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)
401 LYMPHOMA & NON-ACUTE LEUKEMIA W 24043 92 137 3100
402 LYMPHOMA & NON-ACUTE LEUKEMIA W 9212 32 48 2500
403 LYMPHOMA & NON-ACUTE LEUKEMIA W CC 16956 74 107 2900
404 LYMPHOMA & NON-ACUTE LEUKEMIA W/O 7571 37 52 2600
405 *ACUTE LEUKEMIA W/O MAJOR O.R. 10840 49 49 2700
406 MYELOPROLIF DISORD OR POORLY DIFF 26496 94 128 3100
407 MYELOPROLIF DISORD OR POORLY DIFF 11262 41 53 2600
408 MYELOPROLIF DISORD OR POORLY DIFF 15586 50 84 2700
409 RADIOTHERAPY 9785 54 77 2700
410 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS 6749 27 33 2000
411 HISTORY OF MALIGNANCY W/O 4476 27 37 2500
412 HISTORY OF MALIGNANCY W ENDOSCOPY 4515 21 30 2100
413 OTHER MYELOPROLIF DIS OR POORLY 13595 68 99 2900
414 OTHER MYELOPROLIF DIS OR POORLY 6704 37 54 2600
415 O.R. PROCEDURE FOR INFECTIOUS & 35136 134 187 3500
416 SEPTICEMIA AGE >17 14927 69 95 2900
417 SEPTICEMIA AGE 0-17 14250 52 75 2700
418 POSTOPERATIVE & POST-TRAUMATIC 9628 60 76 2800
419 FEVER OF UNKNOWN ORIGIN AGE >17 W 9293 52 66 2700
420 FEVER OF UNKNOWN ORIGIN AGE >17 W/ 6368 40 49 2600
421 VIRAL ILLNESS AGE >17 6868 40 51 2600
422 VIRAL ILLNESS & FEVER OF UNKNOWN 5859 34 43 2500
423 OTHER INFECTIOUS & PARASITIC 15846 71 100 2900
424 O.R. PROCEDURE W PRINCIPAL 25573 135 226 3600
425 ACUTE ADJUST REACT & DISTURBANCES 7079 41 57 2600
426 DEPRESSIVE NEUROSES 5960 46 65 2700
427 NEUROSES EXCEPT DEPRESSIVE 5969 44 64 2600
428 DISORDERS OF PERSONALITY & IMPULSE 7521 57 94 2800
429 ORGANIC DISTURBANCES & MENTAL 9269 70 104 2900
430 PSYCHOSES 8980 80 115 3000
431 CHILDHOOD MENTAL DISORDERS 6316 52 76 2700
432 OTHER MENTAL DISORDER DIAGNOSES 7538 46 72 2700
433 ALCOHOL/DRUG ABUSE OR DEPENDENCE, 3356 28 41 2500
434 ALC/DRUG ABUSE OR DEPEND, DETOX OR 7235 49 67 2700
435 ALC/DRUG ABUSE OR DEPEND, DETOX OR 4372 41 55 2600
436 ALC/DRUG DEPENDENCE W 9156 145 172 3600
437 ALC/DRUG DEPENDENCE, COMBINED 9021 115 136 3400
438 NO LONGER VALID 0 0 0 0
439 SKIN GRAFTS FOR INJURIES 13295 56 89 2800
440 WOUND DEBRIDEMENTS FOR INJURIES 17495 70 112 2900
441 HAND PROCEDURES FOR INJURIES 7840 23 35 2400
442 OTHER O.R. PROCEDURES FOR INJURIES 20135 58 95 2800
443 OTHER O.R. PROCEDURES FOR INJURIES 7547 24 33 2400
444 TRAUMATIC INJURY AGE >17 W CC 7399 46 62 2700
445 TRAUMATIC INJURY AGE >17 W/O CC 4640 31 40 2500
446 *TRAUMATIC INJURY AGE 0-17 4995 24 24 2200
447 ALLERGIC REACTIONS AGE >17 4676 23 31 2000
448 *ALLERGIC REACTIONS AGE 0-17 3614 29 29 1700
449 POISONING & TOXIC EFFECTS OF DRUGS 7801 35 51 2600
450 POISONING & TOXIC EFFECTS OF DRUGS 4168 20 27 1700
451 *POISONING & TOXIC EFFECTS OF 10341 21 21 1700
452 COMPLICATIONS OF TREATMENT W CC 8577 40 56 2600
453 COMPLICATIONS OF TREATMENT W/O CC 4355 26 34 2200
454 OTHER INJURY, POISONING & TOXIC 8864 41 64 2600
455 OTHER INJURY, POISONING & TOXIC 4379 22 32 2400
456 BURNS, TRANSFERRED TO ANOTHER 21721 52 102 2700
457 EXTENSIVE BURNS W/O O.R. PROCEDURE 16307 30 56 2500
458 NON-EXTENSIVE BURNS W SKIN GRAFT 35089 140 198 3600
459 NON-EXTENSIVE BURNS W WOUND 17543 85 125 3000
460 NON-EXTENSIVE BURNS W/O O.R. 10023 56 80 2800
461 O.R. PROC W DIAGNOSES OF OTHER 9432 25 52 2400
462 REHABILITATION 16623 134 167 3500
463 SIGNS & SYMPTOMS W CC 7170 45 60 2600
464 SIGNS & SYMPTOMS W/O CC 4740 31 41 2500
465 AFTERCARE W HISTORY OF MALIGNANCY 4464 20 32 2300
466 AFTERCARE W/O HISTORY OF 5319 24 49 2400
467 OTHER FACTORS INFLUENCING HEALTH 3722 26 51 2500
468 EXTENSIVE O.R. PROCEDURE UNRELATED 35769 124 177 3400
469 **PRINCIPAL DIAGNOSIS INVALID AS 0 0 0 0
470 **UNGROUPABLE 0 0 0 0
471 BILATERAL OR MULTIPLE MAJOR JOINT 37499 94 110 3100
472 EXTENSIVE BURNS W O.R. PROCEDURE . 116375 159 304 3800
473 ACUTE LEUKEMIA W/O MAJOR O.R. 36120 93 163 3100
474 NO LONGER VALID 0 0 0 0
475 RESPIRATORY SYSTEM DIAGNOSIS WITH 37005 95 137 3100
476 PROSTATIC O.R. PROCEDURE UNRELATED 22327 123 156 3400
477 NON-EXTENSIVE O.R. PROCEDURE 15221 58 95 2800
478 OTHER VASCULAR PROCEDURES W CC 22227 63 95 2800
479 OTHER VASCULAR PROCEDURES W/O CC 13503 39 51 2600
480 LIVER TRANSPLANT 182581 271 347 4900
481 BONE MARROW TRANSPLANT 153076 355 394 5700
482 TRACHEOSTOMY FOR FACE, MOUTH & 36730 130 174 3500
483 TRACHEOSTOMY EXCEPT FOR FACE, 168772 419 541 6400
484 CRANIOTOMY FOR MULTIPLE 59807 125 202 3500
485 LIMB REATTACHMENT, HIP AND FEMUR 31540 114 144 3300
486 OTHER O.R. PROCEDURES FOR MULTIPLE 49514 105 168 3200
487 OTHER MULTIPLE SIGNIFICANT TRAUMA 19336 69 102 2900
488 HIV W EXTENSIVE O.R. PROCEDURE 43854 151 215 3700
489 HIV W MAJOR RELATED CONDITION 18158 83 125 3000
490 HIV W OR W/O OTHER RELATED 10630 51 80 2700
491 MAJOR JOINT & LIMB REATTACHMENT 16235 44 53 2400
492 CHEMOTHERAPY W ACUTE LEUKEMIA AS 36804 107 169 3300
493 LAPAROSCOPIC CHOLECYSTECTOMY W/O 15813 43 61 2600
494 LAPAROSCOPIC CHOLECYSTECTOMY W/O 8462 17 23 1400
495 LUNG TRANSPLANT 128346 202 263 4200
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