drg_v31(2014)

Upload: jt626

Post on 13-Feb-2018

215 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/23/2019 drg_v31(2014)

    1/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    001 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 25.3518 28.3 35.9

    002 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 15.2738 15.9 18.6003 PRE SURG ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 17.6369 27.2 33.2

    004 PRE SURG TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 10.9288 20.3 24.7

    005 PRE SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.4214 15.1 20.1

    006 PRE SURG LIVER TRANSPLANT W/O MCC 4.7639 7.9 9.0

    007 PRE SURG LUNG TRANSPLANT 9.1929 15.4 17.9

    008 PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.1527 9.5 11.0

    010 PRE SURG PANCREAS TRANSPLANT 4.1554 8.8 10.3

    011 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 4.7246 11.4 14.0

    012 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.2291 8.3 9.8

    013 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 2.1647 5.7 6.5

    014 PRE SURG ALLOGENEIC BONE MARROW TRANSPLANT 10.6157 20.7 26.2

    016 PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 6.0304 18.1 19.5

    017 PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.2906 9.9 13.2

    020 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 9.3897 14.3 17.4

    021 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 6.4458 11.9 13.4

    022 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 4.7113 5.5 7.3

    023 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT 5.1587 8.0 11.2

    024 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 3.7121 4.5 6.6

    025 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.4422 7.8 10.1026 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 2.9842 5.0 6.5

    027 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.2505 2.6 3.4

    028 01 SURG SPINAL PROCEDURES W MCC 5.4339 9.6 12.3

    029 01 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 3.0782 4.6 6.2

    030 01 SURG SPINAL PROCEDURES W/O CC/MCC 1.8091 2.5 3.3

    031 01 SURG VENTRICULAR SHUNT PROCEDURES W MCC 3.9460 7.7 11.0

    032 01 SURG VENTRICULAR SHUNT PROCEDURES W CC 1.9780 3.4 4.9

    033 01 SURG VENTRICULAR SHUNT PROCEDURES W/O CC/MCC 1.5226 2.0 2.5

    034 01 SURG CAROTID ARTERY STENT PROCEDURE W MCC 3.4145 4.7 6.9

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    1 of 26

  • 7/23/2019 drg_v31(2014)

    2/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    035 01 SURG CAROTID ARTERY STENT PROCEDURE W CC 2.1781 2.1 3.1

    036 01 SURG CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.7224 1.3 1.5037 01 SURG EXTRACRANIAL PROCEDURES W MCC 3.0641 5.5 7.9

    038 01 SURG EXTRACRANIAL PROCEDURES W CC 1.5958 2.4 3.5

    039 01 SURG EXTRACRANIAL PROCEDURES W/O CC/MCC 1.0452 1.4 1.6

    040 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 3.7851 8.3 11.0

    041 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 2.1731 5.0 6.4

    042 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 1.8616 2.6 3.4

    052 01 MED SPINAL DISORDERS & INJURIES W CC/MCC 1.4102 4.0 5.3

    053 01 MED SPINAL DISORDERS & INJURIES W/O CC/MCC 0.8746 2.7 3.3

    054 01 MED NERVOUS SYSTEM NEOPLASMS W MCC 1.3195 4.1 5.5

    055 01 MED NERVOUS SYSTEM NEOPLASMS W/O MCC 1.0100 3.1 4.2

    056 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 1.7368 5.3 7.1

    057 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 0.9841 3.6 4.7

    058 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC 1.6027 5.4 7.1

    059 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC 1.0399 4.0 4.9

    060 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC 0.7899 3.1 3.7

    061 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC 2.7316 5.8 7.5

    062 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC 1.8561 4.2 4.9

    063 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC 1.4685 3.0 3.4

    064 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 1.7417 4.7 6.3065 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS 1.0776 3.5 4.3

    066 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 0.7566 2.5 2.9

    067 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC 1.4172 4.1 5.3

    068 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC 0.8582 2.5 3.1

    069 01 MED TRANSIENT ISCHEMIA 0.6948 2.2 2.6

    070 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 1.6593 4.9 6.6

    071 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 0.9796 3.6 4.6

    072 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC 0.6919 2.3 2.9

    073 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W MCC 1.3014 3.9 5.3

    2 of 26

  • 7/23/2019 drg_v31(2014)

    3/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    074 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 0.8786 3.1 3.9

    075 01 MED VIRAL MENINGITIS W CC/MCC 1.5918 5.2 6.5076 01 MED VIRAL MENINGITIS W/O CC/MCC 0.8425 3.2 3.7

    077 01 MED HYPERTENSIVE ENCEPHALOPATHY W MCC 1.6290 4.6 6.0

    078 01 MED HYPERTENSIVE ENCEPHALOPATHY W CC 0.9467 3.1 3.9

    079 01 MED HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC 0.7118 2.3 2.8

    080 01 MED NONTRAUMATIC STUPOR & COMA W MCC 1.2252 3.7 5.1

    081 01 MED NONTRAUMATIC STUPOR & COMA W/O MCC 0.7455 2.6 3.4

    082 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC 1.9463 3.4 5.7

    083 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W CC 1.2643 3.4 4.4

    084 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC 0.8491 2.1 2.7

    085 01 MED TRAUMATIC STUPOR & COMA, COMA

  • 7/23/2019 drg_v31(2014)

    4/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    113 02 SURG ORBITAL PROCEDURES W CC/MCC 1.8998 4.0 5.6

    114 02 SURG ORBITAL PROCEDURES W/O CC/MCC 1.0216 2.3 2.9115 02 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT 1.2543 3.2 4.3

    116 02 SURG INTRAOCULAR PROCEDURES W CC/MCC 1.4806 3.2 4.8

    117 02 SURG INTRAOCULAR PROCEDURES W/O CC/MCC 0.8211 1.8 2.4

    121 02 MED ACUTE MAJOR EYE INFECTIONS W CC/MCC 1.0215 3.9 4.8

    122 02 MED ACUTE MAJOR EYE INFECTIONS W/O CC/MCC 0.6147 2.9 3.5

    123 02 MED NEUROLOGICAL EYE DISORDERS 0.6963 2.2 2.7

    124 02 MED OTHER DISORDERS OF THE EYE W MCC 1.1990 3.7 5.1

    125 02 MED OTHER DISORDERS OF THE EYE W/O MCC 0.6812 2.5 3.1

    129 03 SURG MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE 2.1925 3.6 5.1

    130 03 SURG MAJOR HEAD & NECK PROCEDURES W/O CC/MCC 1.2687 2.1 2.6

    131 03 SURG CRANIAL/FACIAL PROCEDURES W CC/MCC 2.2038 3.9 5.4

    132 03 SURG CRANIAL/FACIAL PROCEDURES W/O CC/MCC 1.2855 2.0 2.6

    133 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC 1.7824 3.6 5.3

    134 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC 0.9584 1.8 2.4

    135 03 SURG SINUS & MASTOID PROCEDURES W CC/MCC 2.0110 4.1 5.9

    136 03 SURG SINUS & MASTOID PROCEDURES W/O CC/MCC 0.9709 1.8 2.4

    137 03 SURG MOUTH PROCEDURES W CC/MCC 1.3477 3.7 5.0

    138 03 SURG MOUTH PROCEDURES W/O CC/MCC 0.8304 2.0 2.5

    139 03 SURG SALIVARY GLAND PROCEDURES 0.9169 1.5 2.0146 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC 2.0402 5.6 8.2

    147 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC 1.2317 3.9 5.4

    148 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC 0.7688 2.3 3.0

    149 03 MED DYSEQUILIBRIUM 0.6184 2.1 2.5

    150 03 MED EPISTAXIS W MCC 1.3298 3.7 4.9

    151 03 MED EPISTAXIS W/O MCC 0.6557 2.2 2.8

    152 03 MED OTITIS MEDIA & URI W MCC 1.0042 3.3 4.3

    153 03 MED OTITIS MEDIA & URI W/O MCC 0.6439 2.4 2.9

    154 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC 1.3785 4.1 5.5

    4 of 26

  • 7/23/2019 drg_v31(2014)

    5/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    155 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC 0.8610 3.1 3.9

    156 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC 0.6160 2.3 2.8157 03 MED DENTAL & ORAL DISEASES W MCC 1.5380 4.5 6.1

    158 03 MED DENTAL & ORAL DISEASES W CC 0.8525 3.1 3.9

    159 03 MED DENTAL & ORAL DISEASES W/O CC/MCC 0.6100 2.1 2.6

    163 04 SURG MAJOR CHEST PROCEDURES W MCC 5.0952 11.0 13.4

    164 04 SURG MAJOR CHEST PROCEDURES W CC 2.6086 5.6 6.7

    165 04 SURG MAJOR CHEST PROCEDURES W/O CC/MCC 1.7943 3.3 4.0

    166 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W MCC 3.6741 8.8 11.2

    167 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 1.9860 5.2 6.6

    168 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3101 3.0 3.9

    175 04 MED PULMONARY EMBOLISM W MCC 1.5346 5.3 6.4

    176 04 MED PULMONARY EMBOLISM W/O MCC 0.9891 3.7 4.4

    177 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 1.9934 6.4 7.9

    178 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W CC 1.3955 5.1 6.1

    179 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC 0.9741 3.7 4.5

    180 04 MED RESPIRATORY NEOPLASMS W MCC 1.7026 5.4 7.1

    181 04 MED RESPIRATORY NEOPLASMS W CC 1.1725 3.8 5.0

    182 04 MED RESPIRATORY NEOPLASMS W/O CC/MCC 0.7905 2.6 3.3

    183 04 MED MAJOR CHEST TRAUMA W MCC 1.4649 4.8 5.9

    184 04 MED MAJOR CHEST TRAUMA W CC 0.9832 3.4 4.1185 04 MED MAJOR CHEST TRAUMA W/O CC/MCC 0.6907 2.5 2.9

    186 04 MED PLEURAL EFFUSION W MCC 1.5727 4.9 6.3

    187 04 MED PLEURAL EFFUSION W CC 1.0808 3.6 4.5

    188 04 MED PLEURAL EFFUSION W/O CC/MCC 0.7468 2.6 3.3

    189 04 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.2184 3.9 5.0

    190 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 1.1708 4.2 5.1

    191 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 0.9343 3.5 4.2

    192 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 0.7120 2.8 3.3

    193 04 MED SIMPLE PNEUMONIA & PLEURISY W MCC 1.4550 5.0 6.1

    5 of 26

  • 7/23/2019 drg_v31(2014)

    6/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    194 04 MED SIMPLE PNEUMONIA & PLEURISY W CC 0.9771 3.8 4.6

    195 04 MED SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC 0.6997 2.9 3.4196 04 MED INTERSTITIAL LUNG DISEASE W MCC 1.6686 5.4 6.8

    197 04 MED INTERSTITIAL LUNG DISEASE W CC 1.0627 3.8 4.7

    198 04 MED INTERSTITIAL LUNG DISEASE W/O CC/MCC 0.7958 2.9 3.6

    199 04 MED PNEUMOTHORAX W MCC 1.8127 5.9 7.6

    200 04 MED PNEUMOTHORAX W CC 0.9692 3.3 4.3

    201 04 MED PNEUMOTHORAX W/O CC/MCC 0.7053 2.6 3.3

    202 04 MED BRONCHITIS & ASTHMA W CC/MCC 0.8678 3.2 3.9

    203 04 MED BRONCHITIS & ASTHMA W/O CC/MCC 0.6391 2.5 3.0

    204 04 MED RESPIRATORY SIGNS & SYMPTOMS 0.6780 2.1 2.7

    205 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.3935 4.0 5.4

    206 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.7911 2.5 3.2

    207 04 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 5.2556 12.1 14.1

    208 04 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT

  • 7/23/2019 drg_v31(2014)

    7/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    230 05 SURG OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC 3.6669 4.4 5.1

    231 05 SURG CORONARY BYPASS W PTCA W MCC 7.8158 10.7 12.4232 05 SURG CORONARY BYPASS W PTCA W/O MCC 5.6145 8.1 8.9

    233 05 SURG CORONARY BYPASS W CARDIAC CATH W MCC 7.3887 11.9 13.4

    234 05 SURG CORONARY BYPASS W CARDIAC CATH W/O MCC 4.8270 8.0 8.6

    235 05 SURG CORONARY BYPASS W/O CARDIAC CATH W MCC 5.8478 9.2 10.6

    236 05 SURG CORONARY BYPASS W/O CARDIAC CATH W/O MCC 3.8011 6.0 6.5

    237 05 SURG MAJOR CARDIOVASC PROCEDURES W MCC 5.0962 6.9 9.8

    238 05 SURG MAJOR CARDIOVASC PROCEDURES W/O MCC 3.3576 2.6 3.8

    239 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 4.8601 10.9 13.9

    240 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 2.6789 7.2 8.8

    241 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.4226 4.6 5.5

    242 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 3.7491 5.9 7.6

    243 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W CC 2.6716 3.7 4.6

    244 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.1608 2.4 2.9

    245 05 SURG AICD GENERATOR PROCEDURES 4.7022 3.3 4.7

    246 05 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 3.1830 3.9 5.2

    247 05 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 2.0408 2.1 2.5

    248 05 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS 2.9479 4.6 6.2

    249 05 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 1.8245 2.4 3.0

    250 05 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 2.9881 5.1 7.0251 05 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 1.9737 2.4 3.1

    252 05 SURG OTHER VASCULAR PROCEDURES W MCC 3.1477 5.3 7.7

    253 05 SURG OTHER VASCULAR PROCEDURES W CC 2.5172 4.1 5.5

    254 05 SURG OTHER VASCULAR PROCEDURES W/O CC/MCC 1.7012 2.2 2.9

    255 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.6404 6.8 8.8

    256 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 1.5973 5.3 6.5

    257 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 0.9017 3.0 3.7

    258 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 2.7229 4.9 6.2

    259 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 1.9462 2.7 3.4

    7 of 26

  • 7/23/2019 drg_v31(2014)

    8/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    260 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 3.7238 7.7 10.5

    261 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.7284 3.2 4.3262 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.3866 2.3 2.9

    263 05 SURG VEIN LIGATION & STRIPPING 1.8888 3.6 5.2

    264 05 SURG OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 2.7138 5.6 8.2

    265 05 SURG AICD LEAD PROCEDURES 2.6890 2.5 3.6

    280 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 1.7431 4.7 6.0

    281 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 1.0568 3.1 3.8

    282 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.7551 2.1 2.5

    283 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 1.6885 3.0 4.7

    284 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.7614 1.8 2.5

    285 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.5227 1.4 1.7

    286 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.1058 4.9 6.7

    287 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.0866 2.4 3.1

    288 05 MED ACUTE & SUBACUTE ENDOCARDITIS W MCC 2.7956 7.8 9.9

    289 05 MED ACUTE & SUBACUTE ENDOCARDITIS W CC 1.7891 5.7 7.0

    290 05 MED ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.2359 3.9 4.8

    291 05 MED HEART FAILURE & SHOCK W MCC 1.5031 4.6 5.9

    292 05 MED HEART FAILURE & SHOCK W CC 0.9938 3.7 4.5

    293 05 MED HEART FAILURE & SHOCK W/O CC/MCC 0.6723 2.6 3.1

    294 05 MED DEEP VEIN THROMBOPHLEBITIS W CC/MCC 0.9439 4.0 4.9295 05 MED DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.6287 3.1 3.6

    296 05 MED CARDIAC ARREST, UNEXPLAINED W MCC 1.3013 1.9 2.9

    297 05 MED CARDIAC ARREST, UNEXPLAINED W CC 0.6063 1.2 1.5

    298 05 MED CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.4260 1.0 1.1

    299 05 MED PERIPHERAL VASCULAR DISORDERS W MCC 1.3647 4.4 5.6

    300 05 MED PERIPHERAL VASCULAR DISORDERS W CC 0.9666 3.6 4.5

    301 05 MED PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.6681 2.7 3.3

    302 05 MED ATHEROSCLEROSIS W MCC 1.0287 2.9 3.9

    303 05 MED ATHEROSCLEROSIS W/O MCC 0.6034 1.9 2.3

    8 of 26

  • 7/23/2019 drg_v31(2014)

    9/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    304 05 MED HYPERTENSION W MCC 1.0268 3.3 4.4

    305 05 MED HYPERTENSION W/O MCC 0.6176 2.1 2.6306 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC 1.3659 3.9 5.3

    307 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC 0.7917 2.6 3.3

    308 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.2088 3.8 4.9

    309 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.7867 2.7 3.3

    310 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5512 1.9 2.3

    311 05 MED ANGINA PECTORIS 0.5649 1.8 2.2

    312 05 MED SYNCOPE & COLLAPSE 0.7228 2.4 3.0

    313 05 MED CHEST PAIN 0.5992 1.8 2.1

    314 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 1.8941 4.9 6.7

    315 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 0.9534 3.1 4.0

    316 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.6358 2.0 2.5

    326 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC 5.6013 11.6 14.9

    327 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W CC 2.6598 6.1 8.0

    328 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC 1.4765 2.6 3.4

    329 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 5.1272 11.9 14.6

    330 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.5609 7.3 8.5

    331 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6380 4.4 4.9

    332 06 SURG RECTAL RESECTION W MCC 4.7072 10.9 13.2

    333 06 SURG RECTAL RESECTION W CC 2.4466 6.4 7.4334 06 SURG RECTAL RESECTION W/O CC/MCC 1.5849 3.7 4.3

    335 06 SURG PERITONEAL ADHESIOLYSIS W MCC 4.1615 10.7 13.0

    336 06 SURG PERITONEAL ADHESIOLYSIS W CC 2.3513 7.0 8.4

    337 06 SURG PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.5742 4.1 5.0

    338 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 3.1217 7.8 9.5

    339 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.7117 5.1 6.0

    340 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.1741 3.0 3.5

    341 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 2.1821 4.6 6.3

    342 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.2968 2.8 3.5

    9 of 26

  • 7/23/2019 drg_v31(2014)

    10/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    343 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 0.9358 1.6 1.9

    344 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 3.5966 8.9 11.3345 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.6865 5.5 6.5

    346 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.2174 4.0 4.4

    347 06 SURG ANAL & STOMAL PROCEDURES W MCC 2.5182 6.3 8.5

    348 06 SURG ANAL & STOMAL PROCEDURES W CC 1.3585 4.0 5.1

    349 06 SURG ANAL & STOMAL PROCEDURES W/O CC/MCC 0.8834 2.4 3.0

    350 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W MCC 2.4598 5.8 7.8

    351 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W CC 1.3761 3.5 4.5

    352 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC 0.9239 2.0 2.5

    353 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC 2.7885 6.2 8.0

    354 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC 1.6401 4.0 5.0

    355 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC 1.1783 2.5 3.0

    356 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 3.8388 8.6 11.5

    357 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.1448 5.4 6.9

    358 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3942 3.2 4.1

    368 06 MED MAJOR ESOPHAGEAL DISORDERS W MCC 1.8779 5.0 6.6

    369 06 MED MAJOR ESOPHAGEAL DISORDERS W CC 1.0660 3.5 4.2

    370 06 MED MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.7486 2.5 3.0

    371 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 1.9027 6.2 7.9

    372 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.1733 4.8 5.8373 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.8103 3.6 4.2

    374 06 MED DIGESTIVE MALIGNANCY W MCC 2.1051 6.2 8.4

    375 06 MED DIGESTIVE MALIGNANCY W CC 1.2561 4.2 5.4

    376 06 MED DIGESTIVE MALIGNANCY W/O CC/MCC 0.8738 2.7 3.5

    377 06 MED G.I. HEMORRHAGE W MCC 1.7629 4.8 6.1

    378 06 MED G.I. HEMORRHAGE W CC 1.0029 3.3 3.9

    379 06 MED G.I. HEMORRHAGE W/O CC/MCC 0.6937 2.4 2.8

    380 06 MED COMPLICATED PEPTIC ULCER W MCC 1.9223 5.5 7.2

    381 06 MED COMPLICATED PEPTIC ULCER W CC 1.1199 3.8 4.6

    10 of 26

  • 7/23/2019 drg_v31(2014)

    11/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    382 06 MED COMPLICATED PEPTIC ULCER W/O CC/MCC 0.7784 2.7 3.3

    383 06 MED UNCOMPLICATED PEPTIC ULCER W MCC 1.3850 4.4 5.5384 06 MED UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8501 3.0 3.6

    385 06 MED INFLAMMATORY BOWEL DISEASE W MCC 1.7973 6.0 7.8

    386 06 MED INFLAMMATORY BOWEL DISEASE W CC 1.0097 4.0 5.0

    387 06 MED INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7533 3.1 3.8

    388 06 MED G.I. OBSTRUCTION W MCC 1.6170 5.3 7.0

    389 06 MED G.I. OBSTRUCTION W CC 0.8853 3.6 4.5

    390 06 MED G.I. OBSTRUCTION W/O CC/MCC 0.6046 2.7 3.2

    391 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC 1.1903 3.9 5.1

    392 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 0.7395 2.9 3.5

    393 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC 1.6563 4.7 6.5

    394 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 0.9653 3.5 4.4

    395 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6669 2.4 3.0

    405 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W MCC 5.4333 11.0 14.5

    406 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 2.7667 6.0 7.6

    407 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC 1.9139 4.2 5.1

    408 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC 4.1182 10.6 13.2

    409 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 2.4337 6.7 7.9

    410 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC 1.5123 4.3 5.0

    411 07 SURG CHOLECYSTECTOMY W C.D.E. W MCC 3.5968 9.3 11.3412 07 SURG CHOLECYSTECTOMY W C.D.E. W CC 2.3659 6.5 7.6

    413 07 SURG CHOLECYSTECTOMY W C.D.E. W/O CC/MCC 1.7220 4.2 5.0

    414 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC 3.6208 8.8 10.6

    415 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.0173 5.8 6.7

    416 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC 1.3268 3.5 4.1

    417 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC 2.4784 6.0 7.5

    418 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.6536 4.1 5.0

    419 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 1.2239 2.6 3.1

    420 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC 3.6786 8.7 12.3

    11 of 26

  • 7/23/2019 drg_v31(2014)

    12/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    421 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC 1.7714 4.6 6.3

    422 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC 1.2175 3.1 3.9423 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC 4.2183 9.6 13.0

    424 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC 2.3149 6.3 8.2

    425 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC 1.6396 3.8 4.9

    432 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC 1.7150 4.7 6.3

    433 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W CC 0.9249 3.3 4.1

    434 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC 0.6156 2.4 3.0

    435 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC 1.7356 5.2 6.9

    436 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC 1.1548 3.9 5.0

    437 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC 0.9282 2.8 3.6

    438 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC 1.7210 5.1 7.0

    439 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 0.9162 3.6 4.5

    440 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC 0.6452 2.7 3.2

    441 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC 1.8534 5.0 6.8

    442 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC 0.9280 3.4 4.3

    443 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC 0.6418 2.6 3.2

    444 07 MED DISORDERS OF THE BILIARY TRACT W MCC 1.6060 4.7 6.1

    445 07 MED DISORDERS OF THE BILIARY TRACT W CC 1.0476 3.4 4.2

    446 07 MED DISORDERS OF THE BILIARY TRACT W/O CC/MCC 0.7499 2.4 2.9

    453 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC 11.7453 9.7 12.2454 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC 8.0200 5.1 6.1

    455 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC 6.2882 3.1 3.6

    456 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W MCC 9.5871 10.2 12.5

    457 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W CC 6.8188 5.6 6.5

    458 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W/O CC/MCC 5.1378 3.3 3.8

    459 08 SURG SPINAL FUSION EXCEPT CERVICAL W MCC 6.8163 7.1 8.7

    460 08 SURG SPINAL FUSION EXCEPT CERVICAL W/O MCC 4.0221 3.1 3.6

    461 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC 5.0254 6.1 7.5

    462 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC 3.5190 3.5 3.8

    12 of 26

  • 7/23/2019 drg_v31(2014)

    13/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    463 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC 5.1152 10.4 14.0

    464 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC 3.0243 6.2 8.0465 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC 1.9199 3.8 4.8

    466 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W MCC 5.2748 7.0 8.6

    467 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W CC 3.4140 3.9 4.5

    468 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC 2.7624 3.0 3.2

    469 08 SURG MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC 3.4377 6.2 7.4

    470 08 SURG MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 2.1463 3.1 3.4

    471 08 SURG CERVICAL SPINAL FUSION W MCC 4.9444 6.4 8.9

    472 08 SURG CERVICAL SPINAL FUSION W CC 2.9288 2.5 3.5

    473 08 SURG CERVICAL SPINAL FUSION W/O CC/MCC 2.2458 1.5 1.8

    474 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC 3.6884 8.8 11.2

    475 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC 2.0488 5.7 7.1

    476 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC 1.0717 3.1 3.9

    477 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 3.2827 8.6 10.8

    478 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 2.2115 5.4 6.7

    479 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 1.7340 3.3 4.2

    480 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 3.0694 7.1 8.3

    481 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 1.9721 4.8 5.2

    482 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 1.6305 3.9 4.2

    483 08 SURG MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W CC/MCC 2.6488 2.8 3.4484 08 SURG MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC 2.2298 1.8 2.0

    485 08 SURG KNEE PROCEDURES W PDX OF INFECTION W MCC 3.2719 8.4 10.3

    486 08 SURG KNEE PROCEDURES W PDX OF INFECTION W CC 2.0199 5.6 6.5

    487 08 SURG KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC 1.5215 4.1 4.6

    488 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC 1.7379 3.5 4.3

    489 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC 1.2799 2.5 2.8

    490 08 SURG BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM 1.8845 3.4 4.6

    491 08 SURG BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC 1.0893 1.9 2.3

    492 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC 3.1831 6.4 8.0

    13 of 26

  • 7/23/2019 drg_v31(2014)

    14/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    493 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC 1.9971 4.0 4.8

    494 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC 1.5073 2.7 3.2495 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC 2.9110 7.2 9.6

    496 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC 1.7290 4.0 5.2

    497 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC 1.1731 2.1 2.6

    498 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC 2.1924 5.3 7.2

    499 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC 0.9577 2.1 2.6

    500 08 SURG SOFT TISSUE PROCEDURES W MCC 3.0116 7.3 9.8

    501 08 SURG SOFT TISSUE PROCEDURES W CC 1.5804 4.4 5.5

    502 08 SURG SOFT TISSUE PROCEDURES W/O CC/MCC 1.1277 2.4 2.9

    503 08 SURG FOOT PROCEDURES W MCC 2.2584 6.3 7.8

    504 08 SURG FOOT PROCEDURES W CC 1.6133 4.9 5.9

    505 08 SURG FOOT PROCEDURES W/O CC/MCC 1.2072 2.7 3.3

    506 08 SURG MAJOR THUMB OR JOINT PROCEDURES 1.2041 2.9 3.8

    507 08 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC 1.9667 4.1 5.6

    508 08 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC 1.3190 2.0 2.4

    509 08 SURG ARTHROSCOPY 1.3245 2.7 3.5

    510 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC 2.2717 4.8 6.0

    511 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC 1.5894 3.2 3.8

    512 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC 1.2266 2.0 2.3

    513 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC 1.4122 3.7 4.9514 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC 0.8781 2.2 2.7

    515 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC 3.3340 7.5 9.6

    516 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 2.0160 4.5 5.5

    517 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC 1.6777 2.8 3.4

    533 08 MED FRACTURES OF FEMUR W MCC 1.3759 4.3 5.6

    534 08 MED FRACTURES OF FEMUR W/O MCC 0.7364 2.9 3.6

    535 08 MED FRACTURES OF HIP & PELVIS W MCC 1.3085 4.2 5.4

    536 08 MED FRACTURES OF HIP & PELVIS W/O MCC 0.7091 3.0 3.5

    537 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC 0.8604 3.4 4.0

    14 of 26

  • 7/23/2019 drg_v31(2014)

    15/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    538 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC 0.6870 2.4 2.8

    539 08 MED OSTEOMYELITIS W MCC 1.8631 6.2 8.1540 08 MED OSTEOMYELITIS W CC 1.3063 4.9 6.1

    541 08 MED OSTEOMYELITIS W/O CC/MCC 0.9743 3.6 4.7

    542 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC 1.9451 6.0 7.9

    543 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC 1.1267 4.2 5.2

    544 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC 0.7736 3.2 3.7

    545 08 MED CONNECTIVE TISSUE DISORDERS W MCC 2.4445 6.0 8.5

    546 08 MED CONNECTIVE TISSUE DISORDERS W CC 1.1711 4.0 5.0

    547 08 MED CONNECTIVE TISSUE DISORDERS W/O CC/MCC 0.8061 2.9 3.6

    548 08 MED SEPTIC ARTHRITIS W MCC 1.7811 5.9 7.6

    549 08 MED SEPTIC ARTHRITIS W CC 1.1101 4.3 5.2

    550 08 MED SEPTIC ARTHRITIS W/O CC/MCC 0.8149 3.1 3.8

    551 08 MED MEDICAL BACK PROBLEMS W MCC 1.6317 5.0 6.4

    552 08 MED MEDICAL BACK PROBLEMS W/O MCC 0.8467 3.2 3.9

    553 08 MED BONE DISEASES & ARTHROPATHIES W MCC 1.2370 4.4 5.6

    554 08 MED BONE DISEASES & ARTHROPATHIES W/O MCC 0.7181 2.9 3.6

    555 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC 1.1974 3.7 5.0

    556 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC 0.7066 2.6 3.2

    557 08 MED TENDONITIS, MYOSITIS & BURSITIS W MCC 1.4756 5.1 6.4

    558 08 MED TENDONITIS, MYOSITIS & BURSITIS W/O MCC 0.8337 3.4 4.0559 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 1.8639 5.0 6.9

    560 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 1.0260 3.4 4.4

    561 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 0.6408 2.0 2.5

    562 08 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC 1.3528 4.4 5.5

    563 08 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC 0.7535 3.0 3.5

    564 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC 1.4855 4.5 6.1

    565 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC 0.9281 3.6 4.4

    566 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC 0.6642 2.6 3.3

    570 09 SURG SKIN DEBRIDEMENT W MCC 2.4154 7.2 9.4

    15 of 26

  • 7/23/2019 drg_v31(2014)

    16/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    571 09 SURG SKIN DEBRIDEMENT W CC 1.4906 5.4 6.5

    572 09 SURG SKIN DEBRIDEMENT W/O CC/MCC 1.0077 3.8 4.6573 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC 3.4623 8.2 12.3

    574 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC 2.6883 7.1 9.6

    575 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.4376 4.2 5.4

    576 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC 4.2927 7.9 12.3

    577 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC 2.0212 4.0 5.9

    578 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.2617 2.4 3.3

    579 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC 2.6106 7.0 9.2

    580 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.5398 3.8 5.1

    581 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC 1.0605 2.0 2.6

    582 09 SURG MASTECTOMY FOR MALIGNANCY W CC/MCC 1.1913 2.0 2.7

    583 09 SURG MASTECTOMY FOR MALIGNANCY W/O CC/MCC 0.9711 1.5 1.7

    584 09 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC 1.6998 3.5 4.8

    585 09 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC 1.3162 2.0 2.6

    592 09 MED SKIN ULCERS W MCC 1.4131 5.1 6.6

    593 09 MED SKIN ULCERS W CC 1.0094 4.2 5.1

    594 09 MED SKIN ULCERS W/O CC/MCC 0.6814 3.1 3.9

    595 09 MED MAJOR SKIN DISORDERS W MCC 1.9464 5.7 7.8

    596 09 MED MAJOR SKIN DISORDERS W/O MCC 0.9284 3.6 4.6

    597 09 MED MALIGNANT BREAST DISORDERS W MCC 1.7064 5.2 7.1598 09 MED MALIGNANT BREAST DISORDERS W CC 1.0817 3.9 5.1

    599 09 MED MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6547 2.5 3.1

    600 09 MED NON-MALIGNANT BREAST DISORDERS W CC/MCC 0.9963 3.8 4.7

    601 09 MED NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6445 2.8 3.4

    602 09 MED CELLULITIS W MCC 1.4607 5.0 6.3

    603 09 MED CELLULITIS W/O MCC 0.8402 3.6 4.2

    604 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC 1.3223 3.9 5.1

    605 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC 0.7372 2.6 3.2

    606 09 MED MINOR SKIN DISORDERS W MCC 1.3594 4.3 6.0

    16 of 26

  • 7/23/2019 drg_v31(2014)

    17/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    607 09 MED MINOR SKIN DISORDERS W/O MCC 0.7043 2.8 3.6

    614 10 SURG ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.5455 4.3 5.9615 10 SURG ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.4579 2.3 2.7

    616 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC 4.0773 10.9 13.1

    617 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC 2.0071 6.1 7.4

    618 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC 1.2489 4.3 5.2

    619 10 SURG O.R. PROCEDURES FOR OBESITY W MCC 3.6200 4.8 7.7

    620 10 SURG O.R. PROCEDURES FOR OBESITY W CC 1.9399 2.7 3.2

    621 10 SURG O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.5772 1.8 2.0

    622 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 3.3505 9.1 12.2

    623 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 1.8239 5.7 7.1

    624 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 0.9635 3.5 4.2

    625 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.4009 4.4 7.3

    626 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.2459 2.0 2.8

    627 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 0.8458 1.3 1.4

    628 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 3.3515 6.6 9.6

    629 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.1292 6.0 7.2

    630 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 1.3444 3.0 3.8

    637 10 MED DIABETES W MCC 1.3888 4.2 5.5

    638 10 MED DIABETES W CC 0.8252 3.0 3.7

    639 10 MED DIABETES W/O CC/MCC 0.5708 2.2 2.6640 10 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC 1.1111 3.3 4.6

    641 10 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC 0.6992 2.8 3.4

    642 10 MED INBORN AND OTHER DISORDERS OF METABOLISM 1.0674 3.2 4.2

    643 10 MED ENDOCRINE DISORDERS W MCC 1.6693 5.5 6.9

    644 10 MED ENDOCRINE DISORDERS W CC 1.0194 3.9 4.7

    645 10 MED ENDOCRINE DISORDERS W/O CC/MCC 0.7041 2.8 3.4

    652 11 SURG KIDNEY TRANSPLANT 3.1530 5.8 6.8

    653 11 SURG MAJOR BLADDER PROCEDURES W MCC 5.9558 12.7 15.4

    654 11 SURG MAJOR BLADDER PROCEDURES W CC 3.0944 7.8 8.9

    17 of 26

  • 7/23/2019 drg_v31(2014)

    18/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    655 11 SURG MAJOR BLADDER PROCEDURES W/O CC/MCC 2.1671 4.7 5.5

    656 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 3.5221 7.2 9.3657 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 2.0261 4.5 5.4

    658 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.5074 2.8 3.1

    659 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 3.4051 7.6 10.3

    660 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.8827 4.3 5.6

    661 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.3435 2.3 2.8

    662 11 SURG MINOR BLADDER PROCEDURES W MCC 2.9801 7.7 10.2

    663 11 SURG MINOR BLADDER PROCEDURES W CC 1.5666 3.9 5.3

    664 11 SURG MINOR BLADDER PROCEDURES W/O CC/MCC 1.2208 1.7 2.2

    665 11 SURG PROSTATECTOMY W MCC 3.1414 9.2 11.7

    666 11 SURG PROSTATECTOMY W CC 1.7042 4.5 6.2

    667 11 SURG PROSTATECTOMY W/O CC/MCC 0.8949 2.0 2.6

    668 11 SURG TRANSURETHRAL PROCEDURES W MCC 2.5573 6.6 8.8

    669 11 SURG TRANSURETHRAL PROCEDURES W CC 1.2693 3.0 4.1

    670 11 SURG TRANSURETHRAL PROCEDURES W/O CC/MCC 0.8354 1.9 2.4

    671 11 SURG URETHRAL PROCEDURES W CC/MCC 1.5887 4.3 5.7

    672 11 SURG URETHRAL PROCEDURES W/O CC/MCC 0.8835 1.9 2.3

    673 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 3.1150 6.5 9.7

    674 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.2378 5.1 6.9

    675 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.3807 1.9 2.7682 11 MED RENAL FAILURE W MCC 1.5401 4.7 6.2

    683 11 MED RENAL FAILURE W CC 0.9655 3.7 4.5

    684 11 MED RENAL FAILURE W/O CC/MCC 0.6213 2.5 3.0

    685 11 MED ADMIT FOR RENAL DIALYSIS 0.9282 2.6 3.4

    686 11 MED KIDNEY & URINARY TRACT NEOPLASMS W MCC 1.7237 5.4 7.2

    687 11 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.0441 3.7 4.8

    688 11 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.6867 2.2 2.7

    689 11 MED KIDNEY & URINARY TRACT INFECTIONS W MCC 1.1300 4.3 5.3

    690 11 MED KIDNEY & URINARY TRACT INFECTIONS W/O MCC 0.7693 3.2 3.8

    18 of 26

  • 7/23/2019 drg_v31(2014)

    19/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    691 11 MED URINARY STONES W ESW LITHOTRIPSY W CC/MCC 1.5454 3.0 3.8

    692 11 MED URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC 1.0690 1.7 2.0693 11 MED URINARY STONES W/O ESW LITHOTRIPSY W MCC 1.4186 4.1 5.3

    694 11 MED URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 0.6879 2.0 2.4

    695 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC 1.2773 4.2 5.5

    696 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC 0.6615 2.5 3.1

    697 11 MED URETHRAL STRICTURE 0.8225 2.5 3.2

    698 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC 1.5681 5.1 6.4

    699 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC 0.9890 3.5 4.4

    700 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC 0.7026 2.6 3.2

    707 12 SURG MAJOR MALE PELVIC PROCEDURES W CC/MCC 1.8265 3.0 4.1

    708 12 SURG MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 1.2928 1.4 1.6

    709 12 SURG PENIS PROCEDURES W CC/MCC 2.1038 4.0 6.2

    710 12 SURG PENIS PROCEDURES W/O CC/MCC 1.3429 1.5 1.9

    711 12 SURG TESTES PROCEDURES W CC/MCC 2.0316 5.5 7.6

    712 12 SURG TESTES PROCEDURES W/O CC/MCC 0.9580 2.3 3.0

    713 12 SURG TRANSURETHRAL PROSTATECTOMY W CC/MCC 1.3814 3.3 4.5

    714 12 SURG TRANSURETHRAL PROSTATECTOMY W/O CC/MCC 0.7402 1.7 2.0

    715 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC 2.2268 5.5 7.8

    716 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC 0.9629 1.5 1.8

    717 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC 1.7495 4.9 6.7718 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC 0.8786 2.3 2.9

    722 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC 1.6031 5.3 7.1

    723 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC 1.0532 3.9 5.0

    724 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.5501 1.8 2.4

    725 12 MED BENIGN PROSTATIC HYPERTROPHY W MCC 1.2644 4.4 5.6

    726 12 MED BENIGN PROSTATIC HYPERTROPHY W/O MCC 0.7159 2.8 3.4

    727 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC 1.4106 4.8 6.2

    728 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC 0.7821 3.2 3.9

    729 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC 1.1196 3.7 5.0

    19 of 26

  • 7/23/2019 drg_v31(2014)

    20/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    730 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6266 2.2 2.8

    734 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC 2.5547 4.6 6.7735 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC 1.1910 1.9 2.3

    736 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC 4.2211 10.1 12.4

    737 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC 2.0310 5.3 6.2

    738 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC 1.2602 2.9 3.3

    739 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC 3.1647 6.5 8.7

    740 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.5819 3.1 4.1

    741 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC 1.1470 1.8 2.1

    742 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC 1.4972 3.0 4.0

    743 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC 0.9903 1.7 1.9

    744 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC 1.5084 3.9 5.5

    745 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC 0.8514 1.9 2.4

    746 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC 1.3694 3.0 4.3

    747 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC 0.8814 1.6 1.8

    748 13 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.0096 1.5 1.8

    749 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC 2.6239 6.1 8.4

    750 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.0854 2.2 2.8

    754 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC 1.9784 5.8 8.4

    755 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.0880 3.7 5.0

    756 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6334 2.1 2.6

    757 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC 1.5292 5.7 7.2

    758 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC 1.0452 4.2 5.2

    759 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6995 3.2 3.8

    760 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC 0.8063 2.8 3.6

    761 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC 0.4904 1.8 2.2

    765 14 SURG CESAREAN SECTION W CC/MCC 1.1125 3.9 4.8

    766 14 SURG CESAREAN SECTION W/O CC/MCC 0.7766 2.9 3.1

    767 14 SURG VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.9235 2.7 3.6

    768 14 SURG VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 1.0976 3.1 3.2

    20 of 26

  • 7/23/2019 drg_v31(2014)

    21/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    769 14 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 2.1785 4.3 6.4

    770 14 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.7070 1.6 2.1774 14 MED VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.7137 2.5 3.0

    775 14 MED VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.5625 2.1 2.3

    776 14 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.7075 2.5 3.4

    777 14 MED ECTOPIC PREGNANCY 0.9550 1.6 2.1

    778 14 MED THREATENED ABORTION 0.5247 1.9 2.9

    779 14 MED ABORTION W/O D&C 0.4843 1.5 1.8

    780 14 MED FALSE LABOR 0.2515 1.2 1.4

    781 14 MED OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.7568 2.7 3.9

    782 14 MED OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.4463 1.6 2.3

    789 15 MED NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.5258 1.8 1.8

    790 15 MED EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 5.0315 17.9 17.9

    791 15 MED PREMATURITY W MAJOR PROBLEMS 3.4363 13.3 13.3

    792 15 MED PREMATURITY W/O MAJOR PROBLEMS 2.0734 8.6 8.6

    793 15 MED FULL TERM NEONATE W MAJOR PROBLEMS 3.5299 4.7 4.7

    794 15 MED NEONATE W OTHER SIGNIFICANT PROBLEMS 1.2494 3.4 3.4

    795 15 MED NORMAL NEWBORN 0.1692 3.1 3.1

    799 16 SURG SPLENECTOMY W MCC 5.0639 9.9 12.9

    800 16 SURG SPLENECTOMY W CC 2.5234 5.2 6.8

    801 16 SURG SPLENECTOMY W/O CC/MCC 1.5980 2.8 3.5

    802 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 3.1642 7.7 10.4

    803 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 1.8831 4.7 6.3

    804 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.1558 2.3 3.0

    808 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.2217 6.1 8.1

    809 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.1901 3.8 4.8

    810 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.8226 2.7 3.3

    811 16 MED RED BLOOD CELL DISORDERS W MCC 1.2488 3.6 4.8

    812 16 MED RED BLOOD CELL DISORDERS W/O MCC 0.7985 2.6 3.4

    813 16 MED COAGULATION DISORDERS 1.6433 3.6 5.0

    21 of 26

  • 7/23/2019 drg_v31(2014)

    22/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    814 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 1.6910 4.9 6.8

    815 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.9844 3.3 4.2816 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.6655 2.4 2.9

    820 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 5.8779 13.0 17.1

    821 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.4025 4.8 6.9

    822 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.2336 2.2 2.8

    823 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC 4.4850 11.3 14.7

    824 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.1684 5.9 7.7

    825 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC 1.2935 2.9 4.0

    826 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 4.9280 10.8 14.0

    827 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.2746 5.3 6.8

    828 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.3642 2.7 3.3829 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC 3.1769 6.7 10.2

    830 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC 1.2781 2.4 3.1

    834 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC 5.3828 10.3 16.8

    835 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC 2.1606 4.6 7.5

    836 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC 1.2240 2.9 4.3

    837 17 MED CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 6.0485 15.6 21.2

    838 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 2.8181 6.7 9.7

    839 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 1.3175 4.8 5.5

    840 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 3.0843 7.5 10.5

    841 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.6167 4.8 6.3

    842 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.0830 3.1 4.1

    843 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 1.7768 5.3 7.2

    844 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.1701 4.1 5.3

    845 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.7830 2.8 3.7

    846 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 2.4337 5.7 8.2

    847 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.1062 3.0 3.6

    848 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.8635 2.5 3.0

    849 17 MED RADIOTHERAPY 1.4239 4.6 6.0

    22 of 26

  • 7/23/2019 drg_v31(2014)

    23/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    853 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 5.3491 11.1 14.3

    854 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.4891 7.0 8.5855 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.5849 3.6 4.9

    856 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 4.7874 10.1 13.4

    857 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 2.0412 5.7 7.1

    858 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.3115 3.9 4.8

    862 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.8903 5.6 7.4

    863 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.9845 3.8 4.6

    864 18 MED FEVER 0.8441 2.9 3.6

    865 18 MED VIRAL ILLNESS W MCC 1.7351 4.9 6.8

    866 18 MED VIRAL ILLNESS W/O MCC 0.7855 2.9 3.5

    867 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.6139 6.8 9.2868 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 1.0775 4.0 5.0

    869 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.7406 2.9 3.5

    870 18 MED SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS 5.9187 12.5 14.6

    871 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC 1.8527 5.1 6.7

    872 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC 1.0687 4.1 4.9

    876 19 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 2.8172 7.5 12.3

    880 19 MED ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6388 2.2 2.9

    881 19 MED DEPRESSIVE NEUROSES 0.6541 3.2 4.4

    882 19 MED NEUROSES EXCEPT DEPRESSIVE 0.6953 3.2 4.4

    883 19 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.2682 4.7 7.7

    884 19 MED ORGANIC DISTURBANCES & MENTAL RETARDATION 1.0060 4.0 5.7

    885 19 MED PSYCHOSES 1.0048 5.4 7.3

    886 19 MED BEHAVIORAL & DEVELOPMENTAL DISORDERS 0.9173 4.2 7.1

    887 19 MED OTHER MENTAL DISORDER DIAGNOSES 0.9795 2.9 4.5

    894 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.4509 2.1 2.9

    895 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 1.1939 9.1 11.7

    896 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.5146 4.7 6.5

    897 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 0.6824 3.2 4.0

    23 of 26

  • 7/23/2019 drg_v31(2014)

    24/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    901 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W MCC 4.0316 9.3 13.9

    902 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W CC 1.7077 4.9 6.6903 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC 1.0527 3.1 4.2

    904 21 SURG SKIN GRAFTS FOR INJURIES W CC/MCC 3.1738 7.2 10.7

    905 21 SURG SKIN GRAFTS FOR INJURIES W/O CC/MCC 1.2475 3.2 4.3

    906 21 SURG HAND PROCEDURES FOR INJURIES 1.2228 2.4 3.5

    907 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W MCC 3.9235 7.7 10.7

    908 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 1.9485 4.4 5.8

    909 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC 1.2150 2.5 3.2

    913 21 MED TRAUMATIC INJURY W MCC 1.1683 3.7 5.0

    914 21 MED TRAUMATIC INJURY W/O MCC 0.7110 2.5 3.1

    915 21 MED ALLERGIC REACTIONS W MCC 1.4721 3.6 4.9916 21 MED ALLERGIC REACTIONS W/O MCC 0.5139 1.7 2.1

    917 21 MED POISONING & TOXIC EFFECTS OF DRUGS W MCC 1.4093 3.5 4.8

    918 21 MED POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 0.6346 2.1 2.7

    919 21 MED COMPLICATIONS OF TREATMENT W MCC 1.7206 4.4 6.1

    920 21 MED COMPLICATIONS OF TREATMENT W CC 0.9779 3.1 4.0

    921 21 MED COMPLICATIONS OF TREATMENT W/O CC/MCC 0.6522 2.2 2.8

    922 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC 1.5088 4.0 5.6

    923 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC 0.6620 2.2 2.9

    927 22 SURG EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W SKIN GRAFT 16.4534 22.3 30.7

    928 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC 5.7744 11.9 16.1

    929 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC 2.2090 5.1 7.2

    933 22 MED EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W/O SKIN GRAFT 3.2785 2.6 8.2

    934 22 MED FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ 1.6045 4.2 6.1

    935 22 MED NON-EXTENSIVE BURNS 1.3909 3.2 4.8

    939 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC 3.1182 6.6 9.8

    940 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC 1.7675 3.7 5.3

    941 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC 1.3403 2.2 2.8

    945 23 MED REHABILITATION W CC/MCC 1.3804 8.3 10.1

    24 of 26

  • 7/23/2019 drg_v31(2014)

    25/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    946 23 MED REHABILITATION W/O CC/MCC 1.2037 6.5 7.4

    947 23 MED SIGNS & SYMPTOMS W MCC 1.1324 3.6 4.8948 23 MED SIGNS & SYMPTOMS W/O MCC 0.6897 2.6 3.3

    949 23 MED AFTERCARE W CC/MCC 1.0038 2.8 4.1

    950 23 MED AFTERCARE W/O CC/MCC 0.6005 2.3 3.5

    951 23 MED OTHER FACTORS INFLUENCING HEALTH STATUS 0.8578 2.4 5.5

    955 24 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 5.4056 7.2 10.6

    956 24 SURG LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 3.8321 6.8 8.3

    957 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC 6.7306 9.7 13.9

    958 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC 3.8734 7.3 8.9

    959 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 2.5391 4.3 5.4

    963 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC 2.6733 5.5 8.1964 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W CC 1.3904 4.1 5.0

    965 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 0.9824 3.0 3.6

    969 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W MCC 5.4896 12.0 16.7

    970 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W/O MCC 2.2785 4.9 7.1

    974 25 MED HIV W MAJOR RELATED CONDITION W MCC 2.6335 6.7 9.3

    975 25 MED HIV W MAJOR RELATED CONDITION W CC 1.3383 4.7 6.1

    976 25 MED HIV W MAJOR RELATED CONDITION W/O CC/MCC 0.8627 3.3 4.2

    977 25 MED HIV W OR W/O OTHER RELATED CONDITION 1.1194 3.6 4.8

    981 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 4.9319 10.1 13.1

    982 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.8504 5.9 7.6

    983 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.7462 2.8 3.8

    984 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.4143 9.3 12.5

    985 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 1.8859 5.1 7.2

    986 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.0389 2.1 3.0

    987 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.3422 8.4 11.2

    988 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC 1.7554 4.8 6.4

    989 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.0430 2.3 3.0

    998 ** PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 0.0000 0.0 0.0

    25 of 26

  • 7/23/2019 drg_v31(2014)

    26/26

    MS-

    DRG MDC TYPE MS-DRG Title Weights

    Geometric

    mean LOS

    Arithmetic

    mean LOS

    TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN

    LENGTH OF STAYFY 2014 Final Rule

    999 ** UNGROUPABLE 0.0000 0.0 0.0

    MS-DRGs 998 and 999 contain cases that could not be assigned to valid DRGs.

    26 of 26