2014 WC FEE SCHEDULE

Table B: Federal Register Table 5


DRG #
DESCRIPTION OF DRG
RELATIVE
WEIGHT
GEOMETRIC
MEAN
LENGTH OF
STAY
ARITHMETIC
MEAN
LENGTH OF
STAY
OUTLIER
THRESHOLD
 
 
Implied
Decimal 4
Implied Decimal 1
Implied
Decimal 2
(in days)
201 OTHER HEPATOBILIARY OR PANCREAS 32322 121 170 3400
202 CIRRHOSIS & ALCOHOLIC HEPATITIS 13087 64 87 2800
203 MALIGNANCY OF HEPATOBILIARY SYSTEM 12384 63 89 2800
204 DISORDERS OF PANCREAS EXCEPT 11376 57 73 2800
205 DISORDERS OF LIVER EXCEPT MALIG, 12284 61 84 2800
206 DISORDERS OF LIVER EXCEPT MALIG, 6220 34 47 2500
207 DISORDERS OF THE BILIARY TRACT W 10063 49 64 2700
208 DISORDERS OF THE BILIARY TRACT W/O 5661 29 37 2300
209 MAJOR JOINT & LIMB REATTACHMENT 23173 77 86 2900
210 HIP & FEMUR PROCEDURES EXCEPT 18427 90 106 3100
211 HIP & FEMUR PROCEDURES EXCEPT 12990 70 79 2900
212 HIP & FEMUR PROCEDURES EXCEPT 9084 36 41 1900
213 AMPUTATION FOR MUSCULOSKELETAL 17234 82 113 3000
214 BACK & NECK PROCEDURES W CC 19237 65 82 2800
215 BACK & NECK PROCEDURES W/O CC 10977 39 48 2400
216 BIOPSIES OF MUSCULOSKELETAL SYSTEM 21046 93 133 3100
217 WND DEBRID & SKN GRFT EXCEPT HAND 30084 123 189 3400
218 LOWER EXTREM & HUMER PROC EXCEPT 14028 57 74 2800
219 LOWER EXTREM & HUMER PROC EXCEPT 9132 36 44 2300
220 *LOWER EXTREM & HUMER PROC EXCEPT 9626 53 53 2700
221 KNEE PROCEDURES W CC 17911 67 93 2900
222 KNEE PROCEDURES W/O CC 9852 35 47 2500
223 MAJOR SHOULDER/ELBOW PROC, OR 8162 25 32 1800
224 SHOULDER, ELBOW OR FOREARM PROC, 6932 22 27 1300
225 FOOT PROCEDURES 9006 33 51 2500
226 SOFT TISSUE PROCEDURES W CC 13381 50 77 2700
227 SOFT TISSUE PROCEDURES W/O CC 6999 24 32 2000
228 MAJOR THUMB OR JOINT PROC, OR OTH 8409 23 35 2400
229 HAND OR WRIST PROC, EXCEPT MAJOR 5964 19 25 1500
230 LOCAL EXCISION & REMOVAL OF INT 9145 35 55 2600
231 LOCAL EXCISION & REMOVAL OF INT 11275 35 54 2500
232 ARTHROSCOPY 11560 32 58 2500
233 OTHER MUSCULOSKELET SYS & CONN 19051 74 106 2900
234 OTHER MUSCULOSKELET SYS & CONN 9529 35 48 2600
235 FRACTURES OF FEMUR 8964 57 88 2800
236 FRACTURES OF HIP & PELVIS 7772 55 76 2700
237 SPRAINS, STRAINS, & DISLOCATIONS 5535 37 50 2600
238 OSTEOMYELITIS 14939 91 123 3100
239 PATHOLOGICAL FRACTURES & 10338 68 90 2900
240 CONNECTIVE TISSUE DISORDERS W CC 11889 64 87 2800
241 CONNECTIVE TISSUE DISORDERS W/O CC 5835 39 52 2600
242 SEPTIC ARTHRITIS 11440 70 93 2900
243 MEDICAL BACK PROBLEMS 7122 49 64 2700
244 BONE DISEASES & SPECIFIC 7346 49 66 2700
245 BONE DISEASES & SPECIFIC 4813 34 47 2500
246 NON-SPECIFIC ARTHROPATHIES 5529 37 48 2600
247 SIGNS & SYMPTOMS OF 5532 33 45 2500
248 TENDONITIS, MYOSITIS & BURSITIS 7117 44 58 2600
249 AFTERCARE, MUSCULOSKELETAL SYSTEM 6486 34 50 2500
250 FX, SPRN, STRN & DISL OF FOREARM, 6950 41 57 2600
251 FX, SPRN, STRN & DISL OF FOREARM, 4510 25 34 2300
252 *FX, SPRN, STRN & DISL OF FOREARM, 3642 18 18 1500
253 FX, SPRN, STRN & DISL OF UPARM, 7617 50 70 2700
254 FX, SPRN, STRN & DISL OF UPARM, 4324 32 43 2500
255 *FX, SPRN, STRN & DISL OF UPARM, 4831 29 29 2500
256 OTHER MUSCULOSKELETAL SYSTEM & 6397 34 47 2500
257 TOTAL MASTECTOMY FOR MALIGNANCY W 8843 35 42 2000
258 TOTAL MASTECTOMY FOR MALIGNANCY W/ 6989 27 31 1200
259 SUBTOTAL MASTECTOMY FOR MALIGNANCY 8291 28 41 2500
260 SUBTOTAL MASTECTOMY FOR MALIGNANCY 5840 19 22 1000
261 BREAST PROC FOR NON-MALIGNANCY 7432 20 25 1200
262 BREAST BIOPSY & LOCAL EXCISION FOR 6491 25 39 2500
263 SKIN GRAFT &/OR DEBRID FOR SKN 23540 125 176 3500
264 SKIN GRAFT &/OR DEBRID FOR SKN 11663 71 96 2900
265 SKIN GRAFT &/OR DEBRID EXCEPT FOR 13953 54 83 2700
266 SKIN GRAFT &/OR DEBRID EXCEPT FOR 7358 29 40 2500
267 PERIANAL & PILONIDAL PROCEDURES 6935 26 42 2500
268 SKIN, SUBCUTANEOUS TISSUE & BREAST 8356 25 39 2500
269 OTHER SKIN, SUBCUT TISS & BREAST 17025 74 109 2900
270 OTHER SKIN, SUBCUT TISS & BREAST 6610 25 36 2500
271 SKIN ULCERS 11343 76 100 3000
272 MAJOR SKIN DISORDERS W CC 10072 63 82 2800
273 MAJOR SKIN DISORDERS W/O CC 6339 46 61 2700
274 MALIGNANT BREAST DISORDERS W CC 11084 59 92 2800
275 MALIGNANT BREAST DISORDERS W/O CC 5132 26 41 2500
276 NON-MALIGANT BREAST DISORDERS 6137 40 54 2600
277 CELLULITIS AGE >17 W CC 8804 62 76 2800
278 CELLULITIS AGE >17 W/O CC 5850 48 57 2700
279 CELLULITIS AGE 0-17 6708 37 43 2200
280 TRAUMA TO THE SKIN, SUBCUT TISS & 6729 42 57 2600
281 TRAUMA TO THE SKIN, SUBCUT TISS & 4344 29 39 2500
282 *TRAUMA TO THE SKIN, SUBCUT TISS & 3566 22 22 1900
283 MINOR SKIN DISORDERS W CC 7155 48 63 2700
284 MINOR SKIN DISORDERS W/O CC 4342 33 43 2500
285 AMPUTAT OF LOWER LIMB FOR 25270 126 175 3500
286 ADRENAL & PITUITARY PROCEDURES 22621 76 93 3000
287 SKIN GRAFTS & WOUND DEBRID FOR 21035 114 164 3300
288 O.R. PROCEDURES FOR OBESITY 19030 58 80 2800
289 PARATHYROID PROCEDURES 10063 32 46 2500
290 THYROID PROCEDURES 7931 24 30 1500
291 THYROGLOSSAL PROCEDURES 5102 16 20 900
292 OTHER ENDOCRINE, NUTRIT & METAB 27197 102 150 3200
293 OTHER ENDOCRINE, NUTRIT & METAB 11604 47 66 2700
294 DIABETES AGE >35 7463 52 65 2700
295 DIABETES AGE 0-35 7433 39 51 2600
296 NUTRITIONAL & MISC METABOLIC 9179 54 74 2700
297 NUTRITIONAL & MISC METABOLIC 5305 37 47 2600
298 NUTRITIONAL & MISC METABOLIC 5421 27 43 2500
299 INBORN ERRORS OF METABOLISM 8118 43 61 2600
300 ENDOCRINE DISORDERS W CC 10982 63 83 2800
301 ENDOCRINE DISORDERS W/O CC 6003 37 49 2600
302 KIDNEY TRANSPLANT 41394 126 146 3500
303 KIDNEY, URETER & MAJOR BLADDER 25739 97 116 3200
304 KIDNEY, URETER & MAJOR BLADDER 23313 87 117 3100
305 KIDNEY, URETER & MAJOR BLADDER 11366 45 56 2600
306 PROSTATECTOMY W CC 12101 54 73 2700
307 PROSTATECTOMY W/O CC 6619 30 36 1800
308 MINOR BLADDER PROCEDURES W CC 14465 54 81 2700
309 MINOR BLADDER PROCEDURES W/O CC 7971 26 34 2200
310 TRANSURETHRAL PROCEDURES W CC 9159 35 50 2500
311 TRANSURETHRAL PROCEDURES W/O CC 5395 20 25 1300
312 URETHRAL PROCEDURES, AGE >17 W CC 8458 35 53 2600
313 URETHRAL PROCEDURES, AGE >17 W/O 4774 20 26 1600
314 *URETHRAL PROCEDURES, AGE 0-17 4503 23 23 2400
315 OTHER KIDNEY & URINARY TRACT O.R. 20323 60 107 2800
316 RENAL FAILURE 12840 59 84 2800
317 ADMIT FOR RENAL DIALYSIS 5149 28 39 2500
318 KIDNEY & URINARY TRACT NEOPLASMS W 11196 55 81 2800
319 KIDNEY & URINARY TRACT NEOPLASMS W 5530 24 33 2400
320 KIDNEY & URINARY TRACT INFECTIONS 9451 59 74 2800
321 KIDNEY & URINARY TRACT INFECTIONS 6109 44 52 2600
322 KIDNEY & URINARY TRACT INFECTIONS 5464 39 47 2500
323 URINARY STONES W CC, &/OR ESW 7221 29 39 2500
324 URINARY STONES W/O CC 3872 19 23 1200
325 KIDNEY & URINARY TRACT SIGNS & 6476 39 52 2600
326 KIDNEY & URINARY TRACT SIGNS & 4186 26 34 2200
327 *KIDNEY & URINARY TRACT SIGNS & 7222 31 31 2500
328 URETHRAL STRICTURE AGE >17 W CC 6732 35 48 2600
329 URETHRAL STRICTURE AGE >17 W/O CC 4291 19 25 1500
330 *URETHRAL STRICTURE AGE 0-17 2903 16 16 900
331 OTHER KIDNEY & URINARY TRACT 9943 51 70 2700
332 OTHER KIDNEY & URINARY TRACT 6019 31 43 2500
333 OTHER KIDNEY & URINARY TRACT 10377 49 72 2700
334 MAJOR MALE PELVIC PROCEDURES W CC 17172 68 75 2400
335 MAJOR MALE PELVIC PROCEDURES W/O 13447 56 61 1900
336 TRANSURETHRAL PROSTATECTOMY W CC 8523 40 48 2300
337 TRANSURETHRAL PROSTATECTOMY W/O CC 6130 30 33 1200
338 TESTES PROCEDURES, FOR MALIGNANCY 9738 37 57 2600
339 TESTES PROCEDURES, NON-MALIGNANCY 8265 31 44 2500
340 *TESTES PROCEDURES, NON-MALIGNANCY 4516 24 24 1300
341 PENIS PROCEDURES 10192 29 38 2400
342 CIRCUMCISION AGE >17 6689 27 41 2500
343 *CIRCUMCISION AGE 0-17 3945 17 17 600
344 OTHER MALE REPRODUCTIVE SYSTEM O.R. 9941 27 36 2500
345 OTHER MALE REPRODUCTIVE SYSTEM O.R. 7521 31 45 2500
346 MALIGNANCY, MALE REPRODUCTIVE 9598 53 77 2700
347 MALIGNANCY, MALE REPRODUCTIVE 4899 25 37 2500
348 BENIGN PROSTATIC HYPERTROPHY W CC 6724 37 51 2600
349 BENIGN PROSTATIC HYPERTROPHY W/O 4094 24 32 2200
350 INFLAMMATION OF THE MALE 6787 45 54 2700
351 *STERILIZATION, MALE 3472 13 13 500
352 OTHER MALE REPRODUCTIVE SYSTEM 5807 32 43 2500
353 PELVIC EVISCERATION, RADICAL 18865 80 98 3000
354 UTERINE, ADNEXA PROC FOR NON- 13747 59 69 2800
355 UTERINE, ADNEXA PROC FOR NON- 8773 40 43 1200
356 FEMALE REPRODUCTIVE SYSTEM 7162 32 36 1400
357 UTERINE & ADNEXA PROC FOR OVARIAN 22834 89 109 3100
358 UTERINE & ADNEXA PROC FOR NON- 11018 47 54 2000
359 UTERINE & ADNEXA PROC FOR NON- 7987 35 38 1100
360 VAGINA, CERVIX & VULVA PROCEDURES 8186 35 43 2200
361 LAPAROSCOPY & INCISIONAL TUBAL 11047 31 48 2500
362 *ENDOSCOPIC TUBAL INTERRUPTION 5189 14 14 500
363 D&C, CONIZATION & RADIO-IMPLANT, 6470 28 37 2100
364 D&C, CONIZATION EXCEPT FOR 6239 26 37 2500
365 OTHER FEMALE REPRODUCTIVE SYSTEM 17127 63 92 2800
366 MALIGNANCY, FEMALE REPRODUCTIVE 12111 59 91 2800
367 MALIGNANCY, FEMALE REPRODUCTIVE 4486 23 33 2400
368 INFECTIONS, FEMALE REPRODUCTIVE 9704 56 73 2800
369 MENSTRUAL & OTHER FEMALE 5095 29 40 2500
370 CESAREAN SECTION W CC 8976 49 59 2400
371 CESAREAN SECTION W/O CC 6340 36 38 900
372 VAGINAL DELIVERY W COMPLICATING 4902 27 34 1700
373 VAGINAL DELIVERY W/O COMPLICATING 3387 19 22 800
374 VAGINAL DELIVERY W STERILIZATION & 6152 24 31 1600
375 *VAGINAL DELIVERY W O.R. PROC 7101 44 44 2600
376 POSTPARTUM & POST ABORTION 3513 24 34 2100
377 POSTPARTUM & POST ABORTION 9762 34 57 2500
378 ECTOPIC PREGNANCY 7052 26 30 1500
379 THREATENED ABORTION 3204 21 28 1800
380 ABORTION W/O D&C 3481 16 21 1100
381 ABORTION W D&C, ASPIRATION 4063 17 22 1200
382 FALSE LABOR 1856 13 15 500
383 OTHER ANTEPARTUM DIAGNOSES W 4060 30 40 2500
384 OTHER ANTEPARTUM DIAGNOSES W/O 2909 19 25 1500
385 *NEONATES, DIED OR TRANSFERRED TO 12741 18 18 2400
386 *EXTREME IMMATURITY OR RESPIRATORY 37999 179 179 4000
387 *PREMATURITY W MAJOR PROBLEMS 19028 133 133 3500
388 *PREMATURITY W/O MAJOR PROBLEMS 12053 86 86 3100
389 FULL TERM NEONATE W MAJOR PROBLEMS 12972 56 77 2800
390 NEONATE W OTHER SIGNIFICANT 5385 31 48 2500
391 *NORMAL NEWBORN 2311 31 31 1100
392 SPLENECTOMY AGE >17 32021 101 132 3200
393 *SPLENECTOMY AGE 0-17 15839 91 91 3100
394 OTHER O.R. PROCEDURES OF THE BLOOD 15713 50 85 2700
395 RED BLOOD CELL DISORDERS AGE >17 8118 43 60 2600
396 RED BLOOD CELL DISORDERS AGE 0-17 2859 17 21 1300
397 COAGULATION DISORDERS 12490 50 69 2700
398 RETICULOENDOTHELIAL & IMMUNITY 12139 58 74 2800
399 RETICULOENDOTHELIAL & IMMUNITY 6723 38 48 2600
400 LYMPHOMA & LEUKEMIA W MAJOR O.R. 25674 76 118 3000
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