1
    947 SIGNS & SYMPTOMS W MCC 1.1225   5.0 3.7 1
    948 SIGNS & SYMPTOMS W/O MCC 0.6709   2.8 2.2 1
    949 AFTERCARE W CC/MCC 0.5049   3.0 2.3 1
    950 AFTERCARE W/O CC/MCC 0.3776   2.1 1.5 1
    951 OTHER FACTORS INFLUENCING HEALTH STATUS 0.3583   2.3 1.8 1
    955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 8.2466   13.5 9.9 1
    956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 5.0956   9.1 7.3 1
    957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC 7.5596   13.2 9.6 1
    958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC 4.4776   9.4 7.4 1
    959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 3.0541   6.2 5.0 1
    963 OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC 3.2774   9.6 5.5 1
    964 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC 1.4954   5.3 4.1 1
    965 OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 1.0266   3.3 2.8 1
    969 HIV W EXTENSIVE O.R. PROCEDURE W MCC 6.0845 * 16.3 12.0 3
    970 HIV W EXTENSIVE O.R. PROCEDURE W/O MCC 2.9560 * 7.4 5.5 3
    974 HIV W MAJOR RELATED CONDITION W MCC 3.1171   9.2 7.2 1
    975 HIV W MAJOR RELATED CONDITION W CC 1.3792   5.6 4.9 1
    976 HIV W MAJOR RELATED CONDITION W/O CC/MCC 1.0083   3.3 2.8 1
    977 HIV W OR W/O OTHER RELATED CONDITION 1.3654   5.4 3.6 1
    981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 5.7280   14.3 10.0 1
    982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.6287   6.3 4.4 1
    983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.5658   2.7 2.1 1
    984 PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 4.0201 * 13.1 10.6 2
    985 PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.3193 * 8.2 6.1 2
    986 PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.1888 * 3.6 2.5 2
    987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.8681   11.8 7.5 1
    988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC 1.6167   5.0 3.6 1
    989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.1023   2.3 1.8 1
    998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 0.0000 * 0.0 0.0 1
    999 UNGROUPABLE 0.0000 * 0.0 0.0 1