-
DRG
FY 2011
Final
Rule
Post
-
Acute
DRG
FY
2011
Final
Rule
Specia
l Pay
DRG
MDC
TYPE
MS
-
DRG Title
Weight
s
Geometric
mean LOS
Arithmetic
mean LOS
001
No
No
PRE
SURG
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC
26.3441
31.6
41.9
002
No
No
PRE
SURG
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC
13.6127
17.6
22.6
003
Yes
No
PRE
SURG
ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ
O.R.
18.1239
30.1
36.6
004
Yes
No
PRE
SURG
TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.
11.2403
22.2
27.1
005
No
No
PRE
SURG
LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT
10.1771
14.9
19.9
006
No
No
PRE
SURG
LIVER TRANSPLANT W/O MCC
4.8353
8.3
9.3
007
No
No
PRE
SURG
LUNG TRANSPLANT
9.3350
15.4
18.6
008
No
No
PRE
SURG
SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT
4.9632
10.1
11.7
010
No
No
PRE
SURG
PANCREAS TRANSPLANT
3.7831
8.6
9.7
011
No
No
PRE
SURG
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC
4.7666
12.3
15.5
012
No
No
PRE
SURG
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC
3.1311
8.5
10.1
013
No
No
PRE
SURG
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC
1.9505
5.7
6.8
014
No
No
PRE
SURG
ALLOGENEIC BONE MARROW TRANSPLANT
11.5947
21.1
28.2
015
No
No
PRE
SURG
AUTOLOGOUS BONE MARROW TRANSPLANT
5.9504
16.7
19.3
020
No
No
01
SURG
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC
8.2479
14.1
17.3
021
No
No
01
SURG
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC
6.2886
12.1
13.9
022
No
No
01
SURG
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O
CC/MCC
4.1581
6.7
8.4
023
No
No
01
SURG
CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO
IMPLANT
5.0883
8.2
11.8
024
No
No
01
SURG
CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC
3.4952
5.7
8.1
025
Yes
No
01
SURG
CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC
4.7575
8.8
11.5
026
Yes
No
01
SURG
CRANIOTOMY &
ENDOVASCULAR INTRACRANIAL PROCEDURES W CC
2.9825
5.8
7.3
027
Yes
No
01
SURG
CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O
CC/MCC
2.1307
3.0
3.9
028
Yes
Yes
01
SURG
SPINAL PROCEDURES W MCC
5.3549
10.1
13.1
029
Yes
Yes
01
SURG
SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS
2.8741
4.7
6.6
030
Yes
Yes
01
SURG
SPINAL PROCEDURES W/O CC/MCC
1.6433
2.5
3.3
031
Yes
No
01
SURG
VENTRICULAR SHUNT PROCEDURES W MCC
4.1261
8.6
12.3
032
Yes
No
01
SURG
VENTRICULAR SHUNT PROCEDURES W CC
1.9220
3.6
5.3
033
Yes
No
01
SURG
VENTRICULAR SHUNT PROCEDURES W/O CC/MCC
1.3626
2.1
2.6
034
No
No
01
SURG
CAROTID ARTERY STENT PROCEDURE W MCC
3.5242
4.7
7.0
035
No
No
01
SURG
CAROTID ARTERY STENT PROCEDURE W CC
2.1437
2.2
3.2
036
No
No
01
SURG
CAROTID ARTERY STENT PROCEDURE W/O CC/MCC
1.6390
1.3
1.5
037
No
No
01
SURG
EXTRACRANIAL PROCEDURES W MCC
3.1543
5.7
8.4
038
No
No
01
SURG
EXTRACRANIAL PROCEDURES W CC
1.5462
2.4
3.5
039
No
No
01
SURG
EXTRACRANIAL PROCEDURES W/O CC/MCC
1.0185
1.4
1.7
040
Yes
Yes
01
SURG
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC
3.9353
9.0
12.1
041
Yes
Yes
01
SURG
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH
2.1430
5.0
6.7
NEUROSTIM
042
Yes
Yes
01
SURG
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC
1.6905
2.4
3.2
052
No
No
01
MED
SPINAL DISORDERS & INJURIES W CC/MCC
1.6109
4.5
6.7
053
No
No
01
MED
SPINAL DISORDERS & INJURIES W/O CC/MCC
0.8441
2.9
3.6
054
Yes
No
01
MED
NERVOUS SYSTEM NEOPLASMS W MCC
1.4863
4.6
6.3
055
Yes
No
01
MED
NERVOUS SYSTEM NEOPLASMS W/O MCC
1.0649
3.5
4.6
056
Yes
No
01
MED
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC
1.6748
5.5
7.1
057
Yes
No
01
MED
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC
0.9350
3.7
4.8
058
No
No
01
MED
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC
1.5856
5.4
7.2
059
No
No
01
MED
MULTIPLE SCLEROSIS &
CEREBELLAR ATAXIA W CC
0.9811
4.1
4.9
060
No
No
01
MED
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC
0.7578
3.2
3.8
061
No
No
01
MED
ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC
2.9568
6.4
8.4
062
No
No
01
MED
ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC
1.9479
4.8
5.6
063
No
No
01
MED
ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC
1.5251
3.4
3.9
064
Yes
No
01
MED
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC
1.8674
5.1
6.9
065
Yes
No
01
MED
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC
1.1667
4.0
4.8
066
Yes
No
01
MED
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC
0.8198
2.7
3.3
067
No
No
01
MED
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC
1.4231
4.2
5.5
068
No
No
01
MED
NONSPECIFIC CVA &
PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC
0.8751
2.7
3.3
069
No
No
01
MED
TRANSIENT ISCHEMIA
0.7311
2.3
2.8
070
Yes
No
01
MED
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC
1.8417
5.6
7.3
071
Yes
No
01
MED
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC
1.1054
4.1
5.1
072
Yes
No
01
MED
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC
0.7499
2.5
3.1
073
No
No
01
MED
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC
1.2907
4.2
5.6
074
No
No
01
MED
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC
0.8606
3.2
4.1
075
No
No
01
MED
VIRAL MENINGITIS W CC/MCC
1.6567
5.5
7.0
076
No
No
01
MED
VIRAL MENINGITIS W/O CC/MCC
0.9050
3.3
3.9
077
No
No
01
MED
HYPERTENSIVE ENCEPHALOPATHY W MCC
1.7376
5.1
6.4
078
No
No
01
MED
HYPERTENSIVE ENCEPHALOPATHY W CC
1.0154
3.5
4.4
079
No
No
01
MED
HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC
0.7533
2.6
3.1
080
No
No
01
MED
NONTRAUMATIC STUPOR & COMA W MCC
1.1909
3.6
4.9
081
No
No
01
MED
NONTRAUMATIC STUPOR & COMA W/O MCC
0.7392
2.7
3.4
082
No
No
01
MED
TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC
2.0130
3.5
6.1
083
No
No
01
MED
TRAUMATIC STUPOR & COMA, COMA >1 HR W CC
1.3264
3.4
4.7
084
No
No
01
MED
TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC
0.8959
2.2
2.8
085
Yes
No
01
MED
TRAUMATIC STUPOR &
COMA, COMA <1 HR W MCC
2.1423
5.2
7.2
086
Yes
No
01
MED
TRAUMATIC STUPOR & COMA, COMA <1 HR W CC
1.2051
3.7
4.6
087
Yes
No
01
MED
TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC
0.7929
2.3
2.9
088
No
No
01
MED
CONCUSSION W MCC
1.4872
4.2
5.5
089
No
No
01
MED
CONCUSSION W CC
0.9667
2.9
3.7
090
No
No
01
MED
CONCUSSION W/O CC/MCC
0.6927
1.9
2.3
091
Yes
No
01
MED
OTHER DISORDERS OF NERVOUS SYSTEM W MCC
1.6318
4.4
6.2
092
Yes
No
01
MED
OTHER DISORDERS OF NERVOUS SYSTEM W CC
0.9404
3.3
4.2
093
Yes
No
01
MED
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC
0.6827
2.4
2.9
094
No
No
01
MED
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC
3.6769
8.9
11.7