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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay Effective December 1, 2011 MS-DRG MDC TYPE MS-DRG Title Weights 001 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 24.2794 002 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 13.9700 003 PRE SURG ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 17.9927 004 PRE SURG TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 10.9251 005 PRE SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.4814 006 PRE SURG LIVER TRANSPLANT W/O MCC 5.1059 007 PRE SURG LUNG TRANSPLANT 9.8710 008 PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.1176 010 PRE SURG PANCREAS TRANSPLANT 3.8900 011 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 4.9967 012 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.0957 013 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 1.8983 014 PRE SURG ALLOGENEIC BONE MARROW TRANSPLANT 10.2792 016 PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 6.3127 017 PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.3224 020 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 8.5033 021 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 6.4369 022 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 4.1500 023 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT 5.3625 024 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 3.6327 025 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.6927 026 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 2.9770 027 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.1317 028 01 SURG SPINAL PROCEDURES W MCC 5.6476 029 01 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 2.8308 030 01 SURG SPINAL PROCEDURES W/O CC/MCC 1.6924 031 01 SURG VENTRICULAR SHUNT PROCEDURES W MCC 4.4529 032 01 SURG VENTRICULAR SHUNT PROCEDURES W CC 1.9491 033 01 SURG VENTRICULAR SHUNT PROCEDURES W/O CC/MCC 1.4085 034 01 SURG CAROTID ARTERY STENT PROCEDURE W MCC 3.5003 035 01 SURG CAROTID ARTERY STENT PROCEDURE W CC 2.1459 036 01 SURG CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.6550

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Page 1: [XLS] · Web view394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 405 07 PANCREAS, LIVER & SHUNT PROCEDURES W MCC 406 PANCREAS, LIVER & SHUNT

Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights

001 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 24.2794 28.6002 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 13.9700 16.7003 PRE SURG ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 17.9927 29.1004 PRE SURG TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 10.9251 21.4005 PRE SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.4814 15.9006 PRE SURG LIVER TRANSPLANT W/O MCC 5.1059 8.2007 PRE SURG LUNG TRANSPLANT 9.8710 15.4008 PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.1176 10.1010 PRE SURG PANCREAS TRANSPLANT 3.8900 8.5011 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 4.9967 12.1012 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.0957 8.5013 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 1.8983 5.6014 PRE SURG ALLOGENEIC BONE MARROW TRANSPLANT 10.2792 18.0016 PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 6.3127 18.1017 PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.3224 11.6020 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 8.5033 13.4021 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 6.4369 12.6022 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 4.1500 5.6

023 01 SURG 5.3625 8.4024 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 3.6327 5.4025 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.6927 8.5026 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 2.9770 5.5027 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.1317 2.9028 01 SURG SPINAL PROCEDURES W MCC 5.6476 10.1029 01 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 2.8308 4.5030 01 SURG SPINAL PROCEDURES W/O CC/MCC 1.6924 2.4031 01 SURG VENTRICULAR SHUNT PROCEDURES W MCC 4.4529 8.7032 01 SURG VENTRICULAR SHUNT PROCEDURES W CC 1.9491 3.5033 01 SURG VENTRICULAR SHUNT PROCEDURES W/O CC/MCC 1.4085 2.0034 01 SURG CAROTID ARTERY STENT PROCEDURE W MCC 3.5003 4.5035 01 SURG CAROTID ARTERY STENT PROCEDURE W CC 2.1459 2.1036 01 SURG CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.6550 1.3

Geometric mean LOS

CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

037 01 SURG EXTRACRANIAL PROCEDURES W MCC 3.0845 5.6038 01 SURG EXTRACRANIAL PROCEDURES W CC 1.5804 2.4039 01 SURG EXTRACRANIAL PROCEDURES W/O CC/MCC 1.0305 1.4040 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 4.0331 8.9

041 01 SURG 2.1775 5.1042 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 1.7442 2.5052 01 MED SPINAL DISORDERS & INJURIES W CC/MCC 1.5390 4.3053 01 MED SPINAL DISORDERS & INJURIES W/O CC/MCC 0.8554 2.7054 01 MED NERVOUS SYSTEM NEOPLASMS W MCC 1.4680 4.4055 01 MED NERVOUS SYSTEM NEOPLASMS W/O MCC 1.0760 3.3056 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 1.7656 5.5057 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 0.9652 3.8058 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC 1.5223 5.3059 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC 1.0181 4.0060 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC 0.7618 3.1061 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC 2.8804 6.2062 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC 1.9506 4.6063 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC 1.5361 3.3064 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 1.8555 4.9065 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC 1.1485 3.8066 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 0.8105 2.6067 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC 1.4475 4.2068 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC 0.8901 2.6069 01 MED TRANSIENT ISCHEMIA 0.7347 2.2070 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 1.8030 5.3071 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 1.0578 3.9072 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC 0.7237 2.4073 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W MCC 1.2955 4.1074 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 0.8644 3.2075 01 MED VIRAL MENINGITIS W CC/MCC 1.7196 5.4076 01 MED VIRAL MENINGITIS W/O CC/MCC 0.8751 3.2077 01 MED HYPERTENSIVE ENCEPHALOPATHY W MCC 1.6587 4.7

PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

078 01 MED HYPERTENSIVE ENCEPHALOPATHY W CC 1.0200 3.5079 01 MED HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC 0.7218 2.4080 01 MED NONTRAUMATIC STUPOR & COMA W MCC 1.1865 3.6081 01 MED NONTRAUMATIC STUPOR & COMA W/O MCC 0.7374 2.6082 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC 2.0265 3.5083 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W CC 1.3567 3.5084 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC 0.8422 2.1085 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC 2.1483 5.2086 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W CC 1.1759 3.5087 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC 0.7834 2.3088 01 MED CONCUSSION W MCC 1.6177 4.1089 01 MED CONCUSSION W CC 0.9809 2.8090 01 MED CONCUSSION W/O CC/MCC 0.7297 1.9091 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W MCC 1.6238 4.3092 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W CC 0.9247 3.2093 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC 0.6751 2.2094 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC 3.4244 8.7095 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC 2.3762 6.2096 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC 1.9069 4.5097 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC 3.2139 8.7098 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC 1.8279 6.0099 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC 1.2299 4.0100 01 MED SEIZURES W MCC 1.5254 4.3101 01 MED SEIZURES W/O MCC 0.7620 2.7102 01 MED HEADACHES W MCC 1.0129 3.1103 01 MED HEADACHES W/O MCC 0.6677 2.3113 02 SURG ORBITAL PROCEDURES W CC/MCC 1.8841 4.3114 02 SURG ORBITAL PROCEDURES W/O CC/MCC 0.9275 2.0115 02 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT 1.2246 3.3116 02 SURG INTRAOCULAR PROCEDURES W CC/MCC 1.2982 3.0117 02 SURG INTRAOCULAR PROCEDURES W/O CC/MCC 0.7657 1.8121 02 MED ACUTE MAJOR EYE INFECTIONS W CC/MCC 1.0440 4.1122 02 MED ACUTE MAJOR EYE INFECTIONS W/O CC/MCC 0.6304 3.1

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

123 02 MED NEUROLOGICAL EYE DISORDERS 0.7135 2.1124 02 MED OTHER DISORDERS OF THE EYE W MCC 1.1702 3.6125 02 MED OTHER DISORDERS OF THE EYE W/O MCC 0.6918 2.5129 03 SURG MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE 2.2143 3.7130 03 SURG MAJOR HEAD & NECK PROCEDURES W/O CC/MCC 1.1858 2.3131 03 SURG CRANIAL/FACIAL PROCEDURES W CC/MCC 2.2558 4.1132 03 SURG CRANIAL/FACIAL PROCEDURES W/O CC/MCC 1.1974 2.1133 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC 1.7241 3.7134 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC 0.8722 1.7135 03 SURG SINUS & MASTOID PROCEDURES W CC/MCC 1.9963 4.3136 03 SURG SINUS & MASTOID PROCEDURES W/O CC/MCC 1.0114 1.7137 03 SURG MOUTH PROCEDURES W CC/MCC 1.3160 3.8138 03 SURG MOUTH PROCEDURES W/O CC/MCC 0.7784 1.8139 03 SURG SALIVARY GLAND PROCEDURES 0.9009 1.4146 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC 2.0669 5.9147 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC 1.2268 4.1148 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC 0.7521 2.2149 03 MED DYSEQUILIBRIUM 0.6350 2.1150 03 MED EPISTAXIS W MCC 1.3103 3.8151 03 MED EPISTAXIS W/O MCC 0.6601 2.3152 03 MED OTITIS MEDIA & URI W MCC 0.9570 3.2153 03 MED OTITIS MEDIA & URI W/O MCC 0.6296 2.4154 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC 1.4235 4.2155 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC 0.8985 3.2156 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC 0.6192 2.3157 03 MED DENTAL & ORAL DISEASES W MCC 1.6092 4.9158 03 MED DENTAL & ORAL DISEASES W CC 0.8971 3.2159 03 MED DENTAL & ORAL DISEASES W/O CC/MCC 0.5801 2.1163 04 SURG MAJOR CHEST PROCEDURES W MCC 5.0910 11.4164 04 SURG MAJOR CHEST PROCEDURES W CC 2.6029 5.9165 04 SURG MAJOR CHEST PROCEDURES W/O CC/MCC 1.7854 3.6166 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W MCC 3.7322 9.2167 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 2.0575 5.6

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

168 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC 1.2791 3.2175 04 MED PULMONARY EMBOLISM W MCC 1.6212 5.6176 04 MED PULMONARY EMBOLISM W/O MCC 1.0485 4.0177 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 2.0653 6.7178 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W CC 1.4653 5.4179 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC 1.0025 4.0180 04 MED RESPIRATORY NEOPLASMS W MCC 1.7403 5.6181 04 MED RESPIRATORY NEOPLASMS W CC 1.2237 4.0182 04 MED RESPIRATORY NEOPLASMS W/O CC/MCC 0.8446 2.7183 04 MED MAJOR CHEST TRAUMA W MCC 1.4695 5.1184 04 MED MAJOR CHEST TRAUMA W CC 1.0086 3.5185 04 MED MAJOR CHEST TRAUMA W/O CC/MCC 0.7013 2.5186 04 MED PLEURAL EFFUSION W MCC 1.5824 5.1187 04 MED PLEURAL EFFUSION W CC 1.1123 3.7188 04 MED PLEURAL EFFUSION W/O CC/MCC 0.7699 2.7189 04 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.2694 4.2190 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 1.1684 4.4191 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 0.9628 3.7192 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 0.7081 3.0193 04 MED SIMPLE PNEUMONIA & PLEURISY W MCC 1.4948 5.2194 04 MED SIMPLE PNEUMONIA & PLEURISY W CC 1.0026 4.0195 04 MED SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC 0.7037 3.0196 04 MED INTERSTITIAL LUNG DISEASE W MCC 1.6571 5.6197 04 MED INTERSTITIAL LUNG DISEASE W CC 1.0943 4.0198 04 MED INTERSTITIAL LUNG DISEASE W/O CC/MCC 0.7839 2.9199 04 MED PNEUMOTHORAX W MCC 1.8145 6.1200 04 MED PNEUMOTHORAX W CC 0.9892 3.5201 04 MED PNEUMOTHORAX W/O CC/MCC 0.7121 2.7202 04 MED BRONCHITIS & ASTHMA W CC/MCC 0.8519 3.3203 04 MED BRONCHITIS & ASTHMA W/O CC/MCC 0.6133 2.6204 04 MED RESPIRATORY SIGNS & SYMPTOMS 0.6564 2.1205 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.3324 3.9206 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.7565 2.5

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

207 04 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 5.2933 12.6208 04 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS 2.2704 5.0215 05 SURG OTHER HEART ASSIST SYSTEM IMPLANT 13.7629 7.5216 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC 9.6922 14.1217 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC 6.4987 9.4

218 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC 5.1734 7.0219 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 8.0815 10.4220 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 5.2602 6.9

221 05 SURG 4.3663 5.2222 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC 8.6807 9.8223 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC 6.3309 4.5224 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC 7.7154 8.0225 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC 5.9511 4.1226 05 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6.7895 6.0227 05 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 5.1500 2.1228 05 SURG OTHER CARDIOTHORACIC PROCEDURES W MCC 7.3445 11.2229 05 SURG OTHER CARDIOTHORACIC PROCEDURES W CC 4.6552 7.2230 05 SURG OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC 3.6603 4.6231 05 SURG CORONARY BYPASS W PTCA W MCC 7.9084 10.8232 05 SURG CORONARY BYPASS W PTCA W/O MCC 5.6690 8.0233 05 SURG CORONARY BYPASS W CARDIAC CATH W MCC 7.1418 11.8234 05 SURG CORONARY BYPASS W CARDIAC CATH W/O MCC 4.8314 8.2235 05 SURG CORONARY BYPASS W/O CARDIAC CATH W MCC 5.9063 9.3236 05 SURG CORONARY BYPASS W/O CARDIAC CATH W/O MCC 3.7720 6.0237 05 SURG MAJOR CARDIOVASC PROCEDURES W MCC 5.1221 7.1238 05 SURG MAJOR CARDIOVASC PROCEDURES W/O MCC 3.0979 2.8239 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 4.7401 11.2240 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 2.6063 7.5241 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.4939 4.8242 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 3.6835 6.1243 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W CC 2.6363 3.8

CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

244 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.0538 2.3245 05 SURG AICD GENERATOR PROCEDURES 4.1967 2.7246 05 SURG 3.1727 3.6247 05 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 1.9828 1.9

248 05 SURG 2.9396 4.5249 05 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 1.8132 2.3250 05 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 2.8921 5.0251 05 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 1.8447 2.2252 05 SURG OTHER VASCULAR PROCEDURES W MCC 2.9865 5.1253 05 SURG OTHER VASCULAR PROCEDURES W CC 2.4432 4.4254 05 SURG OTHER VASCULAR PROCEDURES W/O CC/MCC 1.6521 2.1255 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.5192 6.7256 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 1.6035 5.6257 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 0.9071 3.1258 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 2.9714 5.3259 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 1.8217 2.5260 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 3.6297 7.6261 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.6750 3.2262 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.1756 2.1263 05 SURG VEIN LIGATION & STRIPPING 1.6226 3.2264 05 SURG OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 2.5580 5.4265 05 SURG AICD LEAD PROCEDURES 2.3133 2.4280 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 1.7901 5.0281 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 1.1478 3.4282 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.7856 2.2283 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 1.7118 3.2284 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.8400 2.0285 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.5401 1.4286 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.0360 4.9287 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.0743 2.4288 05 MED ACUTE & SUBACUTE ENDOCARDITIS W MCC 2.8654 8.3289 05 MED ACUTE & SUBACUTE ENDOCARDITIS W CC 1.8502 6.1

PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS

PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

290 05 MED ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.1141 4.1291 05 MED HEART FAILURE & SHOCK W MCC 1.5010 4.7292 05 MED HEART FAILURE & SHOCK W CC 1.0214 3.9293 05 MED HEART FAILURE & SHOCK W/O CC/MCC 0.6756 2.7294 05 MED DEEP VEIN THROMBOPHLEBITIS W CC/MCC 0.9916 4.4295 05 MED DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.6992 3.5296 05 MED CARDIAC ARREST, UNEXPLAINED W MCC 1.2895 1.9297 05 MED CARDIAC ARREST, UNEXPLAINED W CC 0.6574 1.3298 05 MED CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.4048 1.1299 05 MED PERIPHERAL VASCULAR DISORDERS W MCC 1.3719 4.6300 05 MED PERIPHERAL VASCULAR DISORDERS W CC 0.9697 3.8301 05 MED PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.6646 2.8302 05 MED ATHEROSCLEROSIS W MCC 1.0029 3.0303 05 MED ATHEROSCLEROSIS W/O MCC 0.5737 1.9304 05 MED HYPERTENSION W MCC 0.9797 3.2305 05 MED HYPERTENSION W/O MCC 0.6130 2.1306 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC 1.3321 4.0307 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC 0.7732 2.6308 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.2283 4.0309 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.8155 2.9310 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5608 2.0311 05 MED ANGINA PECTORIS 0.5067 1.8312 05 MED SYNCOPE & COLLAPSE 0.7139 2.3313 05 MED CHEST PAIN 0.5434 1.7314 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 1.8386 5.0315 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 0.9612 3.2316 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.6068 2.1326 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC 5.6803 12.2327 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W CC 2.7470 6.7328 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC 1.3848 2.6329 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 5.3215 12.3330 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.5911 7.6331 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6254 4.6

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

332 06 SURG RECTAL RESECTION W MCC 4.8691 11.2333 06 SURG RECTAL RESECTION W CC 2.4758 6.8334 06 SURG RECTAL RESECTION W/O CC/MCC 1.6038 4.1335 06 SURG PERITONEAL ADHESIOLYSIS W MCC 4.2876 11.3336 06 SURG PERITONEAL ADHESIOLYSIS W CC 2.3392 7.1337 06 SURG PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.4956 4.0338 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 3.2639 8.3339 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.8484 5.4340 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.2308 3.2341 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 2.3570 5.0342 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.3477 2.9343 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 0.9587 1.7344 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 3.2740 8.8345 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.6986 5.7346 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.1679 4.0347 06 SURG ANAL & STOMAL PROCEDURES W MCC 2.5330 6.4348 06 SURG ANAL & STOMAL PROCEDURES W CC 1.4031 4.1349 06 SURG ANAL & STOMAL PROCEDURES W/O CC/MCC 0.8075 2.2350 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W MCC 2.5207 5.9351 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W CC 1.3837 3.5352 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC 0.8625 1.9353 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC 2.8433 6.3354 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC 1.5691 3.9355 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC 1.0743 2.3356 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 3.9628 9.0357 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.1838 5.6358 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3062 3.0368 06 MED MAJOR ESOPHAGEAL DISORDERS W MCC 1.8526 5.1369 06 MED MAJOR ESOPHAGEAL DISORDERS W CC 1.0882 3.6370 06 MED MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.7469 2.5371 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 2.0364 6.6372 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.2811 5.1

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

373 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.8437 3.7374 06 MED DIGESTIVE MALIGNANCY W MCC 2.0951 6.2375 06 MED DIGESTIVE MALIGNANCY W CC 1.2851 4.3376 06 MED DIGESTIVE MALIGNANCY W/O CC/MCC 0.8715 2.8377 06 MED G.I. HEMORRHAGE W MCC 1.7640 4.9378 06 MED G.I. HEMORRHAGE W CC 1.0238 3.4379 06 MED G.I. HEMORRHAGE W/O CC/MCC 0.7067 2.5380 06 MED COMPLICATED PEPTIC ULCER W MCC 1.8855 5.5381 06 MED COMPLICATED PEPTIC ULCER W CC 1.1311 3.8382 06 MED COMPLICATED PEPTIC ULCER W/O CC/MCC 0.8023 2.7383 06 MED UNCOMPLICATED PEPTIC ULCER W MCC 1.2509 4.2384 06 MED UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8474 3.0385 06 MED INFLAMMATORY BOWEL DISEASE W MCC 1.8525 6.1386 06 MED INFLAMMATORY BOWEL DISEASE W CC 1.0598 4.1387 06 MED INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7747 3.2388 06 MED G.I. OBSTRUCTION W MCC 1.6603 5.4389 06 MED G.I. OBSTRUCTION W CC 0.9345 3.8390 06 MED G.I. OBSTRUCTION W/O CC/MCC 0.6399 2.8391 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC 1.1844 3.9392 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 0.7241 2.7393 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC 1.6750 4.8394 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 0.9898 3.6395 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6643 2.5405 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W MCC 5.7167 11.6406 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 2.6577 6.2407 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC 1.8557 4.0408 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC 4.0197 10.5409 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 2.3120 6.8410 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC 1.5243 4.6411 07 SURG CHOLECYSTECTOMY W C.D.E. W MCC 3.5821 9.7412 07 SURG CHOLECYSTECTOMY W C.D.E. W CC 2.3985 6.7413 07 SURG CHOLECYSTECTOMY W C.D.E. W/O CC/MCC 1.7409 4.3

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

414 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC 3.6689 9.1415 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.0637 6.1416 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC 1.3588 3.7417 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC 2.5319 6.2418 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.6909 4.3419 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 1.1814 2.5420 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC 3.8108 8.6421 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC 1.9081 4.9422 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC 1.2324 2.9423 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC 4.1992 10.3424 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC 2.4411 6.9425 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC 1.7024 3.7432 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC 1.6737 4.8433 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W CC 0.9424 3.5434 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC 0.6084 2.4435 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC 1.7950 5.5436 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC 1.1965 4.1437 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC 0.9309 2.7438 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC 1.7781 5.3439 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 0.9864 3.9440 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC 0.6772 2.8441 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC 1.8873 5.2442 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC 0.9596 3.6443 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC 0.6543 2.6444 07 MED DISORDERS OF THE BILIARY TRACT W MCC 1.6083 4.7445 07 MED DISORDERS OF THE BILIARY TRACT W CC 1.0678 3.5446 07 MED DISORDERS OF THE BILIARY TRACT W/O CC/MCC 0.7222 2.4453 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC 10.9193 10.5454 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC 7.3268 5.3455 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC 5.6449 3.1456 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W MCC 9.8152 10.6457 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W CC 6.3425 5.8458 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W/O CC/MCC 5.0565 3.4

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

459 08 SURG SPINAL FUSION EXCEPT CERVICAL W MCC 6.4920 7.2460 08 SURG SPINAL FUSION EXCEPT CERVICAL W/O MCC 3.8580 3.2461 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC 5.3985 6.7462 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC 3.3359 3.6463 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC 5.0438 11.0464 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC 2.9658 6.7

465 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC 1.7406 3.9466 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W MCC 4.9812 7.2467 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W CC 3.2437 4.2468 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC 2.5700 3.2469 08 SURG MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC 3.4418 6.5

470 08 SURG 2.0866 3.3471 08 SURG CERVICAL SPINAL FUSION W MCC 4.5444 6.4472 08 SURG CERVICAL SPINAL FUSION W CC 2.7906 2.6473 08 SURG CERVICAL SPINAL FUSION W/O CC/MCC 2.0812 1.5474 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC 3.6088 8.9475 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC 1.9728 5.8476 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC 1.0558 3.2477 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 3.4596 9.0478 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 2.2781 5.4479 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 1.6827 2.9480 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 3.0557 7.4481 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 1.9093 5.0482 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 1.5498 4.0483 08 SURG MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W CC/MCC 2.4012 2.9484 08 SURG MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC 1.9939 1.9485 08 SURG KNEE PROCEDURES W PDX OF INFECTION W MCC 3.1425 8.7486 08 SURG KNEE PROCEDURES W PDX OF INFECTION W CC 2.0641 6.0487 08 SURG KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC 1.4925 4.4488 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC 1.7184 3.7489 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC 1.2284 2.4

MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

490 08 SURG BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM 1.7987 3.0491 08 SURG BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC 1.0067 1.7492 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC 3.0498 6.7493 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC 1.8771 4.0494 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC 1.3518 2.6495 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC 2.8991 7.5496 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC 1.6403 4.0497 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC 1.0908 1.9498 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC 2.0297 5.2499 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC 0.9412 2.1500 08 SURG SOFT TISSUE PROCEDURES W MCC 3.1696 8.0501 08 SURG SOFT TISSUE PROCEDURES W CC 1.5704 4.5502 08 SURG SOFT TISSUE PROCEDURES W/O CC/MCC 1.0373 2.3503 08 SURG FOOT PROCEDURES W MCC 2.3022 6.5504 08 SURG FOOT PROCEDURES W CC 1.5457 5.0505 08 SURG FOOT PROCEDURES W/O CC/MCC 1.1297 2.5506 08 SURG MAJOR THUMB OR JOINT PROCEDURES 1.1621 2.5507 08 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC 1.8730 3.9508 08 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC 1.2074 1.7509 08 SURG ARTHROSCOPY 1.3986 2.6510 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC 2.2506 4.9511 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC 1.5009 3.1512 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC 1.0781 1.8513 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC 1.3276 3.6514 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC 0.8295 2.1515 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC 3.2336 7.7516 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 1.9801 4.7517 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC 1.5556 2.7533 08 MED FRACTURES OF FEMUR W MCC 1.6148 4.6534 08 MED FRACTURES OF FEMUR W/O MCC 0.7553 3.1535 08 MED FRACTURES OF HIP & PELVIS W MCC 1.3267 4.3536 08 MED FRACTURES OF HIP & PELVIS W/O MCC 0.7256 3.1

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

537 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC 0.8422 3.4538 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC 0.6270 2.6539 08 MED OSTEOMYELITIS W MCC 1.9903 6.7540 08 MED OSTEOMYELITIS W CC 1.3373 5.2541 08 MED OSTEOMYELITIS W/O CC/MCC 0.8806 3.7542 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC 2.0419 6.3543 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC 1.1719 4.4

544 08 MED 0.7660 3.3545 08 MED CONNECTIVE TISSUE DISORDERS W MCC 2.4737 6.0546 08 MED CONNECTIVE TISSUE DISORDERS W CC 1.1849 4.1547 08 MED CONNECTIVE TISSUE DISORDERS W/O CC/MCC 0.7435 2.9548 08 MED SEPTIC ARTHRITIS W MCC 1.8861 6.5549 08 MED SEPTIC ARTHRITIS W CC 1.2400 4.7550 08 MED SEPTIC ARTHRITIS W/O CC/MCC 0.7363 3.3551 08 MED MEDICAL BACK PROBLEMS W MCC 1.6751 5.2552 08 MED MEDICAL BACK PROBLEMS W/O MCC 0.8410 3.3553 08 MED BONE DISEASES & ARTHROPATHIES W MCC 1.1903 4.4554 08 MED BONE DISEASES & ARTHROPATHIES W/O MCC 0.6994 2.9555 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC 1.1824 3.6

556 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC 0.6688 2.5557 08 MED TENDONITIS, MYOSITIS & BURSITIS W MCC 1.5339 5.3558 08 MED TENDONITIS, MYOSITIS & BURSITIS W/O MCC 0.8979 3.6559 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 1.8839 5.2560 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 1.0234 3.5561 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 0.6104 2.0562 08 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC 1.4004 4.5563 08 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC 0.7392 3.0564 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC 1.4803 4.8565 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC 0.9498 3.8

566 08 MED 0.6371 2.6

PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC

OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

570 09 SURG SKIN DEBRIDEMENT W MCC 2.5158 7.6571 09 SURG SKIN DEBRIDEMENT W CC 1.5427 5.7572 09 SURG SKIN DEBRIDEMENT W/O CC/MCC 0.9872 3.9573 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC 3.4249 8.4574 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC 2.6984 7.7575 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.2271 4.0576 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC 3.4936 7.1577 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC 1.8118 3.9578 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.0684 2.3579 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC 2.6935 7.3580 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.4801 3.6581 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC 0.9497 1.8582 09 SURG MASTECTOMY FOR MALIGNANCY W CC/MCC 1.1504 2.1583 09 SURG MASTECTOMY FOR MALIGNANCY W/O CC/MCC 0.8762 1.5584 09 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC 1.6488 3.7

585 09 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC 1.1004 1.7592 09 MED SKIN ULCERS W MCC 1.4753 5.4593 09 MED SKIN ULCERS W CC 1.0279 4.4594 09 MED SKIN ULCERS W/O CC/MCC 0.6981 3.3595 09 MED MAJOR SKIN DISORDERS W MCC 1.9636 5.7596 09 MED MAJOR SKIN DISORDERS W/O MCC 0.8924 3.6597 09 MED MALIGNANT BREAST DISORDERS W MCC 1.6590 5.5598 09 MED MALIGNANT BREAST DISORDERS W CC 1.1630 3.9599 09 MED MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6798 2.4600 09 MED NON-MALIGNANT BREAST DISORDERS W CC/MCC 0.9788 3.9601 09 MED NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6086 2.8602 09 MED CELLULITIS W MCC 1.4597 5.2603 09 MED CELLULITIS W/O MCC 0.8444 3.7604 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC 1.3025 4.0605 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC 0.7388 2.6606 09 MED MINOR SKIN DISORDERS W MCC 1.3600 4.3607 09 MED MINOR SKIN DISORDERS W/O MCC 0.6952 2.8

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

614 10 SURG ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.4580 4.5615 10 SURG ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.4319 2.4616 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC 4.3933 11.7617 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC 2.0188 6.3

618 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC 1.1616 3.6619 10 SURG O.R. PROCEDURES FOR OBESITY W MCC 3.4953 4.5620 10 SURG O.R. PROCEDURES FOR OBESITY W CC 1.8384 2.5621 10 SURG O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.4835 1.6622 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 3.8339 10.0623 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 1.8542 6.0624 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 0.9965 3.5625 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.2587 4.4626 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.1682 2.0627 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 0.8008 1.2628 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 3.2526 6.8629 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.2077 6.3630 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 1.3128 3.2637 10 MED DIABETES W MCC 1.4398 4.4638 10 MED DIABETES W CC 0.8167 3.1639 10 MED DIABETES W/O CC/MCC 0.5503 2.2640 10 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC 1.1125 3.4641 10 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC 0.6988 2.8642 10 MED INBORN AND OTHER DISORDERS OF METABOLISM 1.1212 3.5643 10 MED ENDOCRINE DISORDERS W MCC 1.7057 5.6644 10 MED ENDOCRINE DISORDERS W CC 1.0583 4.0645 10 MED ENDOCRINE DISORDERS W/O CC/MCC 0.7252 2.8652 11 SURG KIDNEY TRANSPLANT 3.0507 6.0653 11 SURG MAJOR BLADDER PROCEDURES W MCC 5.9249 13.3654 11 SURG MAJOR BLADDER PROCEDURES W CC 3.0568 8.0655 11 SURG MAJOR BLADDER PROCEDURES W/O CC/MCC 1.9934 4.6656 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 3.6359 7.5657 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 2.0127 4.7

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

658 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.4698 2.9659 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 3.4634 7.9660 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.8851 4.4661 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.3020 2.3662 11 SURG MINOR BLADDER PROCEDURES W MCC 2.9733 7.6663 11 SURG MINOR BLADDER PROCEDURES W CC 1.4791 3.6664 11 SURG MINOR BLADDER PROCEDURES W/O CC/MCC 1.1269 1.5665 11 SURG PROSTATECTOMY W MCC 3.3775 9.5666 11 SURG PROSTATECTOMY W CC 1.5904 4.4667 11 SURG PROSTATECTOMY W/O CC/MCC 0.8128 1.8668 11 SURG TRANSURETHRAL PROCEDURES W MCC 2.5512 6.6669 11 SURG TRANSURETHRAL PROCEDURES W CC 1.2702 3.1670 11 SURG TRANSURETHRAL PROCEDURES W/O CC/MCC 0.7806 1.8671 11 SURG URETHRAL PROCEDURES W CC/MCC 1.4800 3.8672 11 SURG URETHRAL PROCEDURES W/O CC/MCC 0.8443 1.8673 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 2.9875 6.2674 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.1338 4.8675 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.3425 1.7682 11 MED RENAL FAILURE W MCC 1.6410 5.0683 11 MED RENAL FAILURE W CC 1.0183 3.9684 11 MED RENAL FAILURE W/O CC/MCC 0.6409 2.7685 11 MED ADMIT FOR RENAL DIALYSIS 0.8905 2.5686 11 MED KIDNEY & URINARY TRACT NEOPLASMS W MCC 1.7795 5.6687 11 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.0458 3.7688 11 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.6482 2.1689 11 MED KIDNEY & URINARY TRACT INFECTIONS W MCC 1.1997 4.5690 11 MED KIDNEY & URINARY TRACT INFECTIONS W/O MCC 0.7870 3.3691 11 MED URINARY STONES W ESW LITHOTRIPSY W CC/MCC 1.5289 3.0692 11 MED URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC 1.0903 1.7693 11 MED URINARY STONES W/O ESW LITHOTRIPSY W MCC 1.3505 3.9694 11 MED URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 0.7090 2.0695 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC 1.2608 4.2696 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC 0.6449 2.5

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

697 11 MED URETHRAL STRICTURE 0.8099 2.4698 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC 1.6066 5.2699 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC 0.9998 3.6700 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC 0.6783 2.6707 12 SURG MAJOR MALE PELVIC PROCEDURES W CC/MCC 1.8249 3.2708 12 SURG MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 1.2757 1.6709 12 SURG PENIS PROCEDURES W CC/MCC 1.9299 3.6710 12 SURG PENIS PROCEDURES W/O CC/MCC 1.2640 1.4711 12 SURG TESTES PROCEDURES W CC/MCC 1.8978 5.0712 12 SURG TESTES PROCEDURES W/O CC/MCC 0.7901 2.0713 12 SURG TRANSURETHRAL PROSTATECTOMY W CC/MCC 1.2056 2.9714 12 SURG TRANSURETHRAL PROSTATECTOMY W/O CC/MCC 0.6710 1.6715 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC 1.7556 4.0

716 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC 0.8704 1.2717 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC 1.6348 4.4

718 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC 0.8146 2.0722 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC 1.5734 5.2723 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC 1.0178 3.9724 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6724 2.1725 12 MED BENIGN PROSTATIC HYPERTROPHY W MCC 1.2457 4.6726 12 MED BENIGN PROSTATIC HYPERTROPHY W/O MCC 0.7279 2.8727 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC 1.4244 5.1728 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC 0.7848 3.3729 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC 1.0903 3.6730 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6256 2.2734 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC 2.4618 5.0

735 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC 1.2208 2.1736 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC 4.5276 10.6737 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC 2.0221 5.6

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

738 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC 1.2170 3.1739 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC 3.3672 7.3740 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.5431 3.5741 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC 1.1201 2.0742 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC 1.4262 3.0743 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC 0.9306 1.8744 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC 1.4785 3.9745 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC 0.7956 1.9746 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC 1.2993 2.8747 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC 0.9038 1.5748 13 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 0.9447 1.4749 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC 2.5283 6.2750 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.0799 2.2754 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC 2.0512 6.4755 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.1560 3.9756 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6202 2.2757 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC 1.5585 5.9758 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC 1.0657 4.6759 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.7324 3.2760 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC 0.7892 2.8

761 13 MED 0.5150 1.8765 14 SURG CESAREAN SECTION W CC/MCC 1.2255 4.0766 14 SURG CESAREAN SECTION W/O CC/MCC 0.8497 2.9767 14 SURG VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.8547 2.3768 14 SURG VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 1.8180 4.7769 14 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.5259 3.4770 14 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6353 1.5774 14 MED VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.7406 2.7775 14 MED VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.5283 2.1776 14 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.6436 2.5777 14 MED ECTOPIC PREGNANCY 0.8133 1.7

MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

778 14 MED THREATENED ABORTION 0.4646 1.9779 14 MED ABORTION W/O D&C 0.5134 1.7780 14 MED FALSE LABOR 0.1947 1.2781 14 MED OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.6674 2.6782 14 MED OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.3175 1.5789 15 MED NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.4933 1.8790 15 MED EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 4.9243 17.9791 15 MED PREMATURITY W MAJOR PROBLEMS 3.3631 13.3792 15 MED PREMATURITY W/O MAJOR PROBLEMS 2.0293 8.6793 15 MED FULL TERM NEONATE W MAJOR PROBLEMS 3.4547 4.7794 15 MED NEONATE W OTHER SIGNIFICANT PROBLEMS 1.2227 3.4795 15 MED NORMAL NEWBORN 0.1656 3.1799 16 SURG SPLENECTOMY W MCC 5.0201 9.8800 16 SURG SPLENECTOMY W CC 2.5375 5.7801 16 SURG SPLENECTOMY W/O CC/MCC 1.5138 3.1802 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 3.4676 8.4803 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 1.7277 4.5804 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.0293 2.2808 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.0907 6.0809 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.2114 3.9810 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.8718 2.8811 16 MED RED BLOOD CELL DISORDERS W MCC 1.2182 3.7812 16 MED RED BLOOD CELL DISORDERS W/O MCC 0.7920 2.7813 16 MED COAGULATION DISORDERS 1.5098 3.6814 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 1.6769 5.0815 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.9811 3.5816 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.7187 2.6820 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 6.0717 13.1821 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.3666 5.0822 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.2183 2.3823 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC 4.4598 11.9824 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.3193 6.4825 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC 1.2762 2.9

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

826 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 5.0537 11.1827 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.2658 5.5828 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.3082 2.7

829 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC 2.8560 6.6

830 17 SURG 1.1616 2.3834 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC 5.3606 10.5835 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC 2.3640 5.3836 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC 1.0967 2.9837 17 MED CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 6.5055 17.5838 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 3.2689 8.1839 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 1.2623 4.7840 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 3.0350 7.8841 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.6342 5.0842 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.0133 3.1843 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 1.8899 5.8844 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.1750 4.2845 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.7966 2.8846 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 2.2853 5.6847 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.0146 2.8

848 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.7643 2.3849 17 MED RADIOTHERAPY 1.3127 4.3853 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 5.4668 11.6854 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.6551 7.8855 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.6008 3.8856 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 4.9588 10.9857 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 2.0726 6.0858 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.3212 4.1862 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.9223 5.7863 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.9943 3.9864 18 MED FEVER 0.8337 3.0

MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

865 18 MED VIRAL ILLNESS W MCC 1.5809 4.4866 18 MED VIRAL ILLNESS W/O MCC 0.7446 2.8867 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.5523 6.9868 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 1.0816 4.0869 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.6724 2.8870 18 MED SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS 5.8339 12.7871 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC 1.9090 5.3872 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC 1.1339 4.3876 19 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 2.8319 7.6880 19 MED ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6337 2.3881 19 MED DEPRESSIVE NEUROSES 0.6156 3.2882 19 MED NEUROSES EXCEPT DEPRESSIVE 0.6566 3.3883 19 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.1864 4.8884 19 MED ORGANIC DISTURBANCES & MENTAL RETARDATION 0.9529 4.0885 19 MED PSYCHOSES 0.9209 5.4886 19 MED BEHAVIORAL & DEVELOPMENTAL DISORDERS 0.7466 3.9887 19 MED OTHER MENTAL DISORDER DIAGNOSES 0.8189 2.9894 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.4304 2.1895 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 1.0952 9.2

896 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.4555 4.7

897 20 MED 0.6687 3.2901 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W MCC 4.1030 9.2902 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W CC 1.7938 5.4903 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC 1.0562 3.1904 21 SURG SKIN GRAFTS FOR INJURIES W CC/MCC 3.1057 7.0905 21 SURG SKIN GRAFTS FOR INJURIES W/O CC/MCC 1.1702 3.4906 21 SURG HAND PROCEDURES FOR INJURIES 1.0566 2.3907 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W MCC 3.9661 7.8908 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 1.9298 4.6909 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC 1.1612 2.5913 21 MED TRAUMATIC INJURY W MCC 1.2458 3.9

ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

914 21 MED TRAUMATIC INJURY W/O MCC 0.7097 2.5915 21 MED ALLERGIC REACTIONS W MCC 1.4600 3.5916 21 MED ALLERGIC REACTIONS W/O MCC 0.4836 1.7917 21 MED POISONING & TOXIC EFFECTS OF DRUGS W MCC 1.4977 3.6918 21 MED POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 0.6228 2.1919 21 MED COMPLICATIONS OF TREATMENT W MCC 1.6282 4.4920 21 MED COMPLICATIONS OF TREATMENT W CC 0.9629 3.1921 21 MED COMPLICATIONS OF TREATMENT W/O CC/MCC 0.6332 2.2922 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC 1.4748 3.9923 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC 0.6741 2.3927 22 SURG EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W SKIN GRAFT 12.1033 20.0928 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC 4.8909 10.9929 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC 2.1779 4.9

933 22 MED EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W/O SKIN GRAFT 2.2850 2.6934 22 MED FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ 1.3998 4.0935 22 MED NON-EXTENSIVE BURNS 1.2572 3.2939 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC 3.0656 6.9940 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC 1.7678 3.5

941 23 SURG 1.1492 2.0945 23 MED REHABILITATION W CC/MCC 1.3312 8.3946 23 MED REHABILITATION W/O CC/MCC 1.2889 6.8947 23 MED SIGNS & SYMPTOMS W MCC 1.1309 3.7948 23 MED SIGNS & SYMPTOMS W/O MCC 0.6923 2.7949 23 MED AFTERCARE W CC/MCC 0.9505 2.8950 23 MED AFTERCARE W/O CC/MCC 0.5175 2.3951 23 MED OTHER FACTORS INFLUENCING HEALTH STATUS 0.7245 2.1955 24 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 5.4529 8.2956 24 SURG LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 3.6322 6.9957 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC 6.6017 10.0958 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC 3.7491 7.5959 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 2.4711 4.5

O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC

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Title 8, CCR §9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay

Effective December 1, 2011

MS-DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS

963 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC 2.8294 5.9964 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W CC 1.5165 4.4965 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 1.0114 3.0969 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W MCC 5.6158 12.8970 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W/O MCC 2.3655 5.8974 25 MED HIV W MAJOR RELATED CONDITION W MCC 2.7063 6.9975 25 MED HIV W MAJOR RELATED CONDITION W CC 1.3455 4.9976 25 MED HIV W MAJOR RELATED CONDITION W/O CC/MCC 0.8649 3.4977 25 MED HIV W OR W/O OTHER RELATED CONDITION 1.0783 3.6981 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 5.0673 10.8982 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.9352 6.3

983 SURG 1.7404 3.0984 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.5294 10.8985 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.1240 6.4

986 SURG 1.0980 2.6987 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.4039 8.9988 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC 1.8567 5.3989 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.0583 2.4999 ** UNGROUPABLE 0.0000 0.0

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

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC

PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC

Note: If there is no value in the geometric mean length of stay column, the volume of cases is insufficient to determine a meaningful computation of these statistics.