California Code of Regulations › Title 8 - Industrial Relations › Division 1 - Department of Industrial Relations › Chapter 4.5 - Division of Workers' Compensation › Subchapter 1 - Administrative Director-Administrative Rules › Article 5.5 - Application of the Official Medical Fee Schedule (Treatment) › Appendix B - DRG Weights and Revised DRG Weights 2001 Rates

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(California revisions shown in italics incorporate
						the DWC Revised Ratios)
DRG
								  Number
Description
HCFA 2001 DRG
								  Weights
DWC Revised
								  Ratio
DWC Revised
								  Weight
Geometric Mean
								  LOS
1
CRANIOTOMY AGE >17 EXCEPT FOR
								  TRAUMA
3.097
1.000
3.097
6.3
2
CRANIOTOMY FOR TRAUMA AGE
								  >17
3.1142
1.000
3.1142
7.3
3
CRANIOTOMY AGE
								  0-17
1.9629
1.000
1.9629
12.7
4
SPINAL
								  PROCEDURES
2.2918
0.628
1.4399
4.8
5
EXTRACRANIAL VASCULAR
								  PROCEDURES
1.4321
1.000
1.4321
2.3
6
CARPAL TUNNEL
								  RELEASE
0.8246
1.000
0.8246
2.2
7
PERIPH & CRANIAL NERVE & OTHER
								  NERV SYST PROC W CC
2.5919
1.000
2.5919
6.9
8
PERIPH & CRANIAL NERVE & OTHER
								  NERV SYST PROC W/O CC
1.3948
0.808
1.1273
2.1
9
SPINAL DISORDERS &
								  INJURIES
1.3134
1.000
1.3134
4.7
10
NERVOUS SYSTEM NEOPLASMS W
								  CC
1.2273
1.000
1.2273
4.9
11
NERVOUS SYSTEM NEOPLASMS W/O
								  CC
0.8345
1.000
0.8345
3.1
12
DEGENERATIVE NERVOUS SYSTEM
								  DISORDERS
0.8925
1.000
0.8925
4.5
13
MULTIPLE SCLEROSIS & CEREBELLAR
								  ATAXIA
0.7644
1.000
0.7644
4.1
14
SPECIFIC CEREBROVASCULAR DISORDERS
								  EXCEPT TIA
1.207
1.000
1.2070
4.7
15
TRANSIENT ISCHEMIC ATTACK &
								  PRECEREBRAL OCCLUSIONS
0.748
1.000
0.7480
2.9
16
NONSPECIFIC CEREBROVASCULAR DISORDERS
								  W CC
1.1652
1.000
1.1652
4.7
17
NONSPECIFIC CEREBROVASCULAR DISORDERS
								  W/O CC
0.6539
1.000
0.6539
2.6
18
CRANIAL & PERIPHERAL NERVE
								  DISORDERS W CC
0.96
1.000
0.9600
4.3
19
CRANIAL & PERIPHERAL NERVE
								  DISORDERS W/O CC
0.6963
1.000
0.6963
2.9
20
NERVOUS SYSTEM INFECTION EXCEPT VIRAL
								  MENINGITIS
2.7744
1.000
2.7744
7.9
21
VIRAL
								  MENINGITIS
1.4966
1.000
1.4966
5.2
22
HYPERTENSIVE
								  ENCEPHALOPATHY
1.0082
1.000
1.0082
3.8
23
NONTRAUMATIC STUPOR &
								  COMA
0.8027
1.000
0.8027
3.2
24
SEIZURE & HEADACHE AGE >17 W
								  CC
0.9914
1.000
0.9914
3.7
25
SEIZURE & HEADACHE AGE
								  >17 W/O
								  CC
0.6043
0.749
0.4523
2.6
26
SEIZURE & HEADACHE AGE
								  0-17
0.6441
1.000
0.6441
2.4
27
TRAUMATIC STUPOR & COMA, COMA
								  >1 HR
1.2912
1.000
1.2912
3.2
28
TRAUMATIC STUPOR & COMA, COMA <
								  1 HR AGE >17 W CC
1.3102
1.000
1.3102
4.5
29
TRAUMATIC STUPOR & COMA,
								  COMA < 1 HR AGE >17 W/O
								  CC
0.7015
1.003
0.7033
2.8
30
TRAUMATIC STUPOR & COMA, COMA <
								  1HR AGE 0-17
0.332
1.000
0.3320
2
31
CONCUSSION AGE >17 W
								  CC
0.8715
1.000
0.8715
3.1
32
CONCUSSION AGE >17 W/O
								  CC
0.5422
0.875
0.4744
2.1
33
CONCUSSION AGE
								  0-17
0.2086
1.000
0.2086
1.6
34
OTHER DISORDERS OF NERVOUS SYSTEM W
								  CC
1.0099
1.000
1.0099
3.8
35
OTHER DISORDERS OF NERVOUS SYSTEM W/O
								  CC
0.6027
1.000
0.6027
2.7
36
RETINAL
								  PROCEDURES
0.6639
1.000
0.6639
1.2
37
ORBITAL
								  PROCEDURES
1.0016
1.000
1.0016
2.6
38
PRIMARY IRIS
								  PROCEDURES
0.4833
1.000
0.4833
1.8
39
LENS PROCEDURES WITH OR WITHOUT
								  VITRECTOMY
0.5778
1.000
0.5778
1.5
40
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
								  AGE >17
0.8635
1.000
0.8635
2.3
41
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
								  AGE 0-17
0.338
1.000
0.3380
1.6
42
INTRAOCULAR PROCEDURES EXCEPT
								  RETINA, IRIS &
								  LENS
0.6478
1.066
0.6906
1.6
43
HYPHEMA
0.4977
1.000
0.4977
2.6
44
ACUTE MAJOR EYE
								  INFECTIONS
0.6337
1.000
0.6337
4.1
45
NEUROLOGICAL EYE
								  DISORDERS
0.7022
1.000
0.7022
2.7
46
OTHER DISORDERS OF THE EYE AGE >17
								  W CC
0.7749
1.000
0.7749
3.5
47
OTHER DISORDERS OF THE EYE AGE >17
								  W/O CC
0.5085
1.000
0.5085
2.5
48
OTHER DISORDERS OF THE EYE AGE
								  0-17
0.2977
1.000
0.2977
2.9
49
MAJOR HEAD & NECK
								  PROCEDURES
1.8301
1.000
1.8301
3.5
50
SIALOADENECTOMY
0.8537
1.000
0.8537
1.6
51
SALIVARY GLAND PROCEDURES EXCEPT
								  SIALOADENECTOMY
0.7934
1.000
0.7934
1.8
52
CLEFT LIP & PALATE
								  REPAIR
0.841
1.000
0.8410
1.6
53
SINUS & MASTOID PROCEDURES AGE
								  >17
1.2118
1.000
1.2118
2.3
54
SINUS & MASTOID PROCEDURES AGE
								  0-17
0.4826
1.000
0.4826
3.2
55
MISCELLANEOUS EAR, NOSE, MOUTH &
								  THROAT PROCEDURES
0.9039
1.000
0.9039
1.9
56
RHINOPLASTY
0.9451
1.000
0.9451
2.1
57
T&A PROC, EXCEPT TONSILLECTOMY
								  &/OR ADENOIDECTOMY ONLY, AGE
								  >17
1.0704
1.000
1.0704
2.5
58
T&A PROC, EXCEPT TONSILLECTOMY
								  &/OR ADENOIDECTOMY ONLY, AGE
								  0-17
0.274
1.000
0.2740
1.5
59
TONSILLECTOMY &/OR ADENOIDECTOMY
								  ONLY, AGE >17
0.6943
1.000
0.6943
1.8
60
TONSILLECTOMY &/OR ADENOIDECTOMY
								  ONLY, AGE 0-17
0.2087
1.000
0.2087
1.5
61
MYRINGOTOMY W TUBE INSERTION AGE
								  >17
1.266
1.000
1.2660
2.8
62
MYRINGOTOMY W TUBE INSERTION AGE
								  0-17
0.2955
1.000
0.2955
1.3
63
OTHER EAR, NOSE, MOUTH &
								  THROAT O.R.
								  PROCEDURES
1.3402
0.875
1.1731
3
64
EAR, NOSE, MOUTH & THROAT
								  MALIGNANCY
1.2288
1.000
1.2288
4.3
65
DYSEQUILIBRIUM
0.5385
1.000
0.5385
2.3
66
EPISTAXIS
0.559
1.000
0.5590
2.5
67
EPIGLOTTITIS
0.8105
1.000
0.8105
2.8
68
OTITIS MEDIA & URI AGE >17 W
								  CC
0.675
1.000
0.6750
3.4
69
OTITIS MEDIA & URI AGE >17 W/O
								  CC
0.5152
1.000
0.5152
2.7
70
OTITIS MEDIA & URI AGE
								  0-17
0.4628
1.000
0.4628
2.4
71
LARYNGOTRACHEITIS
0.7712
1.000
0.7712
3
72
NASAL TRAUMA &
								  DEFORMITY
0.6428
1.000
0.6428
2.6
73
OTHER EAR, NOSE, MOUTH & THROAT
								  DIAGNOSES AGE >17
0.7777
1.000
0.7777
3.3
74
OTHER EAR, NOSE, MOUTH & THROAT
								  DIAGNOSES AGE 0-17
0.3358
1.000
0.3358
2.1
75
MAJOR CHEST
								  PROCEDURES
3.1331
1.000
3.1331
7.8
76
OTHER RESP SYSTEM O.R. PROCEDURES W
								  CC
2.7908
1.000
2.7908
8.4
77
OTHER RESP SYSTEM O.R. PROCEDURES W/O
								  CC
1.1887
1.000
1.1887
3.5
78
PULMONARY
								  EMBOLISM
1.3698
1.000
1.3698
6
79
RESPIRATORY INFECTIONS &
								  INFLAMMATIONS AGE >17 W
								  CC
1.6501
1.000
1.6501
6.6
80
RESPIRATORY INFECTIONS &
								  INFLAMMATIONS AGE >17 W/O
								  CC
0.9373
1.000
0.9373
4.7
81
RESPIRATORY INFECTIONS &
								  INFLAMMATIONS AGE 0-17
1.5204
1.000
1.5204
6.1
82
RESPIRATORY
								  NEOPLASMS
1.3799
1.000
1.3799
5.2
83
MAJOR CHEST TRAUMA W
								  CC
0.9808
1.000
0.9808
4.4
84
MAJOR CHEST TRAUMA W/O
								  CC
0.5539
1.000
0.5539
2.8
85
PLEURAL EFFUSION W
								  CC
1.2198
1.000
1.2198
4.9
86
PLEURAL EFFUSION W/O
								  CC
0.6984
1.000
0.6984
2.9
87
PULMONARY EDEMA & RESPIRATORY
								  FAILURE
1.3781
1.000
1.3781
4.8
88
CHRONIC OBSTRUCTIVE PULMONARY
								  DISEASE
0.9317
1.000
0.9317
4.2
89
SIMPLE PNEUMONIA & PLEURISY AGE
								  >17 W CC
1.0647
1.000
1.0647
5
90
SIMPLE PNEUMONIA & PLEURISY AGE
								  >17 W/O CC
0.659
1.000
0.6590
3.6
91
SIMPLE PNEUMONIA & PLEURISY AGE
								  0-17
0.689
1.000
0.6890
2.8
92
INTERSTITIAL LUNG DISEASE W
								  CC
1.1863
1.000
1.1863
5
93
INTERSTITIAL LUNG DISEASE W/O
								  CC
0.7309
1.000
0.7309
3.3
94
PNEUMOTHORAX W
								  CC
1.1704
1.000
1.1704
4.8
95
PNEUMOTHORAX W/O
								  CC
0.6098
1.000
0.6098
3
96
BRONCHITIS & ASTHMA AGE >17 W
								  CC
0.7871
1.000
0.7871
3.9
97
BRONCHITIS & ASTHMA AGE >17 W/O
								  CC
0.5873
1.000
0.5873
3.1
98
BRONCHITIS & ASTHMA AGE
								  0-17
0.8768
1.000
0.8768
3.2
99
RESPIRATORY SIGNS & SYMPTOMS W
								  CC
0.7117
1.000
0.7117
2.5
100
RESPIRATORY SIGNS & SYMPTOMS W/O
								  CC
0.5437
1.000
0.5437
1.8
101
OTHER RESPIRATORY SYSTEM DIAGNOSES W
								  CC
0.8563
1.000
0.8563
3.3
102
OTHER RESPIRATORY SYSTEM DIAGNOSES
								  W/O CC
0.555
1.000
0.5550
2.1
103
HEART
								  TRANSPLANT
excluded
excluded
excluded
excluded
104
CARDIAC VALVE PROCEDURES W CARDIAC
								  CATH
7.1843
1.000
7.1843
8.9
105
CARDIAC VALVE PROCEDURES W/O CARDIAC
								  CATH
5.6567
1.000
5.6567
7.4
106
CORONARY BYPASS W CARDIAC
								  CATH
7.5203
1.000
7.5203
9.3
107
CORONARY BYPASS W/O CARDIAC
								  CATH
5.3762
1.000
5.3762
9.2
108
OTHER CARDIOTHORACIC
								  PROCEDURES
5.6525
1.000
5.6525
8
109
CORONARY BYPASS W/O PTCA OR CARDIAC
								  CATH
4.0198
1.000
4.0198
6.8
110
MAJOR CARDIOVASCULAR PROCEDURES W
								  CC
4.1358
1.000
4.1358
7.1
111
MAJOR CARDIOVASCULAR PROCEDURES W/O
								  CC
2.241
1.000
2.2410
4.7
112
PERCUTANEOUS CARDIOVASCULAR
								  PROCEDURES
1.8677
0.841
1.5705
2.6
113
AMPUTATION FOR CIRC SYSTEM DISORDERS
								  EXCEPT UPPER LIMB &
								  TOE
2.7806
1.000
2.7806
9.8
114
UPPER LIMB & TOE AMPUTATION FOR
								  CIRC SYSTEM DISORDERS
1.5656
1.000
1.5656
6
115
PERM PACE IMPLNT W AMI,HRT FAIL OR
								  SHOCK OR AICD LEAD OR GEN
								  PROC
3.4711
1.000
3.4711
6
116
OTH PERM CARDIAC PACEMAKER IMPLANT OR
								  PTCA W CORONARY ART STENT
2.419
1.000
2.4190
2.6
117
CARDIAC PACEMAKER REVISION EXCEPT
								  DEVICE REPLACEMENT
1.2966
1.000
1.2966
2.6
118
CARDIAC PACEMAKER DEVICE
								  REPLACEMENT
1.4939
1.000
1.4939
1.9
119
VEIN LIGATION &
								  STRIPPING
1.26
1.000
1.2600
2.9
120
OTHER CIRCULATORY SYSTEM O.R.
								  PROCEDURES
2.0352
1.000
2.0352
4.9
121
CIRCULATORY DISORDERS W AMI &
								  MAJOR COMP DISCH ALIVE
1.6194
1.000
1.6194
5.5
122
CIRCULATORY DISORDERS W AMI W/O MAJOR
								  COMP DISCH ALIVE
1.0884
1.000
1.0884
3.3
123
CIRCULATORY DISORDERS W AMI,
								  EXPIRED
1.5528
1.000
1.5528
2.8
124
CIRCULATORY DISORDERS EXCEPT AMI, W
								  CARD CATH & COMPLEX
								  DIAG
1.4134
1.000
1.4134
3.3
125
CIRCULATORY DISORDERS EXCEPT AMI, W
								  CARD CATH W/O COMPLEX DIAG
1.0606
1.000
1.0606
2.2
126
ACUTE & SUBACUTE
								  ENDOCARDITIS
2.5379
1.000
2.5379
9.3
127
HEART FAILURE &
								  SHOCK
1.013
1.000
1.0130
4.2
128
DEEP VEIN
								  THROMBOPHLEBITIS
0.7651
1.000
0.7651
5
129
CARDIAC ARREST,
								  UNEXPLAINED
1.0968
1.000
1.0968
1.8
130
PERIPHERAL VASCULAR DISORDERS W
								  CC
0.9471
1.000
0.9471
4.7
131
PERIPHERAL VASCULAR DISORDERS W/O
								  CC
0.5898
1.000
0.5898
3.6
132
ATHEROSCLEROSIS W
								  CC
0.6707
1.000
0.6707
2.4
133
ATHEROSCLEROSIS W/O
								  CC
0.5663
1.000
0.5663
1.9
134
HYPERTENSION
0.5917
1.000
0.5917
2.6
135
CARDIAC CONGENITAL & VALVULAR
								  DISORDERS AGE >17 W CC
0.9083
1.000
0.9083
3.3
136
CARDIAC CONGENITAL & VALVULAR
								  DISORDERS AGE >17 W/O
								  CC
0.6065
1.000
0.6065
2.2
137
CARDIAC CONGENITAL & VALVULAR
								  DISORDERS AGE 0-17
0.8192
1.000
0.8192
3.3
138
CARDIAC ARRHYTHMIA & CONDUCTION
								  DISORDERS W CC
0.8291
1.000
0.8291
3.1
139
CARDIAC ARRHYTHMIA & CONDUCTION
								  DISORDERS W/O CC
0.5141
1.000
0.5141
2
140
ANGINA
								  PECTORIS
0.574
0.783
0.4497
2.2
141
SYNCOPE & COLLAPSE W
								  CC
0.7219
1.000
0.7219
2.9
142
SYNCOPE & COLLAPSE W/O
								  CC
0.5552
1.000
0.5552
2.2
143
CHEST
								  PAIN
0.5402
0.842
0.4547
1.8
144
OTHER CIRCULATORY SYSTEM DIAGNOSES W
								  CC
1.1668
1.000
1.1668
3.8
145
OTHER CIRCULATORY SYSTEM DIAGNOSES
								  W/O CC
0.6322
1.000
0.6322
2.2
146
RECTAL RESECTION W
								  CC
2.743
1.000
2.7430
8.9
147
RECTAL RESECTION W/O
								  CC
1.6221
1.000
1.6221
6
148
MAJOR SMALL & LARGE BOWEL
								  PROCEDURES W CC
3.4347
1.000
3.4347
10.1
149
MAJOR SMALL & LARGE BOWEL
								  PROCEDURES W/O CC
1.5667
1.000
1.5667
6.1
150
PERITONEAL ADHESIOLYSIS W
								  CC
2.8523
1.000
2.8523
9.1
151
PERITONEAL ADHESIOLYSIS W/O
								  CC
1.3427
1.000
1.3427
4.8
152
MINOR SMALL & LARGE BOWEL
								  PROCEDURES W CC
1.9462
1.000
1.9462
6.8
153
MINOR SMALL & LARGE BOWEL
								  PROCEDURES W/O CC
1.208
1.000
1.2080
4.9
154
STOMACH, ESOPHAGEAL & DUODENAL
								  PROCEDURES AGE >17 W
								  CC
4.1475
1.000
4.1475
10.1
155
STOMACH, ESOPHAGEAL & DUODENAL
								  PROCEDURES AGE >17 W/O
								  CC
1.3751
1.000
1.3751
3.3
156
STOMACH, ESOPHAGEAL & DUODENAL
								  PROCEDURES AGE 0-17
0.8436
1.000
0.8436
6
157
ANAL & STOMAL PROCEDURES W
								  CC
1.2388
1.000
1.2388
3.9
158
ANAL & STOMAL PROCEDURES W/O
								  CC
0.6638
1.000
0.6638
2.1
159
HERNIA PROCEDURES EXCEPT INGUINAL
								  & FEMORAL AGE >17 W
								  CC
1.3347
1.000
1.3347
3.8
160
HERNIA PROCEDURES EXCEPT
								  INGUINAL & FEMORAL AGE >17 W/O
								  CC
0.7837
0.902
0.7066
2.2
161
INGUINAL & FEMORAL HERNIA
								  PROCEDURES AGE >17 W CC
1.1017
1.000
1.1017
2.9
162
INGUINAL & FEMORAL HERNIA
								  PROCEDURES AGE >17 W/O
								  CC
0.6229
0.867
0.5402
1.6
163
HERNIA PROCEDURES AGE
								  0-17
0.6921
1.000
0.6921
2.4
164
APPENDECTOMY W COMPLICATED PRINCIPAL
								  DIAG W CC
2.376
1.000
2.3760
7.1
165
APPENDECTOMY W COMPLICATED PRINCIPAL
								  DIAG W/O CC
1.2838
1.000
1.2838
4.3
166
APPENDECTOMY W/O COMPLICATED
								  PRINCIPAL DIAG W CC
1.4802
1.000
1.4802
4
167
APPENDECTOMY W/O COMPLICATED
								  PRINCIPAL DIAG W/O CC
0.8937
1.000
0.8937
2.3
168
MOUTH PROCEDURES W
								  CC
1.2141
1.000
1.2141
3.2
169
MOUTH PROCEDURES W/O
								  CC
0.7455
1.000
0.7455
1.9
170
OTHER DIGESTIVE SYSTEM O.R.
								  PROCEDURES W CC
2.8686
1.000
2.8686
7.7
171
OTHER DIGESTIVE SYSTEM O.R.
								  PROCEDURES W/O CC
1.1975
1.000
1.1975
3.6
172
DIGESTIVE MALIGNANCY W
								  CC
1.3485
1.000
1.3485
5.1
173
DIGESTIVE MALIGNANCY W/O
								  CC
0.77
1.000
0.7700
2.8
174
G.I. HEMORRHAGE W
								  CC
0.9985
1.000
0.9985
3.9
175
G.I. HEMORRHAGE W/O
								  CC
0.5501
1.000
0.5501
2.5
176
COMPLICATED PEPTIC
								  ULCER
1.1052
1.000
1.1052
4.1
177
UNCOMPLICATED PEPTIC ULCER W
								  CC
0.8998
1.000
0.8998
3.7
178
UNCOMPLICATED PEPTIC ULCER W/O
								  CC
0.6604
1.000
0.6604
2.6
179
INFLAMMATORY BOWEL
								  DISEASE
1.0576
1.000
1.0576
4.7
180
G.I. OBSTRUCTION W
								  CC
0.9423
1.000
0.9423
4.2
181
G.I. OBSTRUCTION W/O
								  CC
0.5304
1.000
0.5304
2.8
182
ESOPHAGITIS, GASTROENT & MISC
								  DIGEST DISORDERS AGE >17 W
								  CC
0.7922
1.000
0.7922
3.4
183
ESOPHAGITIS, GASTROENT & MISC
								  DIGEST DISORDERS AGE >17 W/O
								  CC
0.5717
1.000
0.5717
2.4
184
ESOPHAGITIS, GASTROENT & MISC
								  DIGEST DISORDERS AGE 0-17
0.5119
1.000
0.5119
2.5
185
DENTAL & ORAL DIS EXCEPT
								  EXTRACTIONS & RESTORATIONS, AGE
								  >17
0.8621
1.000
0.8621
3.3
186
DENTAL & ORAL DIS EXCEPT
								  EXTRACTIONS & RESTORATIONS, AGE
								  0-17
0.3216
1.000
0.3216
2.9
187
DENTAL EXTRACTIONS &
								  RESTORATIONS
0.7649
1.000
0.7649
2.9
188
OTHER DIGESTIVE SYSTEM DIAGNOSES AGE
								  >17 W CC
1.1005
1.000
1.1005
4.1
189
OTHER DIGESTIVE SYSTEM DIAGNOSES AGE
								  >17 W/O CC
0.5796
1.000
0.5796
2.4
190
OTHER DIGESTIVE SYSTEM DIAGNOSES AGE
								  0-17
0.9884
1.000
0.9884
4.1
191
PANCREAS, LIVER & SHUNT
								  PROCEDURES W CC
4.3914
1.000
4.3914
10.5
192
PANCREAS, LIVER & SHUNT
								  PROCEDURES W/O CC
1.7916
1.000
1.7916
5.3
193
BILIARY TRACT PROC EXCEPT ONLY
								  CHOLECYST W OR W/O C.D.E. W
								  CC
3.3861
1.000
3.3861
10.3
194
BILIARY TRACT PROC EXCEPT ONLY
								  CHOLECYST W OR W/O C.D.E. W/O
								  CC
1.6191
1.000
1.6191
5.6
195
CHOLECYSTECTOMY W C.D.E. W
								  CC
2.9062
1.000
2.9062
8.3
196
CHOLECYSTECTOMY W C.D.E. W/O
								  CC
1.6593
1.000
1.6593
4.9
197
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE
								  W/O C.D.E. W CC
2.4544
1.000
2.4544
7.2
198
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE
								  W/O C.D.E. W/O CC
1.2339
1.000
1.2339
3.9
199
HEPATOBILIARY DIAGNOSTIC PROCEDURE
								  FOR MALIGNANCY
2.3584
1.000
2.3584
7.2
200
HEPATOBILIARY DIAGNOSTIC PROCEDURE
								  FOR NON-MALIGNANCY
3.2262
1.000
3.2262
7
201
OTHER HEPATOBILIARY OR PANCREAS O.R.
								  PROCEDURES
3.4035
1.000
3.4035
10.2
202
CIRRHOSIS & ALCOHOLIC
								  HEPATITIS
1.3001
1.000
1.3001
4.9
203
MALIGNANCY OF HEPATOBILIARY SYSTEM OR
								  PANCREAS
1.325
1.000
1.3250
5
204
DISORDERS OF PANCREAS EXCEPT
								  MALIGNANCY
1.2018
1.000
1.2018
4.5
205
DISORDERS OF LIVER EXCEPT
								  MALIG,CIRR,ALC HEPA W CC
1.2048
1.000
1.2048
4.7
206
DISORDERS OF LIVER EXCEPT
								  MALIG,CIRR,ALC HEPA W/O CC
0.6751
1.000
0.6751
3
207
DISORDERS OF THE BILIARY TRACT W
								  CC
1.1032
1.000
1.1032
4
208
DISORDERS OF THE BILIARY TRACT W/O
								  CC
0.6538
1.000
0.6538
2.3
209
MAJOR JOINT & LIMB
								  REATTACHMENT PROCEDURES OF LOWER
								  EXTREMITY
2.0912
0.950
1.9866
4.6
210
HIP & FEMUR PROCEDURES
								  EXCEPT MAJOR JOINT AGE >17 W
								  CC
1.8152
1.180
2.1419
6
211
HIP & FEMUR PROCEDURES
								  EXCEPT MAJOR JOINT AGE >17 W/O
								  CC
1.2647
0.973
1.2300
4.5
212
HIP & FEMUR PROCEDURES EXCEPT
								  MAJOR JOINT AGE
								  0-17
0.8472
1.000
0.8472
11.1
213
AMPUTATION FOR MUSCULOSKELETAL SYSTEM
								  & CONN TISSUE
								  DISORDERS
1.7726
1.000
1.7726
6.4
214
NO LONGER
								  VALID
0
0.967
0.0000
0
215
NO LONGER
								  VALID
0
0.956
0.0000
0
216
BIOPSIES OF MUSCULOSKELETAL SYSTEM
								  & CONNECTIVE TISSUE
2.2042
1.000
2.2042
7.1
217
WND DEBRID & SKN GRFT EXCEPT
								  HAND, FOR MUSCSKELET & CONN TISS
								  DIS
2.923
0.572
1.6711
8.9
218
LOWER EXTREM & HUMER PROC EXCEPT
								  HIP, FOOT,FEMUR AGE >17 W
								  CC
1.5337
1.030
1.5794
4.2
219
LOWER EXTREM & HUMER PROC EXCEPT
								  HIP, FOOT,FEMUR AGE >17 W/O
								  CC
1.0255
0.968
0.9928
2.7
220
LOWER EXTREM & HUMER PROC EXCEPT
								  HIP, FOOT,FEMUR AGE 0-17
0.5844
1.000
0.5844
5.3
221
NO LONGER
								  VALID
0
0.818
0.0000
0
222
NO LONGER
								  VALID
0
1.038
0.0000
0
223
MAJOR SHOULDER/ELBOW PROC, OR
								  OTHER UPPER EXTREMITY PROC W
								  CC
0.9585
0.885
0.8483
2
224
SHOULDER,ELBOW OR FOREARM
								  PROC,EXC MAJOR JOINT PROC, W/O
								  CC
0.7997
1.012
0.8095
1.7
225
FOOT
								  PROCEDURES
1.0851
1.001
1.0860
3.3
226
SOFT TISSUE PROCEDURES W
								  CC
1.477
1.000
1.4770
4.3
227
SOFT TISSUE PROCEDURES W/O
								  CC
0.8036
0.944
0.7588
2.1
228
MAJOR THUMB OR JOINT PROC,OR
								  OTH HAND OR WRIST PROC W
								  CC
1.0664
0.906
0.9665
2.4
229
HAND OR WRIST PROC, EXCEPT
								  MAJOR JOINT PROC, W/O
								  CC
0.7169
1.037
0.7432
1.8
230
LOCAL EXCISION & REMOVAL OF INT
								  FIX DEVICES OF HIP &
								  FEMUR
1.249
1.000
1.2490
3.4
231
LOCAL EXCISION & REMOVAL
								  OF INT FIX DEVICES EXCEPT HIP &
								  FEMUR
1.3825
0.734
1.0149
3.2
232
ARTHROSCOPY
1.0828
0.817
0.8842
2.3
233
OTHER MUSCULOSKELET SYS & CONN
								  TISS O.R. PROC W CC
2.089
1.000
2.0890
5.3
234
OTHER MUSCULOSKELET SYS &
								  CONN TISS O.R. PROC W/O
								  CC
1.2661
0.813
1.0297
2.7
235
FRACTURES OF
								  FEMUR
0.7582
1.000
0.7582
3.8
236
FRACTURES OF HIP &
								  PELVIS
0.7218
0.979
0.7066
4
237
SPRAINS, STRAINS, & DISLOCATIONS
								  OF HIP, PELVIS & THIGH
0.5681
1.000
0.5681
3
238
OSTEOMYELITIS
1.3496
1.000
1.3496
6.4
239
PATHOLOGICAL FRACTURES &
								  MUSCULOSKELETAL & CONN TISS
								  MALIGNANCY
0.9745
1.000
0.9745
4.9
240
CONNECTIVE TISSUE DISORDERS W
								  CC
1.2712
1.000
1.2712
4.9
241
CONNECTIVE TISSUE DISORDERS W/O
								  CC
0.6177
1.000
0.6177
3.1
242
SEPTIC
								  ARTHRITIS
1.0724
1.000
1.0724
5.1
243
MEDICAL BACK
								  PROBLEMS
0.7262
0.761
0.5526
3.7
244
BONE DISEASES & SPECIFIC
								  ARTHROPATHIES W CC
0.7155
1.000
0.7155
3.7
245
BONE DISEASES & SPECIFIC
								  ARTHROPATHIES W/O CC
0.4832
1.000
0.4832
2.8
246
NON-SPECIFIC
								  ARTHROPATHIES
0.557
1.000
0.5570
2.9
247
SIGNS & SYMPTOMS OF
								  MUSCULOSKELETAL SYSTEM & CONN
								  TISSUE
0.5696
1.000
0.5696
2.6
248
TENDONITIS, MYOSITIS &
								  BURSITIS
0.7864
1.000
0.7864
3.7
249
AFTERCARE, MUSCULOSKELETAL SYSTEM
								  & CONNECTIVE TISSUE
0.6913
1.000
0.6913
2.6
250
FX, SPRN, STRN & DISL OF FOREARM,
								  HAND, FOOT AGE >17 W CC
0.6929
1.000
0.6929
3.3
251
FX, SPRN, STRN & DISL OF
								  FOREARM, HAND, FOOT AGE >17 W/O
								  CC
0.4995
0.901
0.4501
2.4
252
FX, SPRN, STRN & DISL OF FOREARM,
								  HAND, FOOT AGE 0-17
0.2538
1.000
0.2538
1.8
253
FX, SPRN, STRN & DISL OF
								  UPARM,LOWLEG EX FOOT AGE >17 W
								  CC
0.7253
1.000
0.7253
3.7
254
FX, SPRN, STRN & DISL OF
								  UPARM,LOWLEG EX FOOT AGE >17 W/O
								  CC
0.4413
1.003
0.4427
2.6
255
FX, SPRN, STRN & DISL OF
								  UPARM,LOWLEG EX FOOT AGE
								  0-17
0.2956
1.000
0.2956
2.9
256
OTHER MUSCULOSKELETAL SYSTEM &
								  CONNECTIVE TISSUE
								  DIAGNOSES
0.7959
1.000
0.7959
3.8
257
TOTAL MASTECTOMY FOR MALIGNANCY W
								  CC
0.9107
1.000
0.9107
2.3
258
TOTAL MASTECTOMY FOR MALIGNANCY W/O
								  CC
0.7232
1.000
0.7232
1.8
259
SUBTOTAL MASTECTOMY FOR MALIGNANCY W
								  CC
0.9068
1.000
0.9068
1.8
260
SUBTOTAL MASTECTOMY FOR MALIGNANCY
								  W/O CC
0.6532
1.000
0.6532
1.3
261
BREAST PROC FOR NON-MALIGNANCY EXCEPT
								  BIOPSY & LOCAL
								  EXCISION
0.9362
1.000
0.9362
1.7
262
BREAST BIOPSY & LOCAL EXCISION
								  FOR NON-MALIGNANCY
0.8754
1.000
0.8754
2.7
263
SKIN GRAFT &/OR DEBRID FOR SKN
								  ULCER OR CELLULITIS W CC
2.1219
1.000
2.1219
8.9
264
SKIN GRAFT &/OR DEBRID FOR SKN
								  ULCER OR CELLULITIS W/O CC
1.1479
1.000
1.1479
5.4
265
SKIN GRAFT &/OR DEBRID EXCEPT FOR
								  SKIN ULCER OR CELLULITIS W
								  CC
1.5309
1.000
1.5309
4.3
266
SKIN GRAFT &/OR DEBRID
								  EXCEPT FOR SKIN ULCER OR CELLULITIS W/O
								  CC
0.8707
1.131
0.9844
2.4
267
PERIANAL & PILONIDAL
								  PROCEDURES
1.0792
1.000
1.0792
3.1
268
SKIN, SUBCUTANEOUS TISSUE &
								  BREAST PLASTIC PROCEDURES
1.1405
1.000
1.1405
2.4
269
OTHER SKIN, SUBCUT TISS & BREAST
								  PROC W CC
1.7004
1.000
1.7004
5.8
270
OTHER SKIN, SUBCUT TISS & BREAST
								  PROC W/O CC
0.767
1.000
0.7670
2.3
271
SKIN
								  ULCERS
1.0104
1.000
1.0104
5.5
272
MAJOR SKIN DISORDERS W
								  CC
0.9994
1.000
0.9994
4.8
273
MAJOR SKIN DISORDERS W/O
								  CC
0.6179
1.000
0.6179
3.2
274
MALIGNANT BREAST DISORDERS W
								  CC
1.2061
1.000
1.2061
4.9
275
MALIGNANT BREAST DISORDERS W/O
								  CC
0.5301
1.000
0.5301
2.4
276
NON-MALIGANT BREAST
								  DISORDERS
0.6899
1.000
0.6899
3.6
277
CELLULITIS AGE >17 W
								  CC
0.8396
0.791
0.6641
4.7
278
CELLULITIS AGE >17 W/O
								  CC
0.5522
0.865
0.4779
3.6
279
CELLULITIS AGE
								  0-17
0.6644
1.000
0.6644
4.2
280
TRAUMA TO THE SKIN, SUBCUT TISS &
								  BREAST AGE >17 W CC
0.6788
1.000
0.6788
3.2
281
TRAUMA TO THE SKIN, SUBCUT
								  TISS & BREAST AGE >17 W/O
								  CC
0.4729
0.971
0.4591
2.4
282
TRAUMA TO THE SKIN, SUBCUT TISS &
								  BREAST AGE 0-17
0.257
1.000
0.2570
2.2
283
MINOR SKIN DISORDERS W
								  CC
0.6917
1.000
0.6917
3.5
284
MINOR SKIN DISORDERS W/O
								  CC
0.4336
1.000
0.4336
2.5
285
AMPUTAT OF LOWER LIMB FOR ENDOCRINE,
								  NUTRIT,& METABOL
								  DISORDERS
1.9961
1.000
1.9961
7.7
286
ADRENAL & PITUITARY
								  PROCEDURES
2.1299
1.000
2.1299
4.9
287
SKIN GRAFTS & WOUND DEBRID FOR
								  ENDOC, NUTRIT & METAB
								  DISORDERS
1.8283
1.000
1.8283
7.8
288
O.R. PROCEDURES FOR
								  OBESITY
2.1607
1.000
2.1607
4.5
289
PARATHYROID
								  PROCEDURES
0.9914
1.000
0.9914
2
290
THYROID
								  PROCEDURES
0.9193
1.000
0.9193
1.8
291
THYROGLOSSAL
								  PROCEDURES
0.5487
1.000
0.5487
1.4
292
OTHER ENDOCRINE, NUTRIT & METAB
								  O.R. PROC W CC
2.4538
1.000
2.4538
6.9
293
OTHER ENDOCRINE, NUTRIT & METAB
								  O.R. PROC W/O CC
1.2289
1.000
1.2289
3.6
294
DIABETES AGE
								  >35
0.7589
1.000
0.7589
3.6
295
DIABETES AGE
								  0-35
0.7587
1.000
0.7587
2.9
296
NUTRITIONAL & MISC METABOLIC
								  DISORDERS AGE >17 W CC
0.8594
1.000
0.8594
4
297
NUTRITIONAL & MISC METABOLIC
								  DISORDERS AGE >17 W/O
								  CC
0.5179
1.000
0.5179
2.8
298
NUTRITIONAL & MISC METABOLIC
								  DISORDERS AGE 0-17
0.5269
1.000
0.5269
2.5
299
INBORN ERRORS OF
								  METABOLISM
0.9632
1.000
0.9632
4
300
ENDOCRINE DISORDERS W
								  CC
1.0829
1.000
1.0829
4.7
301
ENDOCRINE DISORDERS W/O
								  CC
0.6133
1.000
0.6133
2.9
302
KIDNEY
								  TRANSPLANT
excluded
excluded
excluded
excluded
303
KIDNEY,URETER & MAJOR BLADDER
								  PROCEDURES FOR NEOPLASM
2.4602
1.000
2.4602
7
304
KIDNEY,URETER & MAJOR BLADDER
								  PROC FOR NON-NEOPL W CC
2.3407
1.000
2.3407
6.4
305
KIDNEY,URETER & MAJOR BLADDER
								  PROC FOR NON-NEOPL W/O CC
1.1825
1.000
1.1825
3.1
306
PROSTATECTOMY W
								  CC
1.2489
1.000
1.2489
3.7
307
PROSTATECTOMY W/O
								  CC
0.646
1.000
0.6460
1.9
308
MINOR BLADDER PROCEDURES W
								  CC
1.6449
1.000
1.6449
4.2
309
MINOR BLADDER PROCEDURES W/O
								  CC
0.9339
1.000
0.9339
2
310
TRANSURETHRAL PROCEDURES W
								  CC
1.1172
1.000
1.1172
3
311
TRANSURETHRAL PROCEDURES W/O
								  CC
0.6174
1.000
0.6174
1.6
312
URETHRAL PROCEDURES, AGE >17 W
								  CC
1.0173
1.000
1.0173
3
313
URETHRAL PROCEDURES, AGE >17 W/O
								  CC
0.6444
1.000
0.6444
1.7
314
URETHRAL PROCEDURES, AGE
								  0-17
0.4953
1.000
0.4953
2.3
315
OTHER KIDNEY & URINARY TRACT O.R.
								  PROCEDURES
2.0474
1.000
2.0474
4.2
316
RENAL
								  FAILURE
1.3424
1.000
1.3424
4.9
317
ADMIT FOR RENAL
								  DIALYSIS
0.7395
1.000
0.7395
2.1
318
KIDNEY & URINARY TRACT NEOPLASMS
								  W CC
1.1313
1.000
1.1313
4.3
319
KIDNEY & URINARY TRACT NEOPLASMS
								  W/O CC
0.604
1.000
0.6040
2.2
320
KIDNEY & URINARY TRACT INFECTIONS
								  AGE >17 W CC
0.8621
1.000
0.8621
4.3
321
KIDNEY & URINARY TRACT INFECTIONS
								  AGE >17 W/O CC
0.5686
1.000
0.5686
3.2
322
KIDNEY & URINARY TRACT INFECTIONS
								  AGE 0-17
0.4939
1.000
0.4939
3.3
323
URINARY STONES W CC, &/OR ESW
								  LITHOTRIPSY
0.7996
1.000
0.7996
2.4
324
URINARY STONES W/O
								  CC
0.4509
1.000
0.4509
1.6
325
KIDNEY & URINARY TRACT SIGNS
								  & SYMPTOMS AGE >17 W
								  CC
0.646
1.000
0.6460
3
326
KIDNEY & URINARY TRACT SIGNS
								  & SYMPTOMS AGE >17 W/O
								  CC
0.4297
1.000
0.4297
2.1
327
KIDNEY & URINARY TRACT SIGNS
								  & SYMPTOMS AGE 0-17
0.3543
1.000
0.3543
3.1
328
URETHRAL STRICTURE AGE >17 W
								  CC
0.7455
1.000
0.7455
2.8
329
URETHRAL STRICTURE AGE >17 W/O
								  CC
0.5253
1.000
0.5253
1.7
330
URETHRAL STRICTURE AGE
								  0-17
0.3191
1.000
0.3191
1.6
331
OTHER KIDNEY & URINARY TRACT
								  DIAGNOSES AGE >17 W CC
1.0221
1.000
1.0221
4.1
332
OTHER KIDNEY & URINARY TRACT
								  DIAGNOSES AGE >17 W/O
								  CC
0.5997
1.000
0.5997
2.5
333
OTHER KIDNEY & URINARY TRACT
								  DIAGNOSES AGE 0-17
0.8247
1.000
0.8247
3.5
334
MAJOR MALE PELVIC PROCEDURES W
								  CC
1.5591
1.000
1.5591
4.2
335
MAJOR MALE PELVIC PROCEDURES W/O
								  CC
1.1697
1.000
1.1697
3.2
336
TRANSURETHRAL PROSTATECTOMY W
								  CC
0.888
1.000
0.8880
2.7
337
TRANSURETHRAL PROSTATECTOMY W/O
								  CC
0.6152
1.000
0.6152
1.9
338
TESTES PROCEDURES, FOR
								  MALIGNANCY
1.19
1.000
1.1900
3.5
339
TESTES PROCEDURES, NON-MALIGNANCY AGE
								  >17
1.0769
1.000
1.0769
3
340
TESTES PROCEDURES, NON-MALIGNANCY AGE
								  0-17
0.2835
1.000
0.2835
2.4
341
PENIS
								  PROCEDURES
1.1709
1.000
1.1709
2.1
342
CIRCUMCISION AGE
								  >17
0.824
1.000
0.8240
2.5
343
CIRCUMCISION AGE
								  0-17
0.1541
1.000
0.1541
1.7
344
OTHER MALE REPRODUCTIVE SYSTEM O.R.
								  PROCEDURES FOR MALIGNANCY
1.1519
1.000
1.1519
1.6
345
OTHER MALE REPRODUCTIVE SYSTEM O.R.
								  PROC EXCEPT FOR MALIGNANCY
0.88
1.000
0.8800
2.6
346
MALIGNANCY, MALE REPRODUCTIVE SYSTEM,
								  W CC
0.9756
1.000
0.9756
4.3
347
MALIGNANCY, MALE REPRODUCTIVE SYSTEM,
								  W/O CC
0.5922
1.000
0.5922
2.4
348
BENIGN PROSTATIC HYPERTROPHY W
								  CC
0.7142
1.000
0.7142
3.2
349
BENIGN PROSTATIC HYPERTROPHY W/O
								  CC
0.438
1.000
0.4380
2
350
INFLAMMATION OF THE MALE REPRODUCTIVE
								  SYSTEM
0.6992
1.000
0.6992
3.6
351
STERILIZATION,
								  MALE
0.2364
1.000
0.2364
1.3
352
OTHER MALE REPRODUCTIVE SYSTEM
								  DIAGNOSES
0.6858
1.000
0.6858
2.8
353
PELVIC EVISCERATION, RADICAL
								  HYSTERECTOMY & RADICAL
								  VULVECTOMY
1.9292
1.000
1.9292
5.3
354
UTERINE,ADNEXA PROC FOR
								  NON-OVARIAN/ADNEXAL MALIG W
								  CC
1.5284
1.000
1.5284
4.9
355
UTERINE,ADNEXA PROC FOR
								  NON-OVARIAN/ADNEXAL MALIG W/O
								  CC
0.9278
1.000
0.9278
3.1
356
FEMALE REPRODUCTIVE SYSTEM
								  RECONSTRUCTIVE PROCEDURES
0.7846
1.000
0.7846
2.1
357
UTERINE & ADNEXA PROC FOR OVARIAN
								  OR ADNEXAL MALIGNANCY
2.3628
1.000
2.3628
6.9
358
UTERINE & ADNEXA PROC FOR
								  NON-MALIGNANCY W CC
1.2263
1.000
1.2263
3.7
359
UTERINE & ADNEXA PROC FOR
								  NON-MALIGNANCY W/O CC
0.8593
1.000
0.8593
2.6
360
VAGINA, CERVIX & VULVA
								  PROCEDURES
0.886
1.000
0.8860
2.4
361
LAPAROSCOPY & INCISIONAL TUBAL
								  INTERRUPTION
1.2318
1.000
1.2318
2.2
362
ENDOSCOPIC TUBAL
								  INTERRUPTION
0.3022
1.000
0.3022
1.4
363
D&C, CONIZATION &
								  RADIO-IMPLANT, FOR
								  MALIGNANCY
0.8136
1.000
0.8136
2.5
364
D&C, CONIZATION EXCEPT FOR
								  MALIGNANCY
0.753
1.000
0.7530
2.6
365
OTHER FEMALE REPRODUCTIVE SYSTEM O.R.
								  PROCEDURES
1.8425
1.000
1.8425
4.9
366
MALIGNANCY, FEMALE REPRODUCTIVE
								  SYSTEM W CC
1.2467
1.000
1.2467
4.8
367
MALIGNANCY, FEMALE REPRODUCTIVE
								  SYSTEM W/O CC
0.5676
1.000
0.5676
2.4
368
INFECTIONS, FEMALE REPRODUCTIVE
								  SYSTEM
1.1205
1.000
1.1205
5
369
MENSTRUAL & OTHER FEMALE
								  REPRODUCTIVE SYSTEM
								  DISORDERS
0.5704
1.000
0.5704
2.4
370
CESAREAN SECTION W
								  CC
1.0631
1.000
1.0631
4.4
371
CESAREAN SECTION W/O
								  CC
0.7157
1.000
0.7157
3.3
372
VAGINAL DELIVERY W COMPLICATING
								  DIAGNOSES
0.6077
1.000
0.6077
2.7
373
VAGINAL DELIVERY W/O COMPLICATING
								  DIAGNOSES
0.4169
1.000
0.4169
2
374
VAGINAL DELIVERY W STERILIZATION
								  &/OR D&C
0.7565
1.000
0.7565
2.6
375
VAGINAL DELIVERY W O.R. PROC EXCEPT
								  STERIL &/OR D&C
0.686
1.000
0.6860
4.4
376
POSTPARTUM & POST ABORTION
								  DIAGNOSES W/O O.R.
								  PROCEDURE
0.5224
1.000
0.5224
2.6
377
POSTPARTUM & POST ABORTION
								  DIAGNOSES W O.R. PROCEDURE
0.8899
1.000
0.8899
2.6
378
ECTOPIC
								  PREGNANCY
0.7664
1.000
0.7664
2
379
THREATENED
								  ABORTION
0.3959
1.000
0.3959
2
380
ABORTION W/O
								  D&C
0.4843
1.000
0.4843
1.8
381
ABORTION W D&C, ASPIRATION
								  CURETTAGE OR HYSTEROTOMY
0.5331
1.000
0.5331
1.5
382
FALSE
								  LABOR
0.2127
1.000
0.2127
1.3
383
OTHER ANTEPARTUM DIAGNOSES W MEDICAL
								  COMPLICATIONS
0.5137
1.000
0.5137
2.7
384
OTHER ANTEPARTUM DIAGNOSES W/O
								  MEDICAL COMPLICATIONS
0.3161
1.000
0.3161
1.6
385
NEONATES, DIED OR TRANSFERRED TO
								  ANOTHER ACUTE CARE
								  FACILITY
1.3767
1.000
1.3767
1.8
386
EXTREME IMMATURITY OR RESPIRATORY
								  DISTRESS SYNDROME, NEONATE
4.54
1.000
4.5400
17.9
387
PREMATURITY W MAJOR
								  PROBLEMS
3.1007
1.000
3.1007
13.3
388
PREMATURITY W/O MAJOR
								  PROBLEMS
1.8709
1.000
1.8709
8.6
389
FULL TERM NEONATE W MAJOR
								  PROBLEMS
1.8408
1.000
1.8408
4.7
390
NEONATE W OTHER SIGNIFICANT
								  PROBLEMS
0.9471
1.000
0.9471
3
391
NORMAL
								  NEWBORN
0.1527
1.000
0.1527
3.1
392
SPLENECTOMY AGE
								  >17
3.1739
1.000
3.1739
7.1
393
SPLENECTOMY AGE
								  0-17
1.3486
1.000
1.3486
9.1
394
OTHER O.R. PROCEDURES OF THE BLOOD
								  AND BLOOD FORMING ORGANS
1.5969
1.000
1.5969
4.1
395
RED BLOOD CELL DISORDERS AGE
								  >17
0.8257
1.000
0.8257
3.3
396
RED BLOOD CELL DISORDERS AGE
								  0-17
1.1573
1.000
1.1573
2.5
397
COAGULATION
								  DISORDERS
1.2278
1.000
1.2278
3.8
398
RETICULOENDOTHELIAL & IMMUNITY
								  DISORDERS W CC
1.275
1.000
1.2750
4.7
399
RETICULOENDOTHELIAL & IMMUNITY
								  DISORDERS W/O CC
0.6881
1.000
0.6881
2.8
400
LYMPHOMA & LEUKEMIA W MAJOR O.R.
								  PROCEDURE
2.6309
1.000
2.6309
5.8
401
LYMPHOMA & NON-ACUTE LEUKEMIA W
								  OTHER O.R. PROC W CC
2.7198
1.000
2.7198
7.8
402
LYMPHOMA & NON-ACUTE LEUKEMIA W
								  OTHER O.R. PROC W/O CC
1.0985
1.000
1.0985
2.8
403
LYMPHOMA & NON-ACUTE LEUKEMIA W
								  CC
1.7594
1.000
1.7594
5.7
404
LYMPHOMA & NON-ACUTE LEUKEMIA W/O
								  CC
0.848
1.000
0.8480
3.1
405
ACUTE LEUKEMIA W/O MAJOR O.R.
								  PROCEDURE AGE 0-17
1.912
1.000
1.9120
4.9
406
MYELOPROLIF DISORD OR POORLY DIFF
								  NEOPL W MAJ O.R.PROC W CC
2.8275
1.000
2.8275
7.6
407
MYELOPROLIF DISORD OR POORLY DIFF
								  NEOPL W MAJ O.R.PROC W/O
								  CC
1.3179
1.000
1.3179
3.6
408
MYELOPROLIF DISORD OR POORLY DIFF
								  NEOPL W OTHER O.R.PROC
2.0008
1.000
2.0008
4.8
409
RADIOTHERAPY
1.1215
1.000
1.1215
4.4
410
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS
								  SECONDARY DIAGNOSIS
0.9468
1.000
0.9468
2.9
411
HISTORY OF MALIGNANCY W/O
								  ENDOSCOPY
0.3305
1.000
0.3305
2
412
HISTORY OF MALIGNANCY W
								  ENDOSCOPY
0.4841
1.000
0.4841
2
413
OTHER MYELOPROLIF DIS OR POORLY DIFF
								  NEOPL DIAG W CC
1.3645
1.000
1.3645
5.3
414
OTHER MYELOPROLIF DIS OR POORLY DIFF
								  NEOPL DIAG W/O CC
0.7548
1.000
0.7548
3
415
O.R. PROCEDURE FOR INFECTIOUS &
								  PARASITIC DISEASES
3.5925
0.491
1.7628
10.4
416
SEPTICEMIA AGE
								  >17
1.5278
1.000
1.5278
5.5
417
SEPTICEMIA AGE
								  0-17
1.1717
1.000
1.1717
3.7
418
POSTOPERATIVE &
								  POST-TRAUMATIC
								  INFECTIONS
1.0074
0.680
0.6851
4.8
419
FEVER OF UNKNOWN ORIGIN AGE >17 W
								  CC
0.8709
1.000
0.8709
3.7
420
FEVER OF UNKNOWN ORIGIN AGE >17
								  W/O CC
0.6057
1.000
0.6057
3
421
VIRAL ILLNESS AGE
								  >17
0.6796
1.000
0.6796
3.1
422
VIRAL ILLNESS & FEVER OF UNKNOWN
								  ORIGIN AGE 0-17
0.7854
1.000
0.7854
2.8
423
OTHER INFECTIOUS & PARASITIC
								  DISEASES DIAGNOSES
1.725
1.000
1.7250
5.9
424
O.R. PROCEDURE W PRINCIPAL DIAGNOSES
								  OF MENTAL
								  ILLNESS
excluded
excluded
excluded
excluded
425
ACUTE ADJUST REACT & DISTURBANCES
								  OF PSYCHOSOCIAL
								  DYSFUNCTION
excluded
excluded
excluded
excluded
426
DEPRESSIVE
								  NEUROSES
excluded
excluded
excluded
excluded
427
NEUROSES EXCEPT
								  DEPRESSIVE
excluded
excluded
excluded
excluded
428
DISORDERS OF PERSONALITY &
								  IMPULSE
								  CONTROL
excluded
excluded
excluded
excluded
429
ORGANIC DISTURBANCES & MENTAL
								  RETARDATION
excluded
excluded
excluded
excluded
430
PSYCHOSES
excluded
excluded
excluded
excluded
431
CHILDHOOD MENTAL
								  DISORDERS
excluded
excluded
excluded
excluded
432
OTHER MENTAL DISORDER
								  DIAGNOSES
excluded
excluded
excluded
excluded
433
ALCOHOL/DRUG ABUSE OR DEPENDENCE,
								  LEFT
								  AMA
excluded
excluded
excluded
excluded
434
ALC/DRUG ABUSE OR DEPEND, DETOX OR
								  OTH SYMPT TREAT W
								  CC
excluded
excluded
excluded
excluded
435
ALC/DRUG ABUSE OR DEPEND, DETOX OR
								  OTH SYMPT TREAT W/O
								  CC
excluded
excluded
excluded
excluded
436
ALC/DRUG DEPENDENCE W REHABILITATION
								  THERAPY
excluded
excluded
excluded
excluded
437
ALC/DRUG DEPENDENCE, COMBINED REHAB
								  & DETOX
								  THERAPY
excluded
excluded
excluded
excluded
438
NO LONGER
								  VALID
0
1.000
0.0000
0
439
SKIN GRAFTS FOR
								  INJURIES
1.7092
1.000
1.7092
5.3
440
WOUND DEBRIDEMENTS FOR
								  INJURIES
1.9096
0.774
1.4776
5.8
441
HAND PROCEDURES FOR
								  INJURIES
0.9463
0.991
0.9382
2.2
442
OTHER O.R. PROCEDURES FOR INJURIES W
								  CC
2.3403
1.000
2.3403
5.4
443
OTHER O.R. PROCEDURES FOR INJURIES
								  W/O CC
0.9978
1.002
1.0002
2.5
444
TRAUMATIC INJURY AGE >17 W
								  CC
0.7243
1.000
0.7243
3.2
445
TRAUMATIC INJURY AGE >17
								  W/O
								  CC
0.5076
0.811
0.4118
2.4
446
TRAUMATIC INJURY AGE
								  0-17
0.2964
1.000
0.2964
2.4
447
ALLERGIC REACTIONS AGE
								  >17
0.5166
1.000
0.5166
1.9
448
ALLERGIC REACTIONS AGE
								  0-17
0.0975
1.000
0.0975
2.9
449
POISONING & TOXIC EFFECTS OF
								  DRUGS AGE >17 W CC
0.8076
1.000
0.8076
2.6
450
POISONING & TOXIC EFFECTS
								  OF DRUGS AGE >17 W/O
								  CC
0.4406
0.666
0.2933
1.6
451
POISONING & TOXIC EFFECTS OF
								  DRUGS AGE 0-17
0.2632
1.000
0.2632
2.1
452
COMPLICATIONS OF TREATMENT W
								  CC
1.0152
1.000
1.0152
3.5
453
COMPLICATIONS OF TREATMENT W/O
								  CC
0.4987
1.000
0.4987
2.2
454
OTHER INJURY, POISONING & TOXIC
								  EFFECT DIAG W CC
0.8593
1.000
0.8593
3.2
455
OTHER INJURY, POISONING &
								  TOXIC EFFECT DIAG W/O
								  CC
0.4672
0.748
0.3496
2
456
NO LONGER
								  VALID
0
0
0
0
457
NO LONGER
								  VALID
0
0
0
0
458
NO LONGER
								  VALID
0
0
0
0
459
NO LONGER
								  VALID
0
0
0
0
460
NO LONGER
								  VALID
0
0
0
0
461
O.R. PROC W DIAGNOSES OF
								  OTHER CONTACT W HEALTH
								  SERVICES
1.2101
0.921
1.1141
2.4
462
REHABILITATION
excluded
excluded
excluded
excluded
463
SIGNS & SYMPTOMS W
								  CC
0.6936
1.000
0.6936
3.3
464
SIGNS & SYMPTOMS W/O
								  CC
0.4775
1.000
0.4775
2.4
465
AFTERCARE W HISTORY OF MALIGNANCY AS
								  SECONDARY DIAGNOSIS
0.5756
1.000
0.5756
2.1
466
AFTERCARE W/O HISTORY OF MALIGNANCY
								  AS SECONDARY DIAGNOSIS
0.684
1.000
0.6840
2.3
467
OTHER FACTORS INFLUENCING HEALTH
								  STATUS
0.5112
1.000
0.5112
2.3
468
EXTENSIVE O.R. PROCEDURE UNRELATED TO
								  PRINCIPAL DIAGNOSIS
3.6399
1.000
3.6399
9.2
469
PRINCIPAL DIAGNOSIS INVALID AS
								  DISCHARGE DIAGNOSIS
0
1.000
0.0000
0
470
UNGROUPABLE
0
1.000
0.0000
0
471
BILATERAL OR MULTIPLE MAJOR JOINT
								  PROCS OF LOWER EXTREMITY
3.1957
1.000
3.1957
5
472
NO LONGER
								  VALID
0
0
0
0
473
ACUTE LEUKEMIA W/O MAJOR O.R.
								  PROCEDURE AGE >17
3.5822
1.000
3.5822
7.6
474
NO LONGER
								  VALID
0
1.000
0.0000
0
475
RESPIRATORY SYSTEM DIAGNOSIS WITH
								  VENTILATOR
								  SUPPORT
excluded
excluded
excluded
excluded
476
PROSTATIC O.R. PROCEDURE UNRELATED TO
								  PRINCIPAL DIAGNOSIS
2.2547
1.000
2.2547
8.4
477
NON-EXTENSIVE O.R. PROCEDURE
								  UNRELATED TO PRINCIPAL
								  DIAGNOSIS
1.8204
1.000
1.8204
5.4
478
OTHER VASCULAR PROCEDURES W
								  CC
2.3333
1.000
2.3333
4.9
479
OTHER VASCULAR PROCEDURES W/O
								  CC
1.4326
1.000
1.4326
2.8
480
LIVER
								  TRANSPLANT
excluded
excluded
excluded
excluded
481
BONE MARROW
								  TRANSPLANT
excluded
excluded
excluded
excluded
482
TRACHEOSTOMY FOR FACE,MOUTH &
								  NECK
								  DIAGNOSES
excluded
excluded
excluded
excluded
483
TRACHEOSTOMY EXCEPT FOR FACE, MOUTH
								  & NECK
								  DIAGNOSES
excluded
excluded
excluded
excluded
484
CRANIOTOMY FOR MULTIPLE SIGNIFICANT
								  TRAUMA
5.5606
1.000
5.5606
8.8
485
LIMB REATTACHMENT, HIP AND FEMUR PROC
								  FOR MULTIPLE SIGNIFICANT
								  TR
3.0998
1.000
3.0998
7.7
486
OTHER O.R. PROCEDURES FOR MULTIPLE
								  SIGNIFICANT TRAUMA
4.9048
1.000
4.9048
8.1
487
OTHER MULTIPLE SIGNIFICANT
								  TRAUMA
2.0604
1.000
2.0604
5.6
488
HIV W EXTENSIVE O.R.
								  PROCEDURE
4.5574
1.000
4.5574
11.5
489
HIV W MAJOR RELATED
								  CONDITION
1.7414
1.000
1.7414
6
490
HIV W OR W/O OTHER RELATED
								  CONDITION
0.968
1.000
0.9680
3.7
491
MAJOR JOINT & LIMB REATTACHMENT
								  PROCEDURES OF UPPER
								  EXTREMITY
1.6685
1.000
1.6685
2.9
492
CHEMOTHERAPY W ACUTE LEUKEMIA AS
								  SECONDARY DIAGNOSIS
4.2467
1.000
4.2467
10.9
493
LAPAROSCOPIC CHOLECYSTECTOMY W/O
								  C.D.E. W CC
1.818
1.000
1.8180
4.3
494
LAPAROSCOPIC CHOLECYSTECTOMY W/O
								  C.D.E. W/O CC
1.0388
1.000
1.0388
2
495
LUNG
								  TRANSPLANT
excluded
excluded
excluded
excluded
496
COMBINED ANTERIOR/POSTERIOR SPINAL
								  FUSION Note -- For admissions on or after June 27, 2001, the cost of
								  implantable hardware and instrumentation for this DRG is excluded from the DRG
								  computed fee and reimbursed separately pursuant to §
															9792.1(c)(9).
5.5532
1.000
5.5532
.8
497
SPINAL FUSION W CC Note -- For
								  admissions on or after June 29, 2001, the cost of implantable hardware and
								  instrumentation for this DRG is excluded from the DRG computed fee and
								  reimbursed separately pursuant to §
															9792.1(c)(9).
2.9441
1.000
2.9441
4.9
498
SPINAL FUSION W/O CC Note -- For
								  admissions on or after June 29, 2001, the cost of implantable hardware and
								  instrumentation for this DRG is excluded from the DRG computed fee and
								  reimbursed separately pursuant to §
															9792.1(c)(9).
1.9057
1.000
1.9057
2.8
499
BACK & NECK PROCS EXCEPT SPINAL
								  FUSION W CC Note -- For admissions on or after June 29, 2001, the cost of
								  implantable hardware and instrumentation for this DRG is excluded from the DRG
								  computed fee and reimbursed separately pursuant to §
															9792.1(c)(9).
1.4572
1.000
1.4572
3.6
500
BACK & NECK PROCS EXCEPT SPINAL
								  FUSION W/O CC Note -- For admissions on or after June 29, 2001, the cost of
								  implantable hardware and instrumentation for this DRG is excluded from the DRG
								  computed fee and reimbursed separately pursuant to §
															9792.1(c)(9).
0.9805
1.000
0.9805
2.2
501
KNEE PROC W PDX OF INFECTION W
								  CC
2.6283
1.000
2.6283
8.4
502
KNEE PROC W PDX OF INFECTION W/O
								  CC
1.4434
1.000
1.4434
4.9
503
KNEE PROCEDURES W/O PDX OF
								  INFECTION
1.2156
1.000
1.2156
3.1
504
EXTENSIVE 3RD DEGREE BURNS W SKIN
								  GRAFT
excluded
excluded
excluded
excluded
505
EXTENSIVE 3RD DEGREE BURNS W/O SKIN
								  GRAFT.
excluded
excluded
excluded
excluded
506
FULL THICKNESS BURN W SKIN GRAFT OR
								  INHAL INJ W CC OR SIG
								  TRAUMA.
excluded
excluded
excluded
excluded
507
FULL THICKNESS BURN W SKIN GRAFT OR
								  INHAL INJ W/O CC OR SIG
								  TRAUMA.
excluded
excluded
excluded
excluded
508
FULL THICKNESS BURN W/O SKIN GRAFT OR
								  INHAL INJ W CC OR SIG
								  TRAUMA.
excluded
excluded
excluded
excluded
509
FULL THICKNESS BURN W/O SKIN GRAFT OR
								  INHAL INJ W/O CC OR SIG
								  TRAUMA.
excluded
excluded
excluded
excluded
510
NON-EXTENSIVE BURNS W CC OR
								  SIGNIFICANT
								  TRAUMA
excluded
excluded
excluded
excluded
511
NON-EXTENSIVE BURNS W/O CC OR
								  SIGNIFICANT
								  TRAUMA.
excluded
excluded
excluded
excluded