Post on 14-Oct-2020
OFFICE OF MEDICAID POLICY AND PLANNING
APR-DRG Version 36 Implementation Effective 8/1/2020
Relative Weights and Average Lengths of Stay
DRG Description
Relative
Weight ALOS
001-1 LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT 6.5564 7.0
001-2 LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT 6.5564 7.3
001-3 LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT 6.5564 11.7
001-4 LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT 20.4270 23.6
002-1 HEART &/OR LUNG TRANSPLANT 16.1645 13.0
002-2 HEART &/OR LUNG TRANSPLANT 16.1645 15.6
002-3 HEART &/OR LUNG TRANSPLANT 16.1645 23.1
002-4 HEART &/OR LUNG TRANSPLANT 28.0178 35.3
004-1 TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 9.1088 11.0
004-2 TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 9.1088 14.3
004-3 TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 9.1088 21.3
004-4 TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE 18.5510 41.1
005-1 TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 4.9141 13.9
005-2 TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 4.9141 15.9
005-3 TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 7.4898 23.3
005-4 TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE 12.0511 32.1
006-1 PANCREAS TRANSPLANT 8.9991 6.5
006-2 PANCREAS TRANSPLANT 8.9991 7.0
006-3 PANCREAS TRANSPLANT 8.9991 8.5
006-4 PANCREAS TRANSPLANT 13.1237 8.5
007-1 ALLOGENEIC BONE MARROW TRANSPLANT 11.4151 26.4
007-2 ALLOGENEIC BONE MARROW TRANSPLANT 11.4151 26.4
007-3 ALLOGENEIC BONE MARROW TRANSPLANT 11.4151 26.4
007-4 ALLOGENEIC BONE MARROW TRANSPLANT 18.9129 39.5
008-1 AUTOLOGOUS BONE MARROW TRANSPLANT 5.5709 14.3
008-2 AUTOLOGOUS BONE MARROW TRANSPLANT 5.5709 16.1
008-3 AUTOLOGOUS BONE MARROW TRANSPLANT 5.5709 17.7
008-4 AUTOLOGOUS BONE MARROW TRANSPLANT 8.3500 22.2
009-1 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 10.6465 12.0
009-2 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 10.6465 12.0
009-3 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 10.6465 12.0
009-4 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 18.4485 12.0
010-1 HEAD TRAUMA WITH DEEP COMA 7.7351 19.9
010-2 HEAD TRAUMA WITH DEEP COMA 7.7351 19.9
010-3 HEAD TRAUMA WITH DEEP COMA 7.7351 19.9
010-4 HEAD TRAUMA WITH DEEP COMA 8.3337 19.9
020-1 CRANIOTOMY FOR TRAUMA 1.9134 4.0
020-2 CRANIOTOMY FOR TRAUMA 2.2745 5.4
020-3 CRANIOTOMY FOR TRAUMA 2.9812 7.8
020-4 CRANIOTOMY FOR TRAUMA 4.9376 9.6
021-1 CRANIOTOMY EXCEPT FOR TRAUMA 1.9928 3.2
021-2 CRANIOTOMY EXCEPT FOR TRAUMA 2.2792 3.3
021-3 CRANIOTOMY EXCEPT FOR TRAUMA 4.5116 9.4
021-4 CRANIOTOMY EXCEPT FOR TRAUMA 6.0100 11.1
022-1 VENTRICULAR SHUNT PROCEDURES 1.5747 1.9
022-2 VENTRICULAR SHUNT PROCEDURES 1.5962 2.1
022-3 VENTRICULAR SHUNT PROCEDURES 2.5106 4.2
022-4 VENTRICULAR SHUNT PROCEDURES 3.9690 9.7
023-1 SPINAL PROCEDURES 1.6245 2.4
023-2 SPINAL PROCEDURES 1.9126 3.3
023-3 SPINAL PROCEDURES 3.1395 7.2
023-4 SPINAL PROCEDURES 5.2647 13.6
024-1 EXTRACRANIAL VASCULAR PROCEDURES 1.5598 1.5
024-2 EXTRACRANIAL VASCULAR PROCEDURES 2.2787 2.4
024-3 EXTRACRANIAL VASCULAR PROCEDURES 2.7315 4.9
024-4 EXTRACRANIAL VASCULAR PROCEDURES 4.7169 7.9
026-1 OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1.3333 2.0
026-2 OTHER NERVOUS SYSTEM & RELATED PROCEDURES 1.9950 4.0
026-3 OTHER NERVOUS SYSTEM & RELATED PROCEDURES 2.1108 6.3
026-4 OTHER NERVOUS SYSTEM & RELATED PROCEDURES 3.5635 10.5
040-1 SPINAL DISORDERS & INJURIES 0.9537 4.0
040-2 SPINAL DISORDERS & INJURIES 1.2222 5.6
040-3 SPINAL DISORDERS & INJURIES 1.8371 9.7
040-4 SPINAL DISORDERS & INJURIES 3.9471 16.5
041-1 NERVOUS SYSTEM MALIGNANCY 0.7163 2.2
041-2 NERVOUS SYSTEM MALIGNANCY 1.4956 4.1
041-3 NERVOUS SYSTEM MALIGNANCY 1.4956 4.7
041-4 NERVOUS SYSTEM MALIGNANCY 1.4956 4.7
042-1 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 0.5782 4.6
042-2 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 1.1466 5.9
Relative Weights Version 36 Page 1 of 18
DRG Description
Relative
Weight ALOS
042-3 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 1.8234 7.4
042-4 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS 2.0403 8.3
043-1 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 1.0560 3.7
043-2 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 1.0560 4.0
043-3 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 1.4797 7.6
043-4 MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES 1.8047 20.4
044-1 INTRACRANIAL HEMORRHAGE 0.7614 2.7
044-2 INTRACRANIAL HEMORRHAGE 1.0323 2.9
044-3 INTRACRANIAL HEMORRHAGE 1.4035 4.2
044-4 INTRACRANIAL HEMORRHAGE 1.7482 4.2
045-1 CVA & PRECEREBRAL OCCLUSION W INFARCT 0.7912 2.3
045-2 CVA & PRECEREBRAL OCCLUSION W INFARCT 0.9649 3.0
045-3 CVA & PRECEREBRAL OCCLUSION W INFARCT 1.4045 4.2
045-4 CVA & PRECEREBRAL OCCLUSION W INFARCT 3.2032 9.1
046-1 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 0.8617 1.5
046-2 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 0.8617 2.3
046-3 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 0.8617 2.9
046-4 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 0.8617 16.0
047-1 TRANSIENT ISCHEMIA 0.7056 2.0
047-2 TRANSIENT ISCHEMIA 0.8215 2.4
047-3 TRANSIENT ISCHEMIA 0.8215 3.1
047-4 TRANSIENT ISCHEMIA 0.8215 11.8
048-1 PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 0.7631 2.8
048-2 PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 0.8788 3.4
048-3 PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 1.1802 4.5
048-4 PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS 1.9093 8.2
049-1 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1.5673 5.1
049-2 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1.7200 5.6
049-3 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1.9331 7.9
049-4 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 3.7083 11.7
050-1 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 0.7900 2.8
050-2 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 1.2315 4.1
050-3 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 1.7411 7.0
050-4 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS 3.5260 11.5
051-1 VIRAL MENINGITIS 0.4636 2.1
051-2 VIRAL MENINGITIS 0.6323 2.9
051-3 VIRAL MENINGITIS 1.1705 5.3
051-4 VIRAL MENINGITIS 1.3531 5.3
052-1 ALTERATION IN CONSCIOUSNESS 0.4990 1.6
052-2 ALTERATION IN CONSCIOUSNESS 0.8650 3.1
052-3 ALTERATION IN CONSCIOUSNESS 1.1126 4.0
052-4 ALTERATION IN CONSCIOUSNESS 2.3232 5.9
053-1 SEIZURE 0.5860 2.2
053-2 SEIZURE 0.7464 2.5
053-3 SEIZURE 0.9764 2.9
053-4 SEIZURE 2.2307 5.2
054-1 MIGRAINE & OTHER HEADACHES 0.7127 2.7
054-2 MIGRAINE & OTHER HEADACHES 0.8237 3.1
054-3 MIGRAINE & OTHER HEADACHES 0.9490 3.4
054-4 MIGRAINE & OTHER HEADACHES 0.9490 3.5
055-1 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 0.6068 1.9
055-2 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 1.0501 3.2
055-3 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 1.5848 4.5
055-4 HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE 2.9941 6.2
056-1 BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 0.5050 1.3
056-2 BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 0.7656 2.4
056-3 BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 0.7656 2.4
056-4 BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA 0.7656 7.0
057-1 CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 0.5549 2.3
057-2 CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 0.8939 3.1
057-3 CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 1.0152 3.2
057-4 CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA 1.7686 4.6
058-1 OTHER DISORDERS OF NERVOUS SYSTEM 1.1860 4.4
058-2 OTHER DISORDERS OF NERVOUS SYSTEM 1.7143 6.8
058-3 OTHER DISORDERS OF NERVOUS SYSTEM 2.1362 9.9
058-4 OTHER DISORDERS OF NERVOUS SYSTEM 3.3205 11.2
059-1 ANOXIC & OTHER SEVERE BRAIN DAMAGE 1.2100 2.4
059-2 ANOXIC & OTHER SEVERE BRAIN DAMAGE 1.2100 4.3
059-3 ANOXIC & OTHER SEVERE BRAIN DAMAGE 1.2100 4.7
059-4 ANOXIC & OTHER SEVERE BRAIN DAMAGE 1.7566 4.7
073-1 ORBIT AND EYE PROCEDURES 1.0126 2.1
073-2 ORBIT AND EYE PROCEDURES 1.1888 2.8
073-3 ORBIT AND EYE PROCEDURES 1.8779 4.1
073-4 ORBIT AND EYE PROCEDURES 1.8779 22.7
082-1 EYE INFECTIONS AND OTHER EYE DISORDERS 0.6119 2.6
Relative Weights Version 36 Page 2 of 18
DRG Description
Relative
Weight ALOS
082-2 EYE INFECTIONS AND OTHER EYE DISORDERS 0.7375 2.7
082-3 EYE INFECTIONS AND OTHER EYE DISORDERS 0.8979 3.2
082-4 EYE INFECTIONS AND OTHER EYE DISORDERS 1.1980 8.3
089-1 MAJOR CRANIAL/FACIAL BONE PROCEDURES 1.5309 1.8
089-2 MAJOR CRANIAL/FACIAL BONE PROCEDURES 4.0160 4.0
089-3 MAJOR CRANIAL/FACIAL BONE PROCEDURES 4.7610 5.7
089-4 MAJOR CRANIAL/FACIAL BONE PROCEDURES 6.3480 11.2
091-1 OTHER MAJOR HEAD & NECK PROCEDURES 1.8701 2.8
091-2 OTHER MAJOR HEAD & NECK PROCEDURES 2.0425 3.7
091-3 OTHER MAJOR HEAD & NECK PROCEDURES 2.8928 6.9
091-4 OTHER MAJOR HEAD & NECK PROCEDURES 5.0555 11.2
092-1 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 1.5444 1.7
092-2 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 1.5444 2.1
092-3 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 2.6758 4.8
092-4 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES 5.0778 11.0
095-1 CLEFT LIP & PALATE REPAIR 0.6933 1.2
095-2 CLEFT LIP & PALATE REPAIR 0.7904 1.3
095-3 CLEFT LIP & PALATE REPAIR 1.0208 3.8
095-4 CLEFT LIP & PALATE REPAIR 1.0208 3.8
097-1 TONSIL & ADENOID PROCEDURES 0.6582 1.6
097-2 TONSIL & ADENOID PROCEDURES 0.9185 2.1
097-3 TONSIL & ADENOID PROCEDURES 1.1292 2.8
097-4 TONSIL & ADENOID PROCEDURES 1.4207 9.8
098-1 OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 0.9182 2.0
098-2 OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 1.1865 3.0
098-3 OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 2.1004 5.7
098-4 OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES 3.7630 9.7
110-1 EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 0.6180 2.0
110-2 EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 0.7620 2.8
110-3 EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 1.1499 4.6
110-4 EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES 1.9626 7.1
111-1 VERTIGO & OTHER LABYRINTH DISORDERS 0.4853 1.7
111-2 VERTIGO & OTHER LABYRINTH DISORDERS 0.7159 2.8
111-3 VERTIGO & OTHER LABYRINTH DISORDERS 0.7159 2.8
111-4 VERTIGO & OTHER LABYRINTH DISORDERS 0.7159 3.1
113-1 INFECTIONS OF UPPER RESPIRATORY TRACT 0.4467 2.1
113-2 INFECTIONS OF UPPER RESPIRATORY TRACT 0.5451 2.4
113-3 INFECTIONS OF UPPER RESPIRATORY TRACT 1.0163 3.4
113-4 INFECTIONS OF UPPER RESPIRATORY TRACT 1.1907 4.5
114-1 DENTAL DISEASES AND DISORDERS 0.5656 2.3
114-2 DENTAL DISEASES AND DISORDERS 0.6154 2.5
114-3 DENTAL DISEASES AND DISORDERS 0.9231 3.3
114-4 DENTAL DISEASES AND DISORDERS 1.1314 12.3
115-1 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 0.9220 2.5
115-2 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 0.9220 3.0
115-3 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 1.5885 4.9
115-4 OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES 1.8893 6.1
120-1 MAJOR RESPIRATORY & CHEST PROCEDURES 2.1611 4.1
120-2 MAJOR RESPIRATORY & CHEST PROCEDURES 2.5768 5.5
120-3 MAJOR RESPIRATORY & CHEST PROCEDURES 3.5941 9.2
120-4 MAJOR RESPIRATORY & CHEST PROCEDURES 6.7537 16.8
121-1 OTHER RESPIRATORY & CHEST PROCEDURES 1.7347 4.1
121-2 OTHER RESPIRATORY & CHEST PROCEDURES 1.9368 4.7
121-3 OTHER RESPIRATORY & CHEST PROCEDURES 2.8889 7.8
121-4 OTHER RESPIRATORY & CHEST PROCEDURES 5.6875 13.0
130-1 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 4.1090 12.6
130-2 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 4.1090 12.6
130-3 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 4.1090 12.6
130-4 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 5.3797 12.6
131-1 CYSTIC FIBROSIS - PULMONARY DISEASE 2.5607 7.9
131-2 CYSTIC FIBROSIS - PULMONARY DISEASE 2.5607 8.4
131-3 CYSTIC FIBROSIS - PULMONARY DISEASE 2.5607 10.2
131-4 CYSTIC FIBROSIS - PULMONARY DISEASE 3.3035 11.1
132-1 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 0.6867 2.2
132-2 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1.0362 3.7
132-3 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1.0362 3.7
132-4 BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 5.9525 14.4
133-1 RESPIRATORY FAILURE 0.6166 2.2
133-2 RESPIRATORY FAILURE 0.9049 3.1
133-3 RESPIRATORY FAILURE 1.3115 4.0
133-4 RESPIRATORY FAILURE 2.1886 5.4
134-1 PULMONARY EMBOLISM 0.8890 2.8
134-2 PULMONARY EMBOLISM 0.8947 2.9
134-3 PULMONARY EMBOLISM 1.2835 4.0
134-4 PULMONARY EMBOLISM 2.2245 5.7
Relative Weights Version 36 Page 3 of 18
DRG Description
Relative
Weight ALOS
135-1 MAJOR CHEST & RESPIRAZORY TRAUMA 0.6129 2.4
135-2 MAJOR CHEST & RESPIRATORY TRAUMA 0.8883 3.1
135-3 MAJOR CHEST & RESPIRATORY TRAUMA 1.0793 4.0
135-4 MAJOR CHEST & RESPIRATORY TRAUMA 1.6837 6.2
136-1 RESPIRATORY MALIGNANCY 0.5715 2.4
136-2 RESPIRATORY MALIGNANCY 0.9479 3.3
136-3 RESPIRATORY MALIGNANCY 1.2916 4.7
136-4 RESPIRATORY MALIGNANCY 1.5919 5.9
137-1 MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 0.7069 3.2
137-2 MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 1.0458 4.1
137-3 MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 1.3667 4.6
137-4 MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS 2.4223 7.0
138-1 BRONCHIOLITIS & RSV PNEUMONIA 0.4867 2.5
138-2 BRONCHIOLITIS & RSV PNEUMONIA 0.6764 3.1
138-3 BRONCHIOLITIS & RSV PNEUMONIA 0.9508 4.1
138-4 BRONCHIOLITIS & RSV PNEUMONIA 1.9057 6.3
139-1 OTHER PNEUMONIA 0.4890 2.3
139-2 OTHER PNEUMONIA 0.6950 2.8
139-3 OTHER PNEUMONIA 1.0537 3.8
139-4 OTHER PNEUMONIA 1.8883 5.6
140-1 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0.6668 2.7
140-2 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0.7754 3.0
140-3 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0.9411 3.3
140-4 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1.3183 4.3
141-1 ASTHMA 0.5232 2.2
141-2 ASTHMA 0.6805 2.5
141-3 ASTHMA 0.8930 3.1
141-4 ASTHMA 1.4314 4.0
142-1 INTERSTITIAL & ALVEOLAR LUNG DISEASES 0.6303 2.4
142-2 INTERSTITIAL & ALVEOLAR LUNG DISEASES 0.6521 2.9
142-3 INTERSTITIAL & ALVEOLAR LUNG DISEASES 0.8748 4.0
142-4 INTERSTITIAL & ALVEOLAR LUNG DISEASES 1.5234 6.5
143-1 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 0.8274 3.2
143-2 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 1.0233 3.5
143-3 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 1.2467 3.9
143-4 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES 2.3973 6.0
144-1 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 0.7493 2.8
144-2 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 0.8211 2.9
144-3 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 0.8211 3.3
144-4 RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES 1.3193 4.7
145-1 ACUTE BRONCHITIS AND RELATED SYMPTOMS 0.5611 2.1
145-2 ACUTE BRONCHITIS AND RELATED SYMPTOMS 0.6538 2.4
145-3 ACUTE BRONCHITIS AND RELATED SYMPTOMS 0.9213 3.0
145-4 ACUTE BRONCHITIS AND RELATED SYMPTOMS 1.2773 4.4
160-1 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY 2.8295 3.9
160-2 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY 3.3397 4.7
160-3 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY 4.3601 8.3
160-4 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY 9.8894 14.4
161-1 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT 4.4533 4.0
161-2 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT 5.4591 6.0
161-3 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT 6.4107 9.4
161-4 CARDIAC DEFIBRILLATOR & HEART ASSIST IMPLANT 27.0879 23.3
162-1 CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX 3.7095 6.2
162-2 CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX 4.3154 6.8
162-3 CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX 6.5763 11.7
162-4 CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX 9.1512 16.0
163-1 CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX 3.1583 4.4
163-2 CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX 4.1852 6.0
163-3 CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX 4.6334 7.7
163-4 CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX 8.0102 14.0
165-1 CORONARY BYPASS W AMI OR COMPLEX PDX 2.7867 6.0
165-2 CORONARY BYPASS W AMI OR COMPLEX PDX 4.0766 8.4
165-3 CORONARY BYPASS W AMI OR COMPLEX PDX 4.8207 9.5
165-4 CORONARY BYPASS W AMI OR COMPLEX PDX 8.1940 14.8
166-1 CORONARY BYPASS W/O AMI OR COMPLEX PDX 2.7678 5.8
166-2 CORONARY BYPASS W/O AMI OR COMPLEX PDX 3.1596 6.2
166-3 CORONARY BYPASS W/O AMI OR COMPLEX PDX 4.1706 7.0
166-4 CORONARY BYPASS W/O AMI OR COMPLEX PDX 6.4933 11.9
167-1 OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 2.2588 3.8
167-2 OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 2.9382 3.8
167-3 OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 3.7248 7.6
167-4 OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES 5.9409 11.0
169-1 MAJOR ABDOMINAL VASCULAR PROCEDURES 2.1860 4.3
169-2 MAJOR ABDOMINAL VASCULAR PROCEDURES 2.8194 5.5
169-3 MAJOR ABDOMINAL VASCULAR PROCEDURES 3.8379 6.3
Relative Weights Version 36 Page 4 of 18
DRG Description
Relative
Weight ALOS
169-4 MAJOR ABDOMINAL VASCULAR PROCEDURES 6.4020 8.9
170-1 PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK 2.8262 2.0
170-2 PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK 2.8262 4.6
170-3 PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK 2.8262 7.1
170-4 PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK 4.1249 10.1
171-1 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 2.0277 2.0
171-2 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 2.2892 3.4
171-3 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 2.6703 4.6
171-4 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 3.1679 8.2
174-1 PERCUTANEOUS CORONARY INTERVENTION W AMI 1.7656 2.1
174-2 PERCUTANEOUS CORONARY INTERVENTION W AMI 1.8857 2.4
174-3 PERCUTANEOUS CORONARY INTERVENTION W AMI 2.3781 3.6
174-4 PERCUTANEOUS CORONARY INTERVENTION W AMI 4.2605 6.7
175-1 PERCUTANEOUS CORONARY INTERVENTION W/O AMI 1.9094 2.1
175-2 PERCUTANEOUS CORONARY INTERVENTION W/O AMI 2.2172 2.7
175-3 PERCUTANEOUS CORONARY INTERVENTION W/O AMI 2.6066 3.8
175-4 PERCUTANEOUS CORONARY INTERVENTION W/O AMI 5.1904 8.6
176-1 CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT 1.8445 2.3
176-2 CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT 1.8608 3.0
176-3 CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT 5.3813 6.2
176-4 CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT 5.3813 8.7
177-1 CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 1.0785 2.4
177-2 CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 1.7484 3.6
177-3 CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 2.9561 5.2
177-4 CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 2.9561 12.4
180-1 OTHER CIRCULATORY SYSTEM PROCEDURES 1.2087 2.4
180-2 OTHER CIRCULATORY SYSTEM PROCEDURES 1.4880 3.6
180-3 OTHER CIRCULATORY SYSTEM PROCEDURES 2.3795 6.3
180-4 OTHER CIRCULATORY SYSTEM PROCEDURES 3.1354 9.5
181-1 LOWER EXTREMITY ARTERIAL PROCEDURES 1.9054 2.5
181-2 LOWER EXTREMITY ARTERIAL PROCEDURES 2.5339 3.9
181-3 LOWER EXTREMITY ARTERIAL PROCEDURES 4.0225 6.9
181-4 LOWER EXTREMITY ARTERIAL PROCEDURES 6.0704 9.7
182-1 OTHER PERIPHERAL VASCULAR PROCEDURES 2.4308 1.4
182-2 OTHER PERIPHERAL VASCULAR PROCEDURES 3.0589 3.8
182-3 OTHER PERIPHERAL VASCULAR PROCEDURES 3.0589 5.2
182-4 OTHER PERIPHERAL VASCULAR PROCEDURES 4.1168 8.7
190-1 ACUTE MYOCARDIAL INFARCTION 0.8348 2.0
190-2 ACUTE MYOCARDIAL INFARCTION 0.9274 2.3
190-3 ACUTE MYOCARDIAL INFARCTION 1.1632 3.4
190-4 ACUTE MYOCARDIAL INFARCTION 2.2431 5.0
191-1 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 0.8874 2.1
191-2 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 1.0535 2.6
191-3 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 1.1944 3.2
191-4 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 2.1785 6.6
192-1 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 0.8241 2.0
192-2 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 1.0757 3.1
192-3 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 1.6141 4.5
192-4 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 2.9112 6.2
193-1 ACUTE & SUBACUTE ENDOCARDITIS 0.7119 2.8
193-2 ACUTE & SUBACUTE ENDOCARDITIS 0.9049 4.7
193-3 ACUTE & SUBACUTE ENDOCARDITIS 1.2336 7.0
193-4 ACUTE & SUBACUTE ENDOCARDITIS 2.0409 8.0
194-1 HEART FAILURE 0.6801 2.4
194-2 HEART FAILURE 0.8344 3.1
194-3 HEART FAILURE 1.1686 4.1
194-4 HEART FAILURE 1.8640 5.9
196-1 CARDIAC ARREST & SHOCK 0.5338 2.2
196-2 CARDIAC ARREST & SHOCK 0.5338 2.2
196-3 CARDIAC ARREST & SHOCK 0.8500 2.2
196-4 CARDIAC ARREST & SHOCK 2.1736 3.7
197-1 PERIPHERAL & OTHER VASCULAR DISORDERS 0.8765 2.6
197-2 PERIPHERAL & OTHER VASCULAR DISORDERS 1.0940 3.3
197-3 PERIPHERAL & OTHER VASCULAR DISORDERS 1.3374 4.1
197-4 PERIPHERAL & OTHER VASCULAR DISORDERS 1.7467 6.1
198-1 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 0.4376 1.5
198-2 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 0.7322 2.2
198-3 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 0.7322 2.5
198-4 ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS 1.2235 4.3
199-1 HYPERTENSION 0.5892 2.0
199-2 HYPERTENSION 0.7431 2.8
199-3 HYPERTENSION 1.1090 3.4
199-4 HYPERTENSION 1.3117 4.7
200-1 CARDIAC STRUCTURAL & VALVULAR DISORDERS 1.6250 2.6
200-2 CARDIAC STRUCTURAL & VALVULAR DISORDERS 1.6250 2.6
Relative Weights Version 36 Page 5 of 18
DRG Description
Relative
Weight ALOS
200-3 CARDIAC STRUCTURAL & VALVULAR DISORDERS 1.6250 5.4
200-4 CARDIAC STRUCTURAL & VALVULAR DISORDERS 1.6250 5.4
201-1 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 0.6149 2.1
201-2 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 0.7107 2.4
201-3 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 1.1050 3.5
201-4 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS 1.3993 5.4
203-1 CHEST PAIN 0.5380 1.8
203-2 CHEST PAIN 0.6354 1.9
203-3 CHEST PAIN 0.8428 3.0
203-4 CHEST PAIN 0.8428 3.1
204-1 SYNCOPE & COLLAPSE 0.6741 2.4
204-2 SYNCOPE & COLLAPSE 0.6868 2.4
204-3 SYNCOPE & COLLAPSE 1.0811 3.4
204-4 SYNCOPE & COLLAPSE 1.3501 5.4
205-1 CARDIOMYOPATHY 0.5277 1.6
205-2 CARDIOMYOPATHY 0.5293 2.4
205-3 CARDIOMYOPATHY 0.8404 4.2
205-4 CARDIOMYOPATHY 1.3743 7.4
206-1 MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 0.6314 1.9
206-2 MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 0.7144 2.6
206-3 MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 1.1815 4.1
206-4 MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE 1.9332 6.2
207-1 OTHER CIRCULATORY SYSTEM DIAGNOSES 0.6231 2.5
207-2 OTHER CIRCULATORY SYSTEM DIAGNOSES 0.9452 2.9
207-3 OTHER CIRCULATORY SYSTEM DIAGNOSES 1.6057 4.6
207-4 OTHER CIRCULATORY SYSTEM DIAGNOSES 1.6057 5.5
220-1 MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 1.6455 3.0
220-2 MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2.1223 5.1
220-3 MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 3.9389 10.6
220-4 MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 5.6184 14.8
222-1 OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 0.5355 2.0
222-2 OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 1.3932 4.4
222-3 OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 2.0720 6.8
222-4 OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES 3.2667 10.1
223-1 OTHER SMALL & LARGE BOWEL PROCEDURES 1.3986 4.0
223-2 OTHER SMALL & LARGE BOWEL PROCEDURES 1.7573 4.6
223-3 OTHER SMALL & LARGE BOWEL PROCEDURES 1.8416 6.6
223-4 OTHER SMALL & LARGE BOWEL PROCEDURES 3.0870 10.2
224-1 PERITONEAL ADHESIOLYSIS 1.7897 4.9
224-2 PERITONEAL ADHESIOLYSIS 2.3829 8.0
224-3 PERITONEAL ADHESIOLYSIS 2.6872 8.5
224-4 PERITONEAL ADHESIOLYSIS 4.0239 16.0
226-1 ANAL PROCEDURES 1.1331 3.5
226-2 ANAL PROCEDURES 1.1331 3.5
226-3 ANAL PROCEDURES 1.2519 4.7
226-4 ANAL PROCEDURES 1.5114 8.7
227-1 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 1.3926 3.0
227-2 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 1.8524 4.2
227-3 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 2.2434 5.5
227-4 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL 3.8033 10.6
228-1 INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 0.9558 2.3
228-2 INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 1.3701 3.6
228-3 INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 1.4091 4.3
228-4 INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES 2.9373 7.6
229-1 OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 1.1734 3.0
229-2 OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 1.2986 3.4
229-3 OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 2.0555 6.0
229-4 OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES 3.7580 8.5
230-1 MAJOR SMALL BOWEL PROCEDURES 1.6578 4.3
230-2 MAJOR SMALL BOWEL PROCEDURES 2.1444 5.8
230-3 MAJOR SMALL BOWEL PROCEDURES 3.7268 10.7
230-4 MAJOR SMALL BOWEL PROCEDURES 6.0256 14.7
231-1 MAJOR LARGE BOWEL PROCEDURES 1.7241 4.2
231-2 MAJOR LARGE BOWEL PROCEDURES 1.9623 5.4
231-3 MAJOR LARGE BOWEL PROCEDURES 2.7549 8.5
231-4 MAJOR LARGE BOWEL PROCEDURES 4.1761 12.4
232-1 GASTRIC FUNDOPLICATION 1.0960 1.9
232-2 GASTRIC FUNDOPLICATION 1.3544 2.4
232-3 GASTRIC FUNDOPLICATION 1.4569 4.3
232-4 GASTRIC FUNDOPLICATION 2.9772 13.3
233-1 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 1.1954 3.3
233-2 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 1.6552 5.1
233-3 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 1.6552 5.4
233-4 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 3.0046 10.2
234-1 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 0.8620 1.8
Relative Weights Version 36 Page 6 of 18
DRG Description
Relative
Weight ALOS
234-2 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 1.0115 1.9
234-3 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 1.5257 3.8
234-4 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 1.5257 7.0
240-1 DIGESTIVE MALIGNANCY 1.2827 3.7
240-2 DIGESTIVE MALIGNANCY 1.2827 4.1
240-3 DIGESTIVE MALIGNANCY 1.4326 5.4
240-4 DIGESTIVE MALIGNANCY 2.3218 8.1
241-1 PEPTIC ULCER & GASTRITIS 0.7111 2.7
241-2 PEPTIC ULCER & GASTRITIS 0.8278 3.0
241-3 PEPTIC ULCER & GASTRITIS 1.2891 4.2
241-4 PEPTIC ULCER & GASTRITIS 2.4342 8.3
242-1 MAJOR ESOPHAGEAL DISORDERS 0.4698 1.8
242-2 MAJOR ESOPHAGEAL DISORDERS 0.8606 3.1
242-3 MAJOR ESOPHAGEAL DISORDERS 1.0432 3.4
242-4 MAJOR ESOPHAGEAL DISORDERS 2.1106 6.9
243-1 OTHER ESOPHAGEAL DISORDERS 0.4967 2.3
243-2 OTHER ESOPHAGEAL DISORDERS 0.8217 3.1
243-3 OTHER ESOPHAGEAL DISORDERS 1.1711 4.2
243-4 OTHER ESOPHAGEAL DISORDERS 1.7883 6.5
244-1 DIVERTICULITIS & DIVERTICULOSIS 0.7987 3.3
244-2 DIVERTICULITIS & DIVERTICULOSIS 0.8420 3.5
244-3 DIVERTICULITIS & DIVERTICULOSIS 0.8483 4.1
244-4 DIVERTICULITIS & DIVERTICULOSIS 4.3260 16.6
245-1 INFLAMMATORY BOWEL DISEASE 0.6899 3.0
245-2 INFLAMMATORY BOWEL DISEASE 0.9105 3.6
245-3 INFLAMMATORY BOWEL DISEASE 1.2572 5.1
245-4 INFLAMMATORY BOWEL DISEASE 1.7370 7.5
246-1 GASTROINTESTINAL VASCULAR INSUFFICIENCY 0.6800 2.6
246-2 GASTROINTESTINAL VASCULAR INSUFFICIENCY 0.8582 3.5
246-3 GASTROINTESTINAL VASCULAR INSUFFICIENCY 0.9492 4.4
246-4 GASTROINTESTINAL VASCULAR INSUFFICIENCY 1.8934 6.7
247-1 INTESTINAL OBSTRUCTION 0.6499 2.9
247-2 INTESTINAL OBSTRUCTION 0.8768 3.5
247-3 INTESTINAL OBSTRUCTION 1.2376 4.8
247-4 INTESTINAL OBSTRUCTION 1.5084 6.4
248-1 MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 0.6232 3.0
248-2 MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 1.0409 4.0
248-3 MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 1.1752 4.6
248-4 MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS 1.8270 8.0
249-1 OTHER GASTROENTERITIS, NAUSEA & VOMITING 0.5212 2.4
249-2 OTHER GASTROENTERITIS, NAUSEA & VOMITING 0.6986 2.7
249-3 OTHER GASTROENTERITIS, NAUSEA & VOMITING 0.9423 3.6
249-4 OTHER GASTROENTERITIS, NAUSEA & VOMITING 1.4559 5.9
251-1 ABDOMINAL PAIN 0.6450 2.4
251-2 ABDOMINAL PAIN 0.7360 3.1
251-3 ABDOMINAL PAIN 0.9157 3.7
251-4 ABDOMINAL PAIN 0.9157 6.1
252-1 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 0.7628 2.9
252-2 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 0.9539 3.4
252-3 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 1.3513 4.3
252-4 MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE 1.8597 6.7
253-1 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 0.7137 2.3
253-2 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 0.8103 2.9
253-3 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 1.1654 3.8
253-4 OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 2.0536 6.5
254-1 OTHER DIGESTIVE SYSTEM DIAGNOSES 0.8727 2.8
254-2 OTHER DIGESTIVE SYSTEM DIAGNOSES 1.0062 3.4
254-3 OTHER DIGESTIVE SYSTEM DIAGNOSES 1.3835 4.5
254-4 OTHER DIGESTIVE SYSTEM DIAGNOSES 2.7006 7.2
260-1 MAJOR PANCREAS, LIVER & SHUNT PROCEDURES 2.1793 5.0
260-2 MAJOR PANCREAS, LIVER & SHUNT PROCEDURES 2.3162 5.5
260-3 MAJOR PANCREAS, LIVER & SHUNT PROCEDURES 3.4716 8.9
260-4 MAJOR PANCREAS, LIVER & SHUNT PROCEDURES 6.5347 16.5
261-1 MAJOR BILIARY TRACT PROCEDURES 1.3706 3.7
261-2 MAJOR BILIARY TRACT PROCEDURES 2.0154 5.8
261-3 MAJOR BILIARY TRACT PROCEDURES 2.4934 7.5
261-4 MAJOR BILIARY TRACT PROCEDURES 3.8173 16.9
263-1 CHOLECYSTECTOMY 1.1660 2.6
263-2 CHOLECYSTECTOMY 1.4590 3.7
263-3 CHOLECYSTECTOMY 1.6300 4.5
263-4 CHOLECYSTECTOMY 4.0560 16.5
264-1 OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 1.3161 3.8
264-2 OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 1.3529 3.8
264-3 OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 2.1942 6.8
264-4 OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES 5.2432 11.0
Relative Weights Version 36 Page 7 of 18
DRG Description
Relative
Weight ALOS
279-1 HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 0.4106 2.3
279-2 HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 0.8475 3.3
279-3 HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 1.1494 4.2
279-4 HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS 2.4907 7.1
280-1 ALCOHOLIC LIVER DISEASE 0.5721 2.7
280-2 ALCOHOLIC LIVER DISEASE 0.8251 3.2
280-3 ALCOHOLIC LIVER DISEASE 1.4143 5.1
280-4 ALCOHOLIC LIVER DISEASE 2.8512 7.8
281-1 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 0.5511 2.6
281-2 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 0.9991 4.0
281-3 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 1.1631 4.6
281-4 MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS 2.1355 8.7
282-1 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 0.6661 3.0
282-2 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 0.8159 3.4
282-3 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 1.3427 4.7
282-4 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 3.3913 9.0
283-1 OTHER DISORDERS OF THE LIVER 0.6188 2.8
283-2 OTHER DISORDERS OF THE LIVER 0.8590 3.2
283-3 OTHER DISORDERS OF THE LIVER 1.1236 4.1
283-4 OTHER DISORDERS OF THE LIVER 1.7979 6.5
284-1 DISORDERS OF GALLBLADDER & BILIARY TRACT 0.9175 2.5
284-2 DISORDERS OF GALLBLADDER & BILIARY TRACT 1.0871 3.1
284-3 DISORDERS OF GALLBLADDER & BILIARY TRACT 1.2024 4.1
284-4 DISORDERS OF GALLBLADDER & BILIARY TRACT 1.7199 6.6
301-1 HIP JOINT REPLACEMENT 2.1952 2.3
301-2 HIP JOINT REPLACEMENT 2.3879 2.5
301-3 HIP JOINT REPLACEMENT 2.6082 3.7
301-4 HIP JOINT REPLACEMENT 2.8223 8.0
302-1 KNEE JOINT REPLACEMENT 2.1119 2.2
302-2 KNEE JOINT REPLACEMENT 2.1470 2.4
302-3 KNEE JOINT REPLACEMENT 3.0357 2.7
302-4 KNEE JOINT REPLACEMENT 3.0359 6.7
303-1 DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 7.9883 3.9
303-2 DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 7.9883 4.9
303-3 DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 7.9883 6.6
303-4 DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK 9.8492 10.6
304-1 DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 3.6888 2.4
304-2 DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 4.3629 3.1
304-3 DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 5.8063 5.2
304-4 DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK 6.6129 10.8
305-1 AMPUTATION OF LOWER LIMB EXCEPT TOES 1.3020 3.1
305-2 AMPUTATION OF LOWER LIMB EXCEPT TOES 1.6231 5.0
305-3 AMPUTATION OF LOWER LIMB EXCEPT TOES 2.5640 8.3
305-4 AMPUTATION OF LOWER LIMB EXCEPT TOES 3.2370 9.7
308-1 HIP & FEMUR FRACTURE REPAIR 1.2957 2.1
308-2 HIP & FEMUR FRACTURE REPAIR 1.9381 4.0
308-3 HIP & FEMUR FRACTURE REPAIR 2.4390 5.7
308-4 HIP & FEMUR FRACTURE REPAIR 2.8169 7.1
309-1 OTHER SIGNIFICANT HIP & FEMUR SURGERY 1.4251 2.1
309-2 OTHER SIGNIFICANT HIP & FEMUR SURGERY 2.0841 3.2
309-3 OTHER SIGNIFICANT HIP & FEMUR SURGERY 2.3886 5.1
309-4 OTHER SIGNIFICANT HIP & FEMUR SURGERY 3.8065 10.5
310-1 INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 0.8848 1.9
310-2 INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 1.2556 2.4
310-3 INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 1.7807 4.9
310-4 INTERVERTEBRAL DISC EXCISION & DECOMPRESSION 2.7134 9.3
312-1 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 1.3446 2.9
312-2 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 1.3446 4.2
312-3 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 2.5520 8.5
312-4 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES 7.0106 22.7
313-1 KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 1.5174 2.5
313-2 KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 2.0291 3.6
313-3 KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 2.9460 6.3
313-4 KNEE & LOWER LEG PROCEDURES EXCEPT FOOT 3.7765 11.2
314-1 FOOT & TOE PROCEDURES 1.1135 2.2
314-2 FOOT & TOE PROCEDURES 1.4884 4.7
314-3 FOOT & TOE PROCEDURES 1.8211 5.8
314-4 FOOT & TOE PROCEDURES 2.5693 8.8
315-1 SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 1.3402 2.2
315-2 SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 1.4539 2.6
315-3 SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 2.6520 6.0
315-4 SHOULDER, UPPER ARM & FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 3.1337 8.7
316-1 HAND & WRIST PROCEDURES 0.8369 2.8
316-2 HAND & WRIST PROCEDURES 1.1852 2.9
316-3 HAND & WRIST PROCEDURES 1.5727 5.3
Relative Weights Version 36 Page 8 of 18
DRG Description
Relative
Weight ALOS
316-4 HAND & WRIST PROCEDURES 2.6436 9.8
317-1 TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 0.9395 2.4
317-2 TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 1.5608 5.6
317-3 TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 2.1817 7.2
317-4 TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES 4.8505 13.7
320-1 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 1.4547 2.1
320-2 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 1.9016 3.9
320-3 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 1.9016 5.7
320-4 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES 3.0052 9.4
321-1 CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 1.7760 1.3
321-2 CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 2.2631 2.0
321-3 CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 3.4785 4.9
321-4 CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP 4.4684 9.9
322-1 SHOULDER & ELBOW JOINT REPLACEMENT 2.4796 1.6
322-2 SHOULDER & ELBOW JOINT REPLACEMENT 2.4796 2.0
322-3 SHOULDER & ELBOW JOINT REPLACEMENT 2.4796 2.9
322-4 SHOULDER & ELBOW JOINT REPLACEMENT 2.7989 6.8
340-1 FRACTURE OF FEMUR 1.5498 2.4
340-2 FRACTURE OF FEMUR 1.5498 3.2
340-3 FRACTURE OF FEMUR 1.5498 5.8
340-4 FRACTURE OF FEMUR 1.5498 5.8
341-1 FRACTURE OF PELVIS OR DISLOCATION OF HIP 0.4223 2.6
341-2 FRACTURE OF PELVIS OR DISLOCATION OF HIP 0.4868 3.1
341-3 FRACTURE OF PELVIS OR DISLOCATION OF HIP 0.6298 3.6
341-4 FRACTURE OF PELVIS OR DISLOCATION OF HIP 0.7979 4.5
342-1 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 1.2138 2.3
342-2 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 1.2138 3.1
342-3 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 1.2138 3.8
342-4 FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK 1.4910 5.7
343-1 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 0.9250 3.4
343-2 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 0.9250 3.6
343-3 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 1.6516 6.6
343-4 MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG 2.6214 9.2
344-1 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 0.9765 3.7
344-2 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 1.1807 4.2
344-3 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 1.7593 6.7
344-4 OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS 3.0378 12.2
346-1 CONNECTIVE TISSUE DISORDERS 0.7651 2.9
346-2 CONNECTIVE TISSUE DISORDERS 1.0721 3.9
346-3 CONNECTIVE TISSUE DISORDERS 1.2619 4.6
346-4 CONNECTIVE TISSUE DISORDERS 2.7516 8.6
347-1 OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 1.5489 2.6
347-2 OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 1.8042 3.5
347-3 OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 1.8042 4.2
347-4 OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES 1.8042 6.6
349-1 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 0.4528 1.9
349-2 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 1.5272 3.5
349-3 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 1.9010 6.4
349-4 MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE 1.9010 7.1
351-1 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 1.6484 2.0
351-2 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 1.6484 2.5
351-3 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 1.6484 3.9
351-4 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 1.6484 7.4
361-1 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 1.1819 3.3
361-2 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 1.6343 5.1
361-3 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 2.0522 7.4
361-4 SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES 3.0515 11.1
362-1 MASTECTOMY PROCEDURES 1.2832 1.5
362-2 MASTECTOMY PROCEDURES 1.8174 2.2
362-3 MASTECTOMY PROCEDURES 2.0266 4.1
362-4 MASTECTOMY PROCEDURES 2.0266 4.8
363-1 BREAST PROCEDURES EXCEPT MASTECTOMY 1.2349 3.5
363-2 BREAST PROCEDURES EXCEPT MASTECTOMY 2.2340 3.5
363-3 BREAST PROCEDURES EXCEPT MASTECTOMY 2.6927 4.0
363-4 BREAST PROCEDURES EXCEPT MASTECTOMY 3.0804 15.7
364-1 OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 0.9069 3.0
364-2 OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 1.3459 4.8
364-3 OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 1.9073 6.6
364-4 OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES 2.8951 9.8
380-1 SKIN ULCERS 0.4259 2.7
380-2 SKIN ULCERS 0.8683 3.7
380-3 SKIN ULCERS 1.4048 5.3
380-4 SKIN ULCERS 1.4230 6.2
381-1 MAJOR SKIN DISORDERS 0.3608 2.4
381-2 MAJOR SKIN DISORDERS 0.6053 3.4
Relative Weights Version 36 Page 9 of 18
DRG Description
Relative
Weight ALOS
381-3 MAJOR SKIN DISORDERS 0.9722 4.6
381-4 MAJOR SKIN DISORDERS 1.1768 8.2
382-1 MALIGNANT BREAST DISORDERS 0.9412 3.2
382-2 MALIGNANT BREAST DISORDERS 0.9412 3.2
382-3 MALIGNANT BREAST DISORDERS 0.9412 4.1
382-4 MALIGNANT BREAST DISORDERS 1.3660 5.1
383-1 CELLULITIS & OTHER SKIN INFECTIONS 0.6215 2.6
383-2 CELLULITIS & OTHER SKIN INFECTIONS 0.8181 3.4
383-3 CELLULITIS & OTHER SKIN INFECTIONS 1.1382 4.3
383-4 CELLULITIS & OTHER SKIN INFECTIONS 1.3666 6.6
384-1 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 0.7031 2.3
384-2 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 0.8325 2.8
384-3 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 1.1733 3.1
384-4 CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE 1.6233 5.4
385-1 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 0.6324 2.6
385-2 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 0.8710 3.4
385-3 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 0.8710 4.0
385-4 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS 1.1218 10.9
401-1 ADRENAL PROCEDURES 1.3915 2.2
401-2 ADRENAL PROCEDURES 1.9471 3.3
401-3 ADRENAL PROCEDURES 1.9471 6.4
401-4 ADRENAL PROCEDURES 1.9471 8.9
403-1 PROCEDURES FOR OBESITY 1.6413 2.0
403-2 PROCEDURES FOR OBESITY 1.8736 2.2
403-3 PROCEDURES FOR OBESITY 1.8930 2.6
403-4 PROCEDURES FOR OBESITY 4.9374 10.6
404-1 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 0.9302 1.3
404-2 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 1.3877 2.4
404-3 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 2.0989 3.7
404-4 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES 2.7491 18.5
405-1 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 1.2393 2.4
405-2 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 1.4300 3.8
405-3 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 2.1330 6.3
405-4 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS 4.7365 16.1
420-1 DIABETES 0.5875 2.2
420-2 DIABETES 0.6796 2.4
420-3 DIABETES 0.9930 3.5
420-4 DIABETES 1.8837 5.5
421-1 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 1.1405 2.4
421-2 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 1.1405 4.1
421-3 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 1.1405 5.6
421-4 MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS 1.4878 7.0
422-1 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 0.3563 1.8
422-2 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 0.5883 2.5
422-3 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 0.9654 3.5
422-4 HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS 1.2620 5.5
423-1 INBORN ERRORS OF METABOLISM 1.1681 1.9
423-2 INBORN ERRORS OF METABOLISM 1.1681 3.0
423-3 INBORN ERRORS OF METABOLISM 1.1681 3.4
423-4 INBORN ERRORS OF METABOLISM 1.5521 17.2
424-1 OTHER ENDOCRINE DISORDERS 0.7932 2.5
424-2 OTHER ENDOCRINE DISORDERS 0.9122 2.9
424-3 OTHER ENDOCRINE DISORDERS 1.5166 5.7
424-4 OTHER ENDOCRINE DISORDERS 1.5883 6.0
425-1 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 0.4909 1.3
425-2 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 0.4989 1.3
425-3 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 0.8105 2.1
425-4 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 1.2705 4.2
426-1 NON-HYPOVOLEMIC SODIUM DISORDERS 0.6637 2.7
426-2 NON-HYPOVOLEMIC SODIUM DISORDERS 0.6637 2.8
426-3 NON-HYPOVOLEMIC SODIUM DISORDERS 1.0860 4.0
426-4 NON-HYPOVOLEMIC SODIUM DISORDERS 1.5095 6.6
427-1 THYROID DISORDERS 0.4395 1.9
427-2 THYROID DISORDERS 0.8152 3.2
427-3 THYROID DISORDERS 1.0053 4.2
427-4 THYROID DISORDERS 1.0554 9.1
440-1 KIDNEY TRANSPLANT 5.1645 4.1
440-2 KIDNEY TRANSPLANT 5.2893 4.6
440-3 KIDNEY TRANSPLANT 6.1027 6.1
440-4 KIDNEY TRANSPLANT 10.3645 10.1
441-1 MAJOR BLADDER PROCEDURES 1.7772 4.8
441-2 MAJOR BLADDER PROCEDURES 1.9783 4.8
441-3 MAJOR BLADDER PROCEDURES 3.1089 7.9
441-4 MAJOR BLADDER PROCEDURES 6.3029 16.0
442-1 KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 1.5450 3.2
Relative Weights Version 36 Page 10 of 18
DRG Description
Relative
Weight ALOS
442-2 KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 1.7727 3.7
442-3 KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 2.2815 4.9
442-4 KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY 3.9077 9.7
443-1 KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 1.0205 1.9
443-2 KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 1.4870 2.8
443-3 KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 1.9396 4.6
443-4 KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY 3.2196 9.2
444-1 RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 1.5128 2.0
444-2 RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 1.6537 3.8
444-3 RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 2.5158 7.4
444-4 RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR 3.2119 11.3
445-1 OTHER BLADDER PROCEDURES 0.8815 1.8
445-2 OTHER BLADDER PROCEDURES 0.9041 2.5
445-3 OTHER BLADDER PROCEDURES 1.5848 5.8
445-4 OTHER BLADDER PROCEDURES 2.1197 36.7
446-1 URETHRAL & TRANSURETHRAL PROCEDURES 1.0226 2.4
446-2 URETHRAL & TRANSURETHRAL PROCEDURES 1.0958 2.9
446-3 URETHRAL & TRANSURETHRAL PROCEDURES 1.2404 4.2
446-4 URETHRAL & TRANSURETHRAL PROCEDURES 2.5567 8.5
447-1 OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 1.4747 3.0
447-2 OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 1.6306 3.8
447-3 OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 2.2026 6.4
447-4 OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES 2.4919 10.8
461-1 KIDNEY & URINARY TRACT MALIGNANCY 0.9596 2.7
461-2 KIDNEY & URINARY TRACT MALIGNANCY 0.9596 2.7
461-3 KIDNEY & URINARY TRACT MALIGNANCY 0.9596 4.3
461-4 KIDNEY & URINARY TRACT MALIGNANCY 1.4760 7.1
462-1 NEPHRITIS & NEPHROSIS 0.4761 2.8
462-2 NEPHRITIS & NEPHROSIS 0.6394 3.4
462-3 NEPHRITIS & NEPHROSIS 1.1008 4.6
462-4 NEPHRITIS & NEPHROSIS 1.3793 11.7
463-1 KIDNEY & URINARY TRACT INFECTIONS 0.5258 2.4
463-2 KIDNEY & URINARY TRACT INFECTIONS 0.6386 2.7
463-3 KIDNEY & URINARY TRACT INFECTIONS 0.9635 3.7
463-4 KIDNEY & URINARY TRACT INFECTIONS 1.1204 5.5
465-1 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 0.6802 2.3
465-2 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 0.7569 2.3
465-3 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 0.8652 2.3
465-4 URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION 1.4666 6.3
466-1 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 0.4497 2.3
466-2 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 0.8513 3.4
466-3 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 1.1882 4.0
466-4 MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC 1.9786 5.6
468-1 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 0.7206 2.5
468-2 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 1.1359 3.4
468-3 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 1.2949 4.8
468-4 OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS 1.5520 6.4
469-1 ACUTE KIDNEY INJURY 0.5739 2.3
469-2 ACUTE KIDNEY INJURY 0.7679 2.9
469-3 ACUTE KIDNEY INJURY 1.1766 4.2
469-4 ACUTE KIDNEY INJURY 2.6479 7.9
470-1 CHRONIC KIDNEY DISEASE 0.3424 1.8
470-2 CHRONIC KIDNEY DISEASE 0.8064 2.5
470-3 CHRONIC KIDNEY DISEASE 1.3762 4.1
470-4 CHRONIC KIDNEY DISEASE 1.5285 5.2
480-1 MAJOR MALE PELVIC PROCEDURES 1.2388 2.5
480-2 MAJOR MALE PELVIC PROCEDURES 1.5868 2.6
480-3 MAJOR MALE PELVIC PROCEDURES 2.1020 3.2
480-4 MAJOR MALE PELVIC PROCEDURES 2.1020 15.0
482-1 TRANSURETHRAL PROSTATECTOMY 0.7491 1.6
482-2 TRANSURETHRAL PROSTATECTOMY 0.8345 2.3
482-3 TRANSURETHRAL PROSTATECTOMY 1.2110 4.4
482-4 TRANSURETHRAL PROSTATECTOMY 1.2110 9.3
483-1 PENIS, TESTES & SCROTAL PROCEDURES 1.0999 3.3
483-2 PENIS, TESTES & SCROTAL PROCEDURES 1.2692 3.3
483-3 PENIS, TESTES & SCROTAL PROCEDURES 1.6850 6.5
483-4 PENIS, TESTES & SCROTAL PROCEDURES 2.1890 7.0
484-1 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 0.9103 1.6
484-2 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1.0914 1.6
484-3 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1.6407 1.6
484-4 OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 3.5213 9.7
500-1 MALIGNANCY, MALE REPRODUCTIVE SYSTEM 0.8830 2.8
500-2 MALIGNANCY, MALE REPRODUCTIVE SYSTEM 0.8830 2.9
500-3 MALIGNANCY, MALE REPRODUCTIVE SYSTEM 0.8830 4.2
500-4 MALIGNANCY, MALE REPRODUCTIVE SYSTEM 1.0448 8.0
Relative Weights Version 36 Page 11 of 18
DRG Description
Relative
Weight ALOS
501-1 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 0.6377 2.8
501-2 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 0.7588 2.8
501-3 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 0.7588 3.5
501-4 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 1.6628 7.9
510-1 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS 1.3265 1.6
510-2 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS 1.4942 3.6
510-3 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS 1.4942 4.0
510-4 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS 1.4942 4.0
511-1 UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY 1.3265 3.2
511-2 UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY 1.6539 4.5
511-3 UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY 2.2121 6.6
511-4 UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY 4.1135 11.8
512-1 UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG 1.5328 2.6
512-2 UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG 1.5328 3.4
512-3 UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG 1.9295 4.3
512-4 UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG 2.8406 9.4
513-1 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 0.9314 2.1
513-2 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 1.1862 2.7
513-3 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 1.7416 4.9
513-4 UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 1.8858 11.1
514-1 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.1146 1.9
514-2 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.1913 1.9
514-3 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.2080 2.5
514-4 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.2080 2.5
517-1 DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 0.7369 1.8
517-2 DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 0.8155 2.0
517-3 DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 2.0448 5.9
517-4 DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 2.5496 7.6
518-1 OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1.0265 1.8
518-2 OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 1.3390 3.9
518-3 OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 2.1198 5.8
518-4 OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES 2.4245 15.6
519-1 UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 1.0077 2.2
519-2 UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 1.1017 2.4
519-3 UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 1.8917 4.9
519-4 UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA 1.8917 24.5
530-1 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 0.4342 2.2
530-2 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 0.7176 2.9
530-3 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 0.9511 4.1
530-4 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 1.7836 7.8
531-1 FEMALE REPRODUCTIVE SYSTEM INFECTIONS 0.5684 2.4
531-2 FEMALE REPRODUCTIVE SYSTEM INFECTIONS 0.7199 2.9
531-3 FEMALE REPRODUCTIVE SYSTEM INFECTIONS 0.8189 3.8
531-4 FEMALE REPRODUCTIVE SYSTEM INFECTIONS 1.0284 8.2
532-1 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 0.7350 2.3
532-2 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 0.7350 2.5
532-3 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 0.7350 3.1
532-4 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 0.9431 9.7
540-1 CESAREAN DELIVERY 0.7377 2.7
540-2 CESAREAN DELIVERY 0.9446 3.3
540-3 CESAREAN DELIVERY 1.2067 4.2
540-4 CESAREAN DELIVERY 2.3996 6.6
541-1 VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.7472 2.2
541-2 VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.8145 2.4
541-3 VAGINAL DELIVERY W STERILIZATION &/OR D&C 1.2002 3.2
541-4 VAGINAL DELIVERY W STERILIZATION &/OR D&C 1.8579 4.5
542-1 VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 0.6390 2.3
542-2 VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 0.7248 2.6
542-3 VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 0.7843 2.7
542-4 VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C 0.9659 4.0
544-1 D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES 0.6046 2.1
544-2 D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES 0.7336 2.1
544-3 D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES 1.0393 3.1
544-4 D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES 2.2336 5.9
545-1 ECTOPIC PREGNANCY PROCEDURE 0.8515 2.1
545-2 ECTOPIC PREGNANCY PROCEDURE 0.8553 2.4
545-3 ECTOPIC PREGNANCY PROCEDURE 1.2115 2.4
545-4 ECTOPIC PREGNANCY PROCEDURE 1.2115 14.0
546-1 OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES 0.7190 2.4
546-2 OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES 0.7190 2.4
546-3 OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES 2.0658 4.3
546-4 OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES 2.0658 9.3
560-1 VAGINAL DELIVERY 0.5717 2.2
560-2 VAGINAL DELIVERY 0.6515 2.4
560-3 VAGINAL DELIVERY 0.8864 3.1
Relative Weights Version 36 Page 12 of 18
DRG Description
Relative
Weight ALOS
560-4 VAGINAL DELIVERY 1.5552 4.5
561-1 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE 0.4895 2.0
561-2 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE 0.6240 2.7
561-3 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE 0.9444 3.8
561-4 POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE 1.3181 4.4
563-1 PRETERM LABOR 0.4486 2.1
563-2 PRETERM LABOR 0.7633 3.0
563-3 PRETERM LABOR 0.7633 3.0
563-4 PRETERM LABOR 0.7633 3.1
564-1 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.3090 1.2
564-2 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6648 1.6
564-3 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6648 1.8
564-4 ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6648 9.0
565-1 FALSE LABOR 0.1509 1.2
565-2 FALSE LABOR 0.5791 2.6
565-3 FALSE LABOR 0.5791 2.6
565-4 FALSE LABOR 0.5791 2.6
566-1 OTHER ANTEPARTUM DIAGNOSES 0.4967 2.1
566-2 OTHER ANTEPARTUM DIAGNOSES 0.6586 2.7
566-3 OTHER ANTEPARTUM DIAGNOSES 0.7532 3.2
566-4 OTHER ANTEPARTUM DIAGNOSES 1.3309 5.2
580-1 NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE 0.2558 1.4
580-2 NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE 0.3244 1.4
580-3 NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE 0.5568 1.4
580-4 NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE 0.5568 1.5
581-1 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 0.2025 1.3
581-2 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 0.2749 1.3
581-3 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 0.3337 1.3
581-4 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 0.6586 1.3
583-1 NEONATE W ECMO 15.3123 13.0
583-2 NEONATE W ECMO 15.3123 36.9
583-3 NEONATE W ECMO 15.3123 36.9
583-4 NEONATE W ECMO 15.3123 36.9
588-1 NEONATE BWT <1500G W MAJOR PROCEDURE 13.5926 55.4
588-2 NEONATE BWT <1500G W MAJOR PROCEDURE 13.5926 55.4
588-3 NEONATE BWT <1500G W MAJOR PROCEDURE 13.5926 66.6
588-4 NEONATE BWT <1500G W MAJOR PROCEDURE 31.0476 96.5
589-1 NEONATE BWT <500G OR GA <24 WEEKS 5.2380 24.6
589-2 NEONATE BWT <500G OR GA <24 WEEKS 5.2380 24.6
589-3 NEONATE BWT <500G OR GA <24 WEEKS 5.2380 24.6
589-4 NEONATE BWT <500G OR GA <24 WEEKS 5.2380 24.6
591-1 NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE 8.2595 29.0
591-2 NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE 8.2595 47.5
591-3 NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE 8.2595 47.5
591-4 NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE 18.0576 47.5
593-1 NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE 8.0675 6.0
593-2 NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE 8.0675 37.0
593-3 NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE 12.8038 53.5
593-4 NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE 16.1409 60.1
602-1 NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 7.5653 29.1
602-2 NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 7.5653 45.7
602-3 NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 10.6637 56.9
602-4 NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 11.5401 56.9
603-1 NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION 5.8817 14.8
603-2 NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION 6.6402 39.9
603-3 NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION 6.7356 42.4
603-4 NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION 6.7356 70.0
607-1 NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 3.9096 25.7
607-2 NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 7.5073 41.4
607-3 NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 8.1399 41.4
607-4 NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM 11.2326 55.1
608-1 NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION 3.2927 20.6
608-2 NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION 4.9775 28.4
608-3 NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION 6.9123 40.3
608-4 NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION 6.9123 48.0
609-1 NEONATE BWT 1500-2499G W MAJOR PROCEDURE 9.0024 29.7
609-2 NEONATE BWT 1500-2499G W MAJOR PROCEDURE 9.0024 29.7
609-3 NEONATE BWT 1500-2499G W MAJOR PROCEDURE 9.0024 29.7
609-4 NEONATE BWT 1500-2499G W MAJOR PROCEDURE 17.1121 52.9
611-1 NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 1.8326 13.3
611-2 NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 5.6967 28.9
611-3 NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 6.6628 30.8
611-4 NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY 13.0510 46.4
612-1 NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 3.3154 18.5
612-2 NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 4.8166 25.4
Relative Weights Version 36 Page 13 of 18
DRG Description
Relative
Weight ALOS
612-3 NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 6.3430 31.7
612-4 NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND 7.1197 34.1
613-1 NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION 2.6743 9.7
613-2 NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION 2.6743 17.6
613-3 NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION 3.7670 26.4
613-4 NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION 3.7670 26.4
614-1 NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 1.9508 9.7
614-2 NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 3.3795 18.1
614-3 NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 4.8604 26.2
614-4 NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION 4.8604 34.3
621-1 NEONATE BWT 2000-2499G W MAJOR ANOMALY 1.2977 6.8
621-2 NEONATE BWT 2000-2499G W MAJOR ANOMALY 2.0105 12.1
621-3 NEONATE BWT 2000-2499G W MAJOR ANOMALY 4.2376 16.5
621-4 NEONATE BWT 2000-2499G W MAJOR ANOMALY 10.7063 34.0
622-1 NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 2.4614 12.2
622-2 NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 3.3691 17.3
622-3 NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 3.7640 17.3
622-4 NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND 5.7609 22.9
623-1 NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 1.0269 7.9
623-2 NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 2.0144 11.9
623-3 NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 2.0144 17.7
623-4 NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION 2.0144 38.0
625-1 NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 2.8227 11.7
625-2 NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 2.8227 16.2
625-3 NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 2.8227 21.2
625-4 NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION 2.8227 21.2
626-1 NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 0.4585 2.9
626-2 NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 0.4585 2.9
626-3 NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 1.2739 5.5
626-4 NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 1.2739 17.0
630-1 NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE 3.9052 3.8
630-2 NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE 3.9052 5.6
630-3 NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE 3.9052 7.9
630-4 NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE 14.5085 21.8
631-1 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE 1.2826 2.2
631-2 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE 3.5029 11.4
631-3 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE 3.7378 11.4
631-4 NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE 14.6676 30.1
633-1 NEONATE BIRTHWT >2499G W MAJOR ANOMALY 0.5078 2.7
633-2 NEONATE BIRTHWT >2499G W MAJOR ANOMALY 1.9897 6.6
633-3 NEONATE BIRTHWT >2499G W MAJOR ANOMALY 3.8271 13.3
633-4 NEONATE BIRTHWT >2499G W MAJOR ANOMALY 7.3783 21.3
634-1 NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 1.0187 4.8
634-2 NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 2.0814 8.8
634-3 NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 2.8496 9.5
634-4 NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND 5.3951 14.1
636-1 NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 1.1649 5.7
636-2 NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 1.1649 5.7
636-3 NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 1.1649 5.7
636-4 NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION 1.1649 5.7
639-1 NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 1.4698 5.9
639-2 NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 2.3308 10.0
639-3 NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 3.2374 10.0
639-4 NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION 3.2374 10.0
640-1 NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 0.2505 2.1
640-2 NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 0.3245 2.4
640-3 NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 0.6536 3.3
640-4 NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM 0.6536 3.3
650-1 SPLENECTOMY 1.5573 3.1
650-2 SPLENECTOMY 1.5573 3.5
650-3 SPLENECTOMY 2.9376 6.7
650-4 SPLENECTOMY 3.1219 13.6
651-1 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 1.2638 4.4
651-2 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 1.4142 4.4
651-3 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 1.8745 5.4
651-4 OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS 2.0650 16.5
660-1 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 0.6738 2.5
660-2 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 1.0724 4.1
660-3 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 1.7417 5.8
660-4 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 3.1851 8.2
661-1 COAGULATION & PLATELET DISORDERS 0.7759 2.2
661-2 COAGULATION & PLATELET DISORDERS 0.9598 2.5
661-3 COAGULATION & PLATELET DISORDERS 1.2191 4.2
661-4 COAGULATION & PLATELET DISORDERS 3.2207 8.1
662-1 SICKLE CELL ANEMIA CRISIS 0.8281 3.9
Relative Weights Version 36 Page 14 of 18
DRG Description
Relative
Weight ALOS
662-2 SICKLE CELL ANEMIA CRISIS 1.0231 4.6
662-3 SICKLE CELL ANEMIA CRISIS 1.6234 6.5
662-4 SICKLE CELL ANEMIA CRISIS 2.0963 7.9
663-1 OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 0.6916 2.3
663-2 OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 0.8769 3.0
663-3 OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 1.0335 3.5
663-4 OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS 1.3548 5.1
680-1 MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1.5467 3.3
680-2 MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 2.8242 8.0
680-3 MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 3.6665 8.8
680-4 MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 5.2899 13.4
681-1 OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1.1698 2.0
681-2 OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 1.5402 5.4
681-3 OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 4.1543 13.8
681-4 OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS 5.5718 14.4
690-1 ACUTE LEUKEMIA 0.9464 5.3
690-2 ACUTE LEUKEMIA 2.8732 6.6
690-3 ACUTE LEUKEMIA 5.9321 16.6
690-4 ACUTE LEUKEMIA 6.1405 16.6
691-1 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 1.2801 2.8
691-2 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 1.7259 5.2
691-3 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 1.7259 5.5
691-4 LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA 3.3808 8.9
692-1 RADIOTHERAPY 1.1197 11.0
692-2 RADIOTHERAPY 1.9801 11.0
692-3 RADIOTHERAPY 1.9801 11.0
692-4 RADIOTHERAPY 3.3649 11.0
694-1 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 0.8880 3.2
694-2 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 1.1695 3.9
694-3 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 1.1695 4.3
694-4 LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR 1.9893 7.1
695-1 CHEMOTHERAPY FOR ACUTE LEUKEMIA 1.0055 4.1
695-2 CHEMOTHERAPY FOR ACUTE LEUKEMIA 1.0055 4.1
695-3 CHEMOTHERAPY FOR ACUTE LEUKEMIA 2.8937 8.8
695-4 CHEMOTHERAPY FOR ACUTE LEUKEMIA 6.3189 19.1
696-1 OTHER CHEMOTHERAPY 0.6977 2.4
696-2 OTHER CHEMOTHERAPY 0.9691 2.9
696-3 OTHER CHEMOTHERAPY 1.5116 4.0
696-4 OTHER CHEMOTHERAPY 2.7406 7.4
710-1 INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 1.0642 3.9
710-2 INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 1.8007 5.6
710-3 INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 2.9090 9.0
710-4 INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE 5.5282 14.3
711-1 POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 1.3805 4.1
711-2 POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 1.6460 5.6
711-3 POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 3.0013 9.3
711-4 POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE 4.8139 12.6
720-1 SEPTICEMIA & DISSEMINATED INFECTIONS 0.6926 2.8
720-2 SEPTICEMIA & DISSEMINATED INFECTIONS 0.8829 3.4
720-3 SEPTICEMIA & DISSEMINATED INFECTIONS 1.3171 4.5
720-4 SEPTICEMIA & DISSEMINATED INFECTIONS 3.0335 7.7
721-1 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 0.7333 3.1
721-2 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 0.9794 3.8
721-3 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 1.6260 6.1
721-4 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 2.7899 8.3
722-1 FEVER 0.4456 2.2
722-2 FEVER 0.6543 3.0
722-3 FEVER 0.7305 3.0
722-4 FEVER 1.0624 4.3
723-1 VIRAL ILLNESS 0.3703 2.0
723-2 VIRAL ILLNESS 0.5330 2.1
723-3 VIRAL ILLNESS 0.9418 3.7
723-4 VIRAL ILLNESS 1.7772 5.5
724-1 OTHER INFECTIOUS & PARASITIC DISEASES 0.7963 3.1
724-2 OTHER INFECTIOUS & PARASITIC DISEASES 0.8973 3.7
724-3 OTHER INFECTIOUS & PARASITIC DISEASES 1.8597 6.5
724-4 OTHER INFECTIOUS & PARASITIC DISEASES 2.3487 8.2
740-1 MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE LOC-Psych LOC-Psych
740-2 MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE LOC-Psych LOC-Psych
740-3 MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE LOC-Psych LOC-Psych
740-4 MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE LOC-Psych LOC-Psych
750-1 SCHIZOPHRENIA LOC-Psych LOC-Psych
750-2 SCHIZOPHRENIA LOC-Psych LOC-Psych
750-3 SCHIZOPHRENIA LOC-Psych LOC-Psych
750-4 SCHIZOPHRENIA LOC-Psych LOC-Psych
Relative Weights Version 36 Page 15 of 18
DRG Description
Relative
Weight ALOS
751-1 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES LOC-Psych LOC-Psych
751-2 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES LOC-Psych LOC-Psych
751-3 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES LOC-Psych LOC-Psych
751-4 MAJOR DEPRESSIVE DISORDERS & OTHER/UNSPECIFIED PSYCHOSES LOC-Psych LOC-Psych
752-1 DISORDERS OF PERSONALITY & IMPULSE CONTROL LOC-Psych LOC-Psych
752-2 DISORDERS OF PERSONALITY & IMPULSE CONTROL LOC-Psych LOC-Psych
752-3 DISORDERS OF PERSONALITY & IMPULSE CONTROL LOC-Psych LOC-Psych
752-4 DISORDERS OF PERSONALITY & IMPULSE CONTROL LOC-Psych LOC-Psych
753-1 BIPOLAR DISORDERS LOC-Psych LOC-Psych
753-2 BIPOLAR DISORDERS LOC-Psych LOC-Psych
753-3 BIPOLAR DISORDERS LOC-Psych LOC-Psych
753-4 BIPOLAR DISORDERS LOC-Psych LOC-Psych
754-1 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER LOC-Psych LOC-Psych
754-2 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER LOC-Psych LOC-Psych
754-3 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER LOC-Psych LOC-Psych
754-4 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER LOC-Psych LOC-Psych
755-1 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES LOC-Psych LOC-Psych
755-2 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES LOC-Psych LOC-Psych
755-3 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES LOC-Psych LOC-Psych
755-4 ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES LOC-Psych LOC-Psych
756-1 ACUTE ANXIETY & DELIRIUM STATES LOC-Psych LOC-Psych
756-2 ACUTE ANXIETY & DELIRIUM STATES LOC-Psych LOC-Psych
756-3 ACUTE ANXIETY & DELIRIUM STATES LOC-Psych LOC-Psych
756-4 ACUTE ANXIETY & DELIRIUM STATES LOC-Psych LOC-Psych
757-1 ORGANIC MENTAL HEALTH DISTURBANCES 0.4443 4.2
757-2 ORGANIC MENTAL HEALTH DISTURBANCES 0.5680 5.6
757-3 ORGANIC MENTAL HEALTH DISTURBANCES 0.7201 7.4
757-4 ORGANIC MENTAL HEALTH DISTURBANCES 1.9267 9.0
758-1 BEHAVIORAL DISORDERS LOC-Psych LOC-Psych
758-2 BEHAVIORAL DISORDERS LOC-Psych LOC-Psych
758-3 BEHAVIORAL DISORDERS LOC-Psych LOC-Psych
758-4 BEHAVIORAL DISORDERS LOC-Psych LOC-Psych
759-1 EATING DISORDERS LOC-Psych LOC-Psych
759-2 EATING DISORDERS LOC-Psych LOC-Psych
759-3 EATING DISORDERS LOC-Psych LOC-Psych
759-4 EATING DISORDERS LOC-Psych LOC-Psych
760-1 OTHER MENTAL HEALTH DISORDERS LOC-Psych LOC-Psych
760-2 OTHER MENTAL HEALTH DISORDERS LOC-Psych LOC-Psych
760-3 OTHER MENTAL HEALTH DISORDERS LOC-Psych LOC-Psych
760-4 OTHER MENTAL HEALTH DISORDERS LOC-Psych LOC-Psych
770-1 DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 0.2288 2.2
770-2 DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 0.3086 2.2
770-3 DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 0.4754 2.2
770-4 DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 0.7053 5.5
772-1 ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY 0.3253 4.7
772-2 ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY 0.3253 4.7
772-3 ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY 0.3253 4.7
772-4 ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY 0.3253 4.7
773-1 OPIOID ABUSE & DEPENDENCE 0.4328 3.8
773-2 OPIOID ABUSE & DEPENDENCE 0.5106 4.6
773-3 OPIOID ABUSE & DEPENDENCE 0.6741 4.6
773-4 OPIOID ABUSE & DEPENDENCE 1.4932 5.9
774-1 COCAINE ABUSE & DEPENDENCE 0.2790 2.4
774-2 COCAINE ABUSE & DEPENDENCE 0.5497 3.7
774-3 COCAINE ABUSE & DEPENDENCE 1.0865 4.1
774-4 COCAINE ABUSE & DEPENDENCE 1.6390 5.8
775-1 ALCOHOL ABUSE & DEPENDENCE 0.4874 3.4
775-2 ALCOHOL ABUSE & DEPENDENCE 0.6298 3.7
775-3 ALCOHOL ABUSE & DEPENDENCE 1.0866 4.4
775-4 ALCOHOL ABUSE & DEPENDENCE 2.3176 6.0
776-1 OTHER DRUG ABUSE & DEPENDENCE 0.5025 3.7
776-2 OTHER DRUG ABUSE & DEPENDENCE 0.5025 3.7
776-3 OTHER DRUG ABUSE & DEPENDENCE 0.6114 3.7
776-4 OTHER DRUG ABUSE & DEPENDENCE 1.0581 7.6
792-1 EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.3961 2.6
792-2 EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.8093 3.7
792-3 EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2.4091 6.5
792-4 EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 4.9311 10.9
793-1 MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.1101 2.9
793-2 MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.2729 3.9
793-3 MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.8148 5.0
793-4 MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3.5130 9.3
794-1 NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 0.8086 2.0
794-2 NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 0.9659 2.7
794-3 NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.4147 4.9
Relative Weights Version 36 Page 16 of 18
DRG Description
Relative
Weight ALOS
794-4 NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.7619 13.5
810-1 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 0.6235 2.3
810-2 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 0.7651 2.3
810-3 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 0.9584 3.4
810-4 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 1.7448 5.6
811-1 ALLERGIC REACTIONS 0.4251 1.5
811-2 ALLERGIC REACTIONS 0.6792 2.5
811-3 ALLERGIC REACTIONS 1.1699 3.2
811-4 ALLERGIC REACTIONS 1.5012 4.8
812-1 POISONING OF MEDICINAL AGENTS 0.5564 1.9
812-2 POISONING OF MEDICINAL AGENTS 0.6632 2.4
812-3 POISONING OF MEDICINAL AGENTS 0.8267 2.5
812-4 POISONING OF MEDICINAL AGENTS 1.4069 3.4
813-1 OTHER COMPLICATIONS OF TREATMENT 0.5145 2.2
813-2 OTHER COMPLICATIONS OF TREATMENT 0.9598 3.3
813-3 OTHER COMPLICATIONS OF TREATMENT 1.1401 3.3
813-4 OTHER COMPLICATIONS OF TREATMENT 1.7896 6.8
815-1 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 0.4403 1.6
815-2 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 0.6194 2.6
815-3 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 0.7777 3.3
815-4 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES 1.9171 4.6
816-1 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 0.5369 1.6
816-2 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 0.6869 2.4
816-3 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 0.8122 2.5
816-4 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 1.7864 3.9
817-1 OVERDOSE 0.5305 2.3
817-2 OVERDOSE 0.6544 2.3
817-3 OVERDOSE 0.7455 2.7
817-4 OVERDOSE 1.7060 4.2
841-1 EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT LOC-Burn LOC-Burn
841-2 EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT LOC-Burn LOC-Burn
841-3 EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT LOC-Burn LOC-Burn
841-4 EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT LOC-Burn LOC-Burn
842-1 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS LOC-Burn LOC-Burn
842-2 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS LOC-Burn LOC-Burn
842-3 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS LOC-Burn LOC-Burn
842-4 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS LOC-Burn LOC-Burn
843-1 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT LOC-Burn LOC-Burn
843-2 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT LOC-Burn LOC-Burn
843-3 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT LOC-Burn LOC-Burn
843-4 EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT LOC-Burn LOC-Burn
844-1 PARTIAL THICKNESS BURNS W/O SKIN GRAFT LOC-Burn LOC-Burn
844-2 PARTIAL THICKNESS BURNS W/O SKIN GRAFT LOC-Burn LOC-Burn
844-3 PARTIAL THICKNESS BURNS W/O SKIN GRAFT LOC-Burn LOC-Burn
844-4 PARTIAL THICKNESS BURNS W/O SKIN GRAFT LOC-Burn LOC-Burn
850-1 PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 1.9996 2.5
850-2 PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 2.2806 3.1
850-3 PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 2.7420 5.0
850-4 PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE 3.3883 9.4
860-1 REHABILITATION LOC-Rehab LOC-Rehab
860-2 REHABILITATION LOC-Rehab LOC-Rehab
860-3 REHABILITATION LOC-Rehab LOC-Rehab
860-4 REHABILITATION LOC-Rehab LOC-Rehab
861-1 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 0.7569 2.8
861-2 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 0.9371 3.5
861-3 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 1.4504 5.0
861-4 SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS 1.4504 6.8
862-1 OTHER AFTERCARE & CONVALESCENCE 1.2970 7.1
862-2 OTHER AFTERCARE & CONVALESCENCE 1.6712 8.1
862-3 OTHER AFTERCARE & CONVALESCENCE 2.3787 10.4
862-4 OTHER AFTERCARE & CONVALESCENCE 3.2857 13.0
863-1 NEONATAL AFTERCARE 1.4382 8.8
863-2 NEONATAL AFTERCARE 3.6223 18.3
863-3 NEONATAL AFTERCARE 7.2491 27.8
863-4 NEONATAL AFTERCARE 9.6208 27.8
890-1 HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 1.2551 4.6
890-2 HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 1.2551 4.6
890-3 HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 1.2551 4.6
890-4 HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS 3.2493 8.3
892-1 HIV W MAJOR HIV RELATED CONDITION 0.7081 2.5
892-2 HIV W MAJOR HIV RELATED CONDITION 0.7081 2.9
892-3 HIV W MAJOR HIV RELATED CONDITION 0.9728 4.2
892-4 HIV W MAJOR HIV RELATED CONDITION 2.0837 6.2
893-1 HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 0.7316 3.4
893-2 HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 0.7316 3.4
Relative Weights Version 36 Page 17 of 18
DRG Description
Relative
Weight ALOS
893-3 HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 0.7316 3.4
893-4 HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 1.2117 37.0
894-1 HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 0.7791 2.6
894-2 HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 0.7791 2.6
894-3 HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 0.7791 2.6
894-4 HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND 1.1417 5.1
910-1 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 4.2165 3.0
910-2 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 4.2165 3.0
910-3 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 4.2165 8.6
910-4 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 6.5299 8.6
911-1 EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA 1.9334 4.9
911-2 EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA 1.9764 4.9
911-3 EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA 2.9232 7.8
911-4 EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA 5.8529 11.1
912-1 MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2.2014 5.0
912-2 MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2.5223 5.8
912-3 MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 4.2534 7.0
912-4 MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 6.7304 10.2
930-1 MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 0.7945 2.3
930-2 MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 1.1245 3.1
930-3 MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 1.4522 4.1
930-4 MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE 2.4680 5.2
950-1 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.5625 3.1
950-2 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.2919 5.1
950-3 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.4165 5.8
950-4 EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 5.2834 11.3
951-1 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.2648 2.8
951-2 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.6859 4.2
951-3 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.7641 6.8
951-4 MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 4.2629 10.7
952-1 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 0.8576 2.5
952-2 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.2737 4.1
952-3 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.8981 5.9
952-4 NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3.0879 9.4
955-0 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 0.0000 0.0
956-0 UNGROUPABLE 0.0
Relative Weights Version 36 Page 18 of 18
0.0000