Kentucky Medicaid Inpatient Hospital - DRG Pricing Variables DRG-Specific Variables - Correction Notice Federal Fiscal Year 2018 - CMS V35 MS- DRG FY 2018 Final Post- Acute DRG FY 2018 Final Specia l Pay DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS Arithmetic mean LOS Acquisition Fee Add-on 001 No No PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 25.4484 29.0 37.0 $70,000 002 No No PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 15.2462 16.8 20.2 $70,000 003 Yes No PRE SURG ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 17.6245 24.3 30.9 $0 004 Yes No PRE SURG TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 11.0663 19.4 23.8 $0 005 No No PRE SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.4390 15.3 20.7 $55,000 006 No No PRE SURG LIVER TRANSPLANT W/O MCC 4.5018 7.8 8.5 $55,000 007 No No PRE SURG LUNG TRANSPLANT 9.7921 16.0 18.7 $65,000 008 No No PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.0620 9.2 10.7 $40,000 010 No No PRE SURG PANCREAS TRANSPLANT 4.3722 8.1 9.0 $40,000 011 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 4.9191 10.9 13.5 $0 012 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.5236 8.5 9.7 $0 013 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 2.4088 6.0 6.8 $0 014 No No PRE SURG ALLOGENEIC BONE MARROW TRANSPLANT 11.6353 23.9 27.4 $0 016 No No PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 6.4441 17.4 18.8 $0 017 No No PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.5280 9.6 12.5 $0 020 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 9.9991 13.5 16.7 $0 021 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 7.5363 11.9 13.4 $0 022 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 5.7171 7.0 8.6 $0 023 Yes No 01 SURG CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR 5.4949 7.6 10.6 $0 024 Yes No 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 3.8314 4.2 5.5 $0 025 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.3064 7.0 9.2 $0 026 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 2.9971 4.2 5.6 $0 027 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.3665 2.2 2.9 $0 028 Yes Yes 01 SURG SPINAL PROCEDURES W MCC 5.5586 9.1 11.8 $0 029 Yes Yes 01 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 3.2737 4.2 5.7 $0 030 Yes Yes 01 SURG SPINAL PROCEDURES W/O CC/MCC 2.1333 2.2 2.8 $0 031 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W MCC 4.0742 7.0 10.1 $0
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Kentucky Medicaid Inpatient Hospital - DRG Pricing ... · DRG FY 2018 Final Post-Acute DRG FY 2018 Final Specia l Pay DRG MDC TYPE MS-DRG Title Weights Geometric mean LOS Arithmetic
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001 No No PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 25.4484 29.0 37.0 $70,000002 No No PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 15.2462 16.8 20.2 $70,000
003 Yes No PRE SURG ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 17.6245 24.3 30.9 $0004 Yes No PRE SURG TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 11.0663 19.4 23.8 $0005 No No PRE SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.4390 15.3 20.7 $55,000006 No No PRE SURG LIVER TRANSPLANT W/O MCC 4.5018 7.8 8.5 $55,000007 No No PRE SURG LUNG TRANSPLANT 9.7921 16.0 18.7 $65,000008 No No PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.0620 9.2 10.7 $40,000010 No No PRE SURG PANCREAS TRANSPLANT 4.3722 8.1 9.0 $40,000011 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 4.9191 10.9 13.5 $0012 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.5236 8.5 9.7 $0013 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 2.4088 6.0 6.8 $0014 No No PRE SURG ALLOGENEIC BONE MARROW TRANSPLANT 11.6353 23.9 27.4 $0016 No No PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 6.4441 17.4 18.8 $0017 No No PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.5280 9.6 12.5 $0020 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 9.9991 13.5 16.7 $0021 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 7.5363 11.9 13.4 $0
022 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 5.7171 7.0 8.6 $0
023 Yes No 01 SURGCRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR 5.4949 7.6 10.6 $0
024 Yes No 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 3.8314 4.2 5.5 $0025 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.3064 7.0 9.2 $0026 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 2.9971 4.2 5.6 $0
027 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.3665 2.2 2.9 $0028 Yes Yes 01 SURG SPINAL PROCEDURES W MCC 5.5586 9.1 11.8 $0029 Yes Yes 01 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 3.2737 4.2 5.7 $0030 Yes Yes 01 SURG SPINAL PROCEDURES W/O CC/MCC 2.1333 2.2 2.8 $0031 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W MCC 4.0742 7.0 10.1 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
032 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W CC 2.1276 3.2 4.5 $0033 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W/O CC/MCC 1.6992 1.9 2.4 $0034 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W MCC 3.9918 5.2 7.6 $0035 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W CC 2.2278 2.1 3.1 $0036 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.7636 1.3 1.5 $0037 No No 01 SURG EXTRACRANIAL PROCEDURES W MCC 3.1689 5.1 7.4 $0038 No No 01 SURG EXTRACRANIAL PROCEDURES W CC 1.5677 2.2 3.1 $0039 No No 01 SURG EXTRACRANIAL PROCEDURES W/O CC/MCC 1.1137 1.3 1.5 $0040 Yes Yes 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 3.8078 7.8 10.6 $0
041 Yes Yes 01 SURGPERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 2.3311 4.4 5.5 $0
042 Yes Yes 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 1.9105 2.6 3.2 $0052 No No 01 MED SPINAL DISORDERS & INJURIES W CC/MCC 1.5091 4.0 5.4 $0053 No No 01 MED SPINAL DISORDERS & INJURIES W/O CC/MCC 0.9333 2.7 3.2 $0054 Yes No 01 MED NERVOUS SYSTEM NEOPLASMS W MCC 1.3150 3.9 5.2 $0055 Yes No 01 MED NERVOUS SYSTEM NEOPLASMS W/O MCC 0.9995 2.9 3.9 $0056 Yes No 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 1.9135 5.4 7.7 $0057 Yes No 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 1.1351 3.8 5.4 $0058 No No 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC 1.6383 5.0 6.6 $0059 No No 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC 1.0725 3.7 4.6 $0060 No No 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC 0.8448 3.0 3.6 $0
061 No No 01 MEDISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC 2.7979 5.0 6.4 $0
062 No No 01 MEDISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC 1.9321 3.5 4.1 $0
063 No No 01 MEDISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC 1.6169 2.6 2.9 $0
064 Yes No 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 1.7685 4.4 6.1 $0
065 Yes No 01 MEDINTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS 1.0311 3.1 3.8 $0
066 Yes No 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 0.7466 2.2 2.6 $0067 No No 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC 1.4132 3.5 4.8 $0068 No No 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC 0.8959 2.2 2.8 $0069 No No 01 MED TRANSIENT ISCHEMIA W/O THROMBOLYTIC 0.7521 2.1 2.5 $0070 Yes No 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 1.6486 4.6 6.4 $0071 Yes No 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 0.9896 3.4 4.4 $0072 Yes No 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC 0.7602 2.4 3.0 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
073 No No 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W MCC 1.4038 3.9 5.2 $0074 No No 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 0.9535 2.9 3.7 $0075 No No 01 MED VIRAL MENINGITIS W CC/MCC 1.6503 5.0 6.4 $0076 No No 01 MED VIRAL MENINGITIS W/O CC/MCC 0.9615 3.1 3.7 $0077 No No 01 MED HYPERTENSIVE ENCEPHALOPATHY W MCC 1.5717 4.3 5.5 $0078 No No 01 MED HYPERTENSIVE ENCEPHALOPATHY W CC 0.9932 3.2 3.9 $0079 No No 01 MED HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC 0.7683 2.3 2.7 $0080 No No 01 MED NONTRAUMATIC STUPOR & COMA W MCC 1.7366 4.5 6.6 $0081 No No 01 MED NONTRAUMATIC STUPOR & COMA W/O MCC 0.7559 2.5 3.3 $0082 No No 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC 2.1536 3.8 6.3 $0083 No No 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W CC 1.2566 3.3 4.2 $0084 No No 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC 0.9001 2.2 2.7 $0085 Yes No 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC 2.0478 4.8 6.6 $0086 Yes No 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W CC 1.1823 3.2 4.1 $0087 Yes No 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC 0.8320 2.2 2.7 $0088 No No 01 MED CONCUSSION W MCC 1.4042 3.5 4.5 $0089 No No 01 MED CONCUSSION W CC 1.0067 2.7 3.3 $0090 No No 01 MED CONCUSSION W/O CC/MCC 0.7906 2.0 2.3 $0091 Yes No 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W MCC 1.5400 4.1 5.6 $0092 Yes No 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W CC 0.9368 3.0 3.9 $0093 Yes No 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC 0.7290 2.2 2.7 $0094 No No 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC 3.4131 7.7 10.2 $0095 No No 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC 2.3514 5.8 7.0 $0
096 No No 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC 2.2182 4.7 5.5 $0097 No No 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC 3.4041 8.5 11.3 $0098 No No 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC 1.8736 5.5 7.3 $0
099 No No 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC 1.2059 3.6 4.6 $0100 Yes No 01 MED SEIZURES W MCC 1.6478 4.2 5.7 $0101 Yes No 01 MED SEIZURES W/O MCC 0.8286 2.6 3.3 $0102 No No 01 MED HEADACHES W MCC 1.0611 3.0 4.1 $0103 No No 01 MED HEADACHES W/O MCC 0.7497 2.3 2.9 $0113 No No 02 SURG ORBITAL PROCEDURES W CC/MCC 2.1871 4.2 5.8 $0114 No No 02 SURG ORBITAL PROCEDURES W/O CC/MCC 1.2812 2.3 3.0 $0115 No No 02 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT 1.4946 3.9 4.9 $0116 No No 02 SURG INTRAOCULAR PROCEDURES W CC/MCC 1.5002 3.2 4.7 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
117 No No 02 SURG INTRAOCULAR PROCEDURES W/O CC/MCC 1.0003 2.1 2.8 $0121 No No 02 MED ACUTE MAJOR EYE INFECTIONS W CC/MCC 0.9863 3.7 4.7 $0122 No No 02 MED ACUTE MAJOR EYE INFECTIONS W/O CC/MCC 0.7637 3.3 4.1 $0123 No No 02 MED NEUROLOGICAL EYE DISORDERS 0.7489 2.1 2.6 $0124 No No 02 MED OTHER DISORDERS OF THE EYE W MCC 1.2489 3.6 4.9 $0125 No No 02 MED OTHER DISORDERS OF THE EYE W/O MCC 0.7722 2.6 3.3 $0129 No No 03 SURG MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE 2.2924 3.7 5.3 $0130 No No 03 SURG MAJOR HEAD & NECK PROCEDURES W/O CC/MCC 1.4379 2.3 2.9 $0131 No No 03 SURG CRANIAL/FACIAL PROCEDURES W CC/MCC 2.5712 4.4 6.1 $0132 No No 03 SURG CRANIAL/FACIAL PROCEDURES W/O CC/MCC 1.5556 2.2 2.8 $0133 No No 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC 1.9857 3.8 5.4 $0134 No No 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC 1.1607 2.0 2.5 $0135 No No 03 SURG SINUS & MASTOID PROCEDURES W CC/MCC 2.2723 4.5 6.3 $0136 No No 03 SURG SINUS & MASTOID PROCEDURES W/O CC/MCC 1.2988 2.0 2.7 $0137 No No 03 SURG MOUTH PROCEDURES W CC/MCC 1.3636 3.6 4.7 $0138 No No 03 SURG MOUTH PROCEDURES W/O CC/MCC 0.8656 2.0 2.5 $0139 No No 03 SURG SALIVARY GLAND PROCEDURES 1.1160 1.9 2.7 $0146 No No 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC 1.9227 5.4 7.8 $0147 No No 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC 1.2505 3.7 5.0 $0148 No No 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC 0.8141 2.2 2.9 $0149 No No 03 MED DYSEQUILIBRIUM 0.7042 2.1 2.5 $0150 No No 03 MED EPISTAXIS W MCC 1.3228 3.5 4.7 $0151 No No 03 MED EPISTAXIS W/O MCC 0.7319 2.3 2.8 $0152 No No 03 MED OTITIS MEDIA & URI W MCC 1.0511 3.2 4.1 $0153 No No 03 MED OTITIS MEDIA & URI W/O MCC 0.7151 2.4 2.9 $0154 No No 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC 1.4528 4.1 5.5 $0155 No No 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC 0.8975 3.0 3.7 $0156 No No 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC 0.6656 2.2 2.7 $0157 No No 03 MED DENTAL & ORAL DISEASES W MCC 1.5479 4.4 5.8 $0158 No No 03 MED DENTAL & ORAL DISEASES W CC 0.8885 3.0 3.7 $0159 No No 03 MED DENTAL & ORAL DISEASES W/O CC/MCC 0.6732 2.2 2.6 $0163 Yes No 04 SURG MAJOR CHEST PROCEDURES W MCC 4.9422 10.0 12.5 $0164 Yes No 04 SURG MAJOR CHEST PROCEDURES W CC 2.5776 5.1 6.1 $0165 Yes No 04 SURG MAJOR CHEST PROCEDURES W/O CC/MCC 1.8507 3.1 3.7 $0166 Yes No 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W MCC 3.5470 8.1 10.4 $0167 Yes No 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 1.8497 4.5 5.7 $0168 Yes No 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC 1.2904 2.5 3.1 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
175 Yes No 04 MED PULMONARY EMBOLISM W MCC 1.4678 4.4 5.5 $0176 Yes No 04 MED PULMONARY EMBOLISM W/O MCC 0.8952 2.9 3.6 $0177 Yes No 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 1.8507 5.7 7.1 $0178 Yes No 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W CC 1.2952 4.5 5.4 $0179 Yes No 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC 0.9300 3.4 4.1 $0180 No No 04 MED RESPIRATORY NEOPLASMS W MCC 1.6894 5.0 6.5 $0181 No No 04 MED RESPIRATORY NEOPLASMS W CC 1.1560 3.5 4.6 $0182 No No 04 MED RESPIRATORY NEOPLASMS W/O CC/MCC 0.8448 2.4 3.1 $0183 No No 04 MED MAJOR CHEST TRAUMA W MCC 1.4768 4.5 5.6 $0184 No No 04 MED MAJOR CHEST TRAUMA W CC 1.0150 3.3 3.9 $0185 No No 04 MED MAJOR CHEST TRAUMA W/O CC/MCC 0.7589 2.5 2.9 $0186 Yes No 04 MED PLEURAL EFFUSION W MCC 1.5246 4.5 5.8 $0187 Yes No 04 MED PLEURAL EFFUSION W CC 1.0568 3.3 4.2 $0188 Yes No 04 MED PLEURAL EFFUSION W/O CC/MCC 0.7992 2.5 3.2 $0189 No No 04 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.2196 3.7 4.8 $0190 Yes No 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 1.1526 3.8 4.6 $0191 Yes No 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 0.9176 3.1 3.8 $0192 Yes No 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 0.7265 2.6 3.0 $0193 Yes No 04 MED SIMPLE PNEUMONIA & PLEURISY W MCC 1.3731 4.5 5.4 $0194 Yes No 04 MED SIMPLE PNEUMONIA & PLEURISY W CC 0.9332 3.4 4.1 $0195 Yes No 04 MED SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC 0.7099 2.7 3.2 $0196 Yes No 04 MED INTERSTITIAL LUNG DISEASE W MCC 1.5964 5.0 6.3 $0197 Yes No 04 MED INTERSTITIAL LUNG DISEASE W CC 1.0449 3.4 4.2 $0198 Yes No 04 MED INTERSTITIAL LUNG DISEASE W/O CC/MCC 0.7824 2.6 3.1 $0199 No No 04 MED PNEUMOTHORAX W MCC 1.8065 5.4 6.9 $0200 No No 04 MED PNEUMOTHORAX W CC 1.0611 3.4 4.2 $0201 No No 04 MED PNEUMOTHORAX W/O CC/MCC 0.7600 2.5 3.1 $0202 No No 04 MED BRONCHITIS & ASTHMA W CC/MCC 0.9260 3.1 3.8 $0203 No No 04 MED BRONCHITIS & ASTHMA W/O CC/MCC 0.7055 2.4 2.9 $0204 No No 04 MED RESPIRATORY SIGNS & SYMPTOMS 0.7662 2.2 2.8 $0205 Yes No 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.4930 4.0 5.4 $0206 Yes No 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.8518 2.5 3.1 $0207 Yes No 04 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS 5.4845 12.2 14.1 $0208 No No 04 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 2.3678 4.9 6.7 $0215 No No 05 SURG OTHER HEART ASSIST SYSTEM IMPLANT 12.8861 7.2 11.9 $0
216 Yes Yes 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC 9.4996 11.2 14.4 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
217 Yes Yes 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC 6.2829 7.4 8.9 $0
222 No No 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC 8.4852 10.1 12.1 $0223 No No 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC 6.4420 5.6 6.8 $0224 No No 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC 7.3411 7.4 9.1 $0225 No No 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC 5.6612 4.1 4.8 $0226 No No 05 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6.7973 6.5 8.5 $0227 No No 05 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 5.4049 3.3 4.4 $0228 No No 05 SURG OTHER CARDIOTHORACIC PROCEDURES W MCC 6.5964 6.8 9.8 $0229 No No 05 SURG OTHER CARDIOTHORACIC PROCEDURES W/O MCC 4.5842 3.6 4.8 $0231 No No 05 SURG CORONARY BYPASS W PTCA W MCC 8.1123 10.2 12.0 $0232 No No 05 SURG CORONARY BYPASS W PTCA W/O MCC 5.8404 7.7 8.5 $0233 Yes No 05 SURG CORONARY BYPASS W CARDIAC CATH W MCC 7.3436 11.5 12.9 $0234 Yes No 05 SURG CORONARY BYPASS W CARDIAC CATH W/O MCC 5.0566 8.1 8.7 $0235 Yes No 05 SURG CORONARY BYPASS W/O CARDIAC CATH W MCC 5.7786 8.8 10.1 $0236 Yes No 05 SURG CORONARY BYPASS W/O CARDIAC CATH W/O MCC 3.8838 6.0 6.5 $0239 Yes No 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 4.6456 10.2 13.0 $0240 Yes No 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 2.6669 6.9 8.4 $0
241 Yes No 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.4774 4.3 5.1 $0242 Yes No 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 3.7055 5.5 7.0 $0243 Yes No 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W CC 2.6088 3.4 4.2 $0244 Yes No 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.1395 2.4 2.8 $0245 No No 05 SURG AICD GENERATOR PROCEDURES 5.4524 4.5 6.4 $0
246 No No 05 SURGPERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS 3.2103 4.2 5.5 $0
247 No No 05 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 2.1156 2.2 2.6 $0
248 No No 05 SURGPERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS 3.0476 4.8 6.3 $0
249 No No 05 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 1.9567 2.5 3.0 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
250 No No 05 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 2.5059 4.0 5.3 $0251 No No 05 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 1.6627 2.3 2.7 $0252 No No 05 SURG OTHER VASCULAR PROCEDURES W MCC 3.2334 5.4 7.6 $0253 No No 05 SURG OTHER VASCULAR PROCEDURES W CC 2.5350 4.2 5.5 $0254 No No 05 SURG OTHER VASCULAR PROCEDURES W/O CC/MCC 1.8127 2.3 2.9 $0255 Yes No 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.5153 6.6 8.3 $0256 Yes No 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 1.7431 5.3 6.3 $0
257 Yes No 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 1.1259 3.4 4.1 $0258 No No 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 3.0814 4.9 6.4 $0259 No No 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 2.0869 2.8 3.5 $0260 No No 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 3.5875 6.9 9.3 $0261 No No 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.9381 3.3 4.2 $0
262 No No 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.6510 2.4 2.8 $0263 No No 05 SURG VEIN LIGATION & STRIPPING 2.3369 4.4 6.1 $0264 Yes No 05 SURG OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 3.2177 6.7 9.3 $0265 No No 05 SURG AICD LEAD PROCEDURES 3.3378 3.7 5.0 $0266 Yes Yes 05 SURG ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC 7.7525 5.0 7.2 $0267 Yes Yes 05 SURG ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC 6.1066 2.9 3.5 $0
268 No No 05 SURG AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC 6.5268 6.6 9.6 $0
269 No No 05 SURGAORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC 4.1556 1.8 2.5 $0
270 No No 05 SURG OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC 4.9411 6.5 9.5 $0271 No No 05 SURG OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC 3.3836 4.4 5.8 $0272 No No 05 SURG OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC 2.4538 2.2 2.8 $0273 Yes Yes 05 SURG PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC 3.5791 5.7 7.7 $0274 Yes Yes 05 SURG PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC 2.7684 2.3 3.0 $0280 Yes No 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 1.6577 4.3 5.5 $0281 Yes No 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 0.9848 2.7 3.4 $0282 Yes No 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.7586 1.9 2.3 $0283 No No 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 1.7572 3.0 4.8 $0284 No No 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.7871 1.7 2.4 $0285 No No 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.5533 1.3 1.4 $0286 No No 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.2282 5.3 7.1 $0287 No No 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.1750 2.5 3.3 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
288 Yes No 05 MED ACUTE & SUBACUTE ENDOCARDITIS W MCC 2.7081 7.3 9.6 $0289 Yes No 05 MED ACUTE & SUBACUTE ENDOCARDITIS W CC 1.6946 5.4 6.7 $0290 Yes No 05 MED ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.0906 3.9 4.6 $0291 Yes No 05 MED HEART FAILURE & SHOCK W MCC 1.4759 4.5 5.7 $0292 Yes No 05 MED HEART FAILURE & SHOCK W CC 0.9588 3.5 4.2 $0293 Yes No 05 MED HEART FAILURE & SHOCK W/O CC/MCC 0.6736 2.5 3.0 $0294 No No 05 MED DEEP VEIN THROMBOPHLEBITIS W CC/MCC 1.0213 3.6 4.5 $0295 No No 05 MED DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.7855 3.0 3.6 $0296 No No 05 MED CARDIAC ARREST, UNEXPLAINED W MCC 1.4903 2.0 3.1 $0297 No No 05 MED CARDIAC ARREST, UNEXPLAINED W CC 0.6569 1.3 1.6 $0298 No No 05 MED CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.4850 1.1 1.2 $0299 Yes No 05 MED PERIPHERAL VASCULAR DISORDERS W MCC 1.4112 4.0 5.3 $0300 Yes No 05 MED PERIPHERAL VASCULAR DISORDERS W CC 1.0184 3.3 4.2 $0301 Yes No 05 MED PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.7251 2.4 3.0 $0302 No No 05 MED ATHEROSCLEROSIS W MCC 1.0727 2.8 3.9 $0303 No No 05 MED ATHEROSCLEROSIS W/O MCC 0.6630 1.9 2.3 $0304 No No 05 MED HYPERTENSION W MCC 1.0484 3.1 4.1 $0305 No No 05 MED HYPERTENSION W/O MCC 0.6916 2.1 2.6 $0306 No No 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC 1.3621 3.8 5.1 $0307 No No 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC 0.8274 2.5 3.1 $0308 No No 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.1885 3.6 4.6 $0309 No No 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.7720 2.5 3.1 $0310 No No 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5625 1.9 2.3 $0311 No No 05 MED ANGINA PECTORIS 0.6793 1.9 2.4 $0312 No No 05 MED SYNCOPE & COLLAPSE 0.7965 2.4 2.9 $0313 No No 05 MED CHEST PAIN 0.7024 1.8 2.2 $0314 Yes No 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 1.9582 4.8 6.5 $0315 Yes No 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 0.9658 2.9 3.7 $0316 Yes No 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.7401 2.0 2.5 $0326 Yes No 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC 4.5478 8.8 12.0 $0327 Yes No 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W CC 2.1162 4.6 6.0 $0328 Yes No 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC 1.5044 2.4 3.0 $0329 Yes No 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 4.9133 10.8 13.5 $0330 Yes No 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.4689 6.3 7.5 $0331 Yes No 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6758 3.8 4.3 $0332 Yes No 06 SURG RECTAL RESECTION W MCC 3.8214 7.7 9.6 $0333 Yes No 06 SURG RECTAL RESECTION W CC 1.9925 4.4 5.5 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
334 Yes No 06 SURG RECTAL RESECTION W/O CC/MCC 1.2969 2.5 3.1 $0335 Yes No 06 SURG PERITONEAL ADHESIOLYSIS W MCC 4.0938 10.3 12.5 $0336 Yes No 06 SURG PERITONEAL ADHESIOLYSIS W CC 2.3397 6.5 7.9 $0337 Yes No 06 SURG PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.6182 4.0 5.0 $0338 No No 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 2.7639 6.5 8.2 $0339 No No 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.7051 4.3 5.3 $0340 No No 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.1998 2.5 3.0 $0341 No No 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 2.4880 4.6 6.4 $0342 No No 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.4882 2.8 3.7 $0343 No No 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.0557 1.7 2.1 $0344 No No 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 2.7528 7.2 9.6 $0345 No No 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.5613 4.5 5.7 $0346 No No 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.1007 3.2 3.7 $0347 No No 06 SURG ANAL & STOMAL PROCEDURES W MCC 2.6296 6.3 8.4 $0348 No No 06 SURG ANAL & STOMAL PROCEDURES W CC 1.4123 3.7 4.8 $0349 No No 06 SURG ANAL & STOMAL PROCEDURES W/O CC/MCC 1.0148 2.5 3.0 $0350 No No 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W MCC 2.4607 5.2 7.1 $0351 No No 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W CC 1.4892 3.4 4.3 $0352 No No 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC 1.0374 2.1 2.5 $0353 No No 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC 3.0099 6.2 8.1 $0354 No No 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC 1.7238 3.9 4.8 $0355 No No 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC 1.3206 2.6 3.1 $0356 Yes No 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 3.8061 7.8 10.5 $0357 Yes No 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.1000 4.8 6.1 $0358 Yes No 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.4085 2.9 3.7 $0368 No No 06 MED MAJOR ESOPHAGEAL DISORDERS W MCC 1.8372 4.6 6.1 $0369 No No 06 MED MAJOR ESOPHAGEAL DISORDERS W CC 1.0878 3.2 3.9 $0370 No No 06 MED MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.7470 2.3 2.8 $0
371 Yes No 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 1.7244 5.5 7.1 $0372 Yes No 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.0590 4.1 5.0 $0
374 Yes No 06 MED DIGESTIVE MALIGNANCY W MCC 2.0014 5.6 7.6 $0375 Yes No 06 MED DIGESTIVE MALIGNANCY W CC 1.2347 3.8 5.0 $0376 Yes No 06 MED DIGESTIVE MALIGNANCY W/O CC/MCC 0.9401 2.6 3.2 $0377 Yes No 06 MED G.I. HEMORRHAGE W MCC 1.7140 4.5 5.7 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
378 Yes No 06 MED G.I. HEMORRHAGE W CC 0.9703 3.1 3.6 $0379 Yes No 06 MED G.I. HEMORRHAGE W/O CC/MCC 0.6446 2.2 2.5 $0380 Yes No 06 MED COMPLICATED PEPTIC ULCER W MCC 1.8968 5.1 6.7 $0381 Yes No 06 MED COMPLICATED PEPTIC ULCER W CC 1.0781 3.4 4.1 $0382 Yes No 06 MED COMPLICATED PEPTIC ULCER W/O CC/MCC 0.8032 2.5 3.0 $0383 No No 06 MED UNCOMPLICATED PEPTIC ULCER W MCC 1.3448 3.9 5.0 $0384 No No 06 MED UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8765 2.7 3.3 $0385 No No 06 MED INFLAMMATORY BOWEL DISEASE W MCC 1.6533 5.4 7.2 $0386 No No 06 MED INFLAMMATORY BOWEL DISEASE W CC 0.9619 3.6 4.4 $0387 No No 06 MED INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7348 2.8 3.4 $0388 Yes No 06 MED G.I. OBSTRUCTION W MCC 1.5239 4.9 6.4 $0389 Yes No 06 MED G.I. OBSTRUCTION W CC 0.8536 3.4 4.1 $0390 Yes No 06 MED G.I. OBSTRUCTION W/O CC/MCC 0.5966 2.6 3.0 $0391 No No 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC 1.2350 3.8 5.0 $0392 No No 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 0.7593 2.7 3.3 $0393 No No 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC 1.6408 4.6 6.3 $0394 No No 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 0.9431 3.2 4.1 $0395 No No 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6746 2.4 2.9 $0405 Yes No 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W MCC 5.2874 9.9 13.1 $0406 Yes No 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 2.7958 5.7 7.1 $0407 Yes No 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC 2.0185 4.1 4.8 $0408 No No 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC 3.9469 9.2 11.8 $0409 No No 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 2.3305 6.0 7.2 $0
410 No No 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC 1.7283 4.2 4.8 $0411 No No 07 SURG CHOLECYSTECTOMY W C.D.E. W MCC 3.2984 7.8 9.5 $0412 No No 07 SURG CHOLECYSTECTOMY W C.D.E. W CC 2.3743 5.5 6.7 $0413 No No 07 SURG CHOLECYSTECTOMY W C.D.E. W/O CC/MCC 1.6865 3.6 4.3 $0414 Yes No 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC 3.5468 8.1 10.0 $0415 Yes No 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.0210 5.3 6.2 $0416 Yes No 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC 1.4023 3.4 3.9 $0417 No No 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC 2.3912 5.4 6.7 $0418 No No 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.6662 3.8 4.5 $0419 No No 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 1.3052 2.5 3.0 $0420 No No 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC 4.0583 8.1 11.5 $0421 No No 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC 1.8838 4.2 5.6 $0422 No No 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC 1.5569 3.1 3.8 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
423 No No 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC 3.7870 8.5 11.6 $0424 No No 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC 2.2354 5.9 7.7 $0425 No No 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC 1.6028 3.6 4.3 $0432 No No 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC 1.8004 4.8 6.5 $0433 No No 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W CC 1.0214 3.4 4.3 $0434 No No 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC 0.6282 2.3 2.7 $0435 No No 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC 1.6702 4.9 6.4 $0436 No No 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC 1.1354 3.6 4.7 $0437 No No 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC 0.9093 2.6 3.3 $0438 No No 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC 1.6593 4.8 6.5 $0439 No No 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 0.8741 3.3 4.1 $0440 No No 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC 0.6381 2.5 3.0 $0441 Yes No 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC 1.8159 4.7 6.5 $0442 Yes No 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC 0.9394 3.3 4.1 $0443 Yes No 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC 0.6787 2.5 3.0 $0444 No No 07 MED DISORDERS OF THE BILIARY TRACT W MCC 1.5997 4.4 5.8 $0445 No No 07 MED DISORDERS OF THE BILIARY TRACT W CC 1.0581 3.2 3.9 $0446 No No 07 MED DISORDERS OF THE BILIARY TRACT W/O CC/MCC 0.7916 2.3 2.8 $0453 No No 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC 9.7411 7.6 9.8 $0454 No No 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC 6.4968 4.1 4.8 $0455 No No 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC 5.0782 2.7 3.1 $0456 No No 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC 9.2044 9.6 11.7 $0457 No No 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC 6.8062 5.4 6.4 $0
458 No No 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC 5.3657 3.2 3.7 $0459 Yes No 08 SURG SPINAL FUSION EXCEPT CERVICAL W MCC 6.0381 5.8 7.4 $0460 Yes No 08 SURG SPINAL FUSION EXCEPT CERVICAL W/O MCC 4.0149 2.9 3.4 $0
461 No No 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC 4.8925 6.1 7.8 $0
462 No No 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC 3.2640 3.0 3.2 $0
463 Yes No 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC 5.0171 9.8 13.1 $0464 Yes No 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC 2.8438 5.5 7.0 $0
466 Yes No 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W MCC 5.0430 6.7 8.3 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
467 Yes No 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W CC 3.4778 3.5 4.2 $0468 Yes No 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC 2.8170 2.4 2.7 $0
469 Yes No 08 SURGMAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT 3.2010 5.1 6.3 $0
470 Yes No 08 SURGMAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 2.0543 2.4 2.7 $0
471 No No 08 SURG CERVICAL SPINAL FUSION W MCC 4.9187 6.2 8.6 $0472 No No 08 SURG CERVICAL SPINAL FUSION W CC 2.8534 2.2 3.1 $0473 No No 08 SURG CERVICAL SPINAL FUSION W/O CC/MCC 2.2916 1.4 1.7 $0474 Yes No 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC 3.8630 9.0 11.5 $0475 Yes No 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC 2.1526 5.8 7.2 $0
476 Yes No 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC 1.1681 3.1 3.9 $0477 Yes Yes 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 3.2332 8.2 10.6 $0478 Yes Yes 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 2.2386 5.4 6.6 $0
479 Yes Yes 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 1.7667 3.4 4.3 $0480 Yes Yes 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 3.0199 6.5 7.6 $0481 Yes Yes 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 2.0501 4.5 4.9 $0482 Yes Yes 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 1.6692 3.6 3.8 $0483 No No 08 SURG MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 2.4267 1.7 2.0 $0485 No No 08 SURG KNEE PROCEDURES W PDX OF INFECTION W MCC 3.2534 8.2 9.9 $0486 No No 08 SURG KNEE PROCEDURES W PDX OF INFECTION W CC 2.2224 5.3 6.2 $0487 No No 08 SURG KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC 1.6595 3.9 4.3 $0488 Yes No 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC 1.9965 3.8 5.0 $0489 Yes No 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC 1.2876 2.2 2.6 $0492 Yes Yes 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC 3.3008 6.2 7.7 $0493 Yes Yes 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC 2.2036 4.0 4.8 $0494 Yes Yes 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC 1.7562 2.7 3.2 $0495 Yes Yes 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC 3.0121 6.5 8.7 $0496 Yes Yes 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC 1.9746 3.5 4.5 $0
497 Yes Yes 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC 1.3874 1.8 2.2 $0498 No No 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC 2.4290 5.3 7.1 $0
499 No No 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC 1.2418 2.2 2.8 $0500 Yes Yes 08 SURG SOFT TISSUE PROCEDURES W MCC 2.9592 7.0 9.4 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
501 Yes Yes 08 SURG SOFT TISSUE PROCEDURES W CC 1.6893 4.3 5.4 $0502 Yes Yes 08 SURG SOFT TISSUE PROCEDURES W/O CC/MCC 1.2637 2.5 3.0 $0503 No No 08 SURG FOOT PROCEDURES W MCC 2.4875 6.7 8.4 $0504 No No 08 SURG FOOT PROCEDURES W CC 1.7241 4.9 5.8 $0505 No No 08 SURG FOOT PROCEDURES W/O CC/MCC 1.5252 3.0 3.6 $0506 No No 08 SURG MAJOR THUMB OR JOINT PROCEDURES 1.3793 3.7 4.6 $0507 No No 08 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC 1.8771 4.3 5.5 $0508 No No 08 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC 1.5335 2.1 2.6 $0509 No No 08 SURG ARTHROSCOPY 1.8321 3.9 4.9 $0510 Yes No 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC 2.4879 4.9 6.0 $0511 Yes No 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC 1.7860 3.4 3.9 $0
512 Yes No 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC 1.4960 2.3 2.6 $0513 No No 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC 1.5871 4.2 5.5 $0
514 No No 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC 1.0192 2.4 2.9 $0515 Yes Yes 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC 2.9195 6.3 8.1 $0516 Yes Yes 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 1.8820 3.9 4.8 $0517 Yes Yes 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC 1.4361 2.2 2.7 $0
518 Yes Yes 08 SURG BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM 2.8930 3.2 5.1 $0519 Yes Yes 08 SURG BACK & NECK PROC EXC SPINAL FUSION W CC 1.8038 3.2 4.1 $0520 Yes Yes 08 SURG BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC 1.2966 1.9 2.4 $0533 Yes No 08 MED FRACTURES OF FEMUR W MCC 1.4380 4.3 5.7 $0534 Yes No 08 MED FRACTURES OF FEMUR W/O MCC 0.7609 2.9 3.5 $0535 Yes No 08 MED FRACTURES OF HIP & PELVIS W MCC 1.2568 3.9 5.0 $0536 Yes No 08 MED FRACTURES OF HIP & PELVIS W/O MCC 0.7545 3.0 3.4 $0537 No No 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC 0.9680 3.3 4.1 $0538 No No 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC 0.6766 2.5 2.9 $0539 Yes No 08 MED OSTEOMYELITIS W MCC 1.8848 5.9 7.8 $0540 Yes No 08 MED OSTEOMYELITIS W CC 1.2914 4.5 5.7 $0541 Yes No 08 MED OSTEOMYELITIS W/O CC/MCC 0.9451 3.3 4.3 $0
542 Yes No 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC 1.8104 5.3 7.0 $0
543 Yes No 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC 1.0798 3.7 4.6 $0
545 Yes No 08 MED CONNECTIVE TISSUE DISORDERS W MCC 2.3634 5.8 8.1 $0546 Yes No 08 MED CONNECTIVE TISSUE DISORDERS W CC 1.1268 3.6 4.6 $0547 Yes No 08 MED CONNECTIVE TISSUE DISORDERS W/O CC/MCC 0.8152 2.6 3.2 $0548 No No 08 MED SEPTIC ARTHRITIS W MCC 2.0384 6.0 7.9 $0549 No No 08 MED SEPTIC ARTHRITIS W CC 1.1946 4.1 5.0 $0550 No No 08 MED SEPTIC ARTHRITIS W/O CC/MCC 0.9006 3.0 3.6 $0551 Yes No 08 MED MEDICAL BACK PROBLEMS W MCC 1.5533 4.5 5.8 $0552 Yes No 08 MED MEDICAL BACK PROBLEMS W/O MCC 0.8938 3.0 3.7 $0553 No No 08 MED BONE DISEASES & ARTHROPATHIES W MCC 1.2891 4.0 5.2 $0554 No No 08 MED BONE DISEASES & ARTHROPATHIES W/O MCC 0.7516 2.8 3.4 $0
555 No No 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC 1.2719 3.8 5.1 $0
556 No No 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC 0.7790 2.7 3.4 $0557 Yes No 08 MED TENDONITIS, MYOSITIS & BURSITIS W MCC 1.4432 4.6 5.7 $0558 Yes No 08 MED TENDONITIS, MYOSITIS & BURSITIS W/O MCC 0.8566 3.2 3.8 $0559 Yes No 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 1.6813 4.7 6.3 $0560 Yes No 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 1.0772 3.8 4.8 $0
561 Yes No 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 0.7611 2.6 3.4 $0562 Yes No 08 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC 1.3819 4.1 5.2 $0563 Yes No 08 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC 0.8235 3.0 3.4 $0
564 No No 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC 1.4630 4.7 5.9 $0
565 No No 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC 0.9527 3.5 4.1 $0
566 No No 08 MEDOTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC 0.7769 2.6 3.1 $0
570 Yes No 09 SURG SKIN DEBRIDEMENT W MCC 2.5948 7.0 9.1 $0571 Yes No 09 SURG SKIN DEBRIDEMENT W CC 1.6287 5.0 6.1 $0572 Yes No 09 SURG SKIN DEBRIDEMENT W/O CC/MCC 1.1756 3.5 4.3 $0573 Yes No 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC 4.0635 8.8 12.8 $0574 Yes No 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC 2.9594 7.3 9.4 $0575 Yes No 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.7419 4.5 5.6 $0576 No No 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC 4.5329 9.0 12.9 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
577 No No 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC 2.4425 4.7 6.9 $0578 No No 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.4892 2.7 3.7 $0579 Yes No 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC 2.6606 6.6 8.9 $0580 Yes No 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.5558 3.9 5.0 $0581 Yes No 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC 1.2240 2.4 3.0 $0582 No No 09 SURG MASTECTOMY FOR MALIGNANCY W CC/MCC 1.4821 2.3 3.1 $0583 No No 09 SURG MASTECTOMY FOR MALIGNANCY W/O CC/MCC 1.3551 1.8 2.0 $0
584 No No 09 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC 1.8558 3.7 4.9 $0
585 No No 09 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC 1.5922 2.2 2.7 $0592 Yes No 09 MED SKIN ULCERS W MCC 1.4818 5.0 6.6 $0593 Yes No 09 MED SKIN ULCERS W CC 1.0459 4.0 4.9 $0594 Yes No 09 MED SKIN ULCERS W/O CC/MCC 0.7584 3.0 3.7 $0595 No No 09 MED MAJOR SKIN DISORDERS W MCC 2.1190 5.5 7.5 $0596 No No 09 MED MAJOR SKIN DISORDERS W/O MCC 0.9791 3.5 4.4 $0597 No No 09 MED MALIGNANT BREAST DISORDERS W MCC 1.8033 5.2 7.0 $0598 No No 09 MED MALIGNANT BREAST DISORDERS W CC 1.0874 3.5 4.5 $0599 No No 09 MED MALIGNANT BREAST DISORDERS W/O CC/MCC 0.8734 2.4 3.1 $0600 No No 09 MED NON-MALIGNANT BREAST DISORDERS W CC/MCC 0.9568 3.7 4.5 $0601 No No 09 MED NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6292 2.6 3.1 $0602 Yes No 09 MED CELLULITIS W MCC 1.4464 4.7 5.9 $0603 Yes No 09 MED CELLULITIS W/O MCC 0.8503 3.3 4.0 $0604 No No 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC 1.3915 3.8 5.0 $0605 No No 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC 0.8459 2.7 3.3 $0606 No No 09 MED MINOR SKIN DISORDERS W MCC 1.3823 4.2 5.8 $0607 No No 09 MED MINOR SKIN DISORDERS W/O MCC 0.7899 2.9 3.7 $0614 No No 10 SURG ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.3490 3.7 5.0 $0615 No No 10 SURG ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.4749 2.0 2.4 $0
616 Yes No 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC 4.0430 10.3 12.6 $0617 Yes No 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC 2.0980 6.1 7.3 $0
618 Yes No 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC 1.1785 4.0 4.7 $0619 No No 10 SURG O.R. PROCEDURES FOR OBESITY W MCC 3.1169 3.5 5.6 $0620 No No 10 SURG O.R. PROCEDURES FOR OBESITY W CC 1.8354 2.2 2.6 $0621 No No 10 SURG O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.5826 1.6 1.8 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
622 Yes No 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 3.6115 8.4 11.2 $0623 Yes No 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 1.8970 5.5 6.7 $0
624 Yes No 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 1.1891 3.3 4.1 $0625 No No 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.6883 4.8 7.2 $0626 No No 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.5182 2.3 3.2 $0627 No No 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 1.0606 1.5 1.8 $0628 Yes No 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 3.5763 7.0 10.1 $0629 Yes No 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.3157 6.1 7.2 $0630 Yes No 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 1.5969 2.7 3.6 $0637 Yes No 10 MED DIABETES W MCC 1.3347 3.8 5.0 $0638 Yes No 10 MED DIABETES W CC 0.8512 2.9 3.6 $0639 Yes No 10 MED DIABETES W/O CC/MCC 0.6257 2.2 2.6 $0
640 Yes No 10 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC 1.1724 3.3 4.5 $0
641 Yes No 10 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC 0.7461 2.6 3.3 $0642 No No 10 MED INBORN AND OTHER DISORDERS OF METABOLISM 1.2509 3.2 4.3 $0643 Yes No 10 MED ENDOCRINE DISORDERS W MCC 1.5914 5.1 6.5 $0644 Yes No 10 MED ENDOCRINE DISORDERS W CC 1.0023 3.6 4.4 $0645 Yes No 10 MED ENDOCRINE DISORDERS W/O CC/MCC 0.7388 2.7 3.3 $0652 No No 11 SURG KIDNEY TRANSPLANT 3.3197 5.5 6.4 $65,000653 Yes No 11 SURG MAJOR BLADDER PROCEDURES W MCC 5.5300 10.9 14.1 $0654 Yes No 11 SURG MAJOR BLADDER PROCEDURES W CC 2.7726 6.2 7.4 $0655 Yes No 11 SURG MAJOR BLADDER PROCEDURES W/O CC/MCC 2.0496 4.0 4.7 $0656 No No 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 3.2546 6.0 7.8 $0657 No No 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 1.9781 3.8 4.5 $0658 No No 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.5630 2.4 2.7 $0659 Yes No 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 3.4129 6.7 9.4 $0660 Yes No 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.7929 3.4 4.5 $0661 Yes No 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.4540 2.1 2.5 $0662 No No 11 SURG MINOR BLADDER PROCEDURES W MCC 3.0456 7.7 10.4 $0663 No No 11 SURG MINOR BLADDER PROCEDURES W CC 1.7806 3.9 5.2 $0664 No No 11 SURG MINOR BLADDER PROCEDURES W/O CC/MCC 1.2867 1.9 2.4 $0665 No No 11 SURG PROSTATECTOMY W MCC 3.1233 8.2 10.6 $0666 No No 11 SURG PROSTATECTOMY W CC 1.7395 4.4 5.8 $0667 No No 11 SURG PROSTATECTOMY W/O CC/MCC 0.9911 2.2 2.7 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
668 No No 11 SURG TRANSURETHRAL PROCEDURES W MCC 2.6350 6.6 8.8 $0669 No No 11 SURG TRANSURETHRAL PROCEDURES W CC 1.3828 3.1 4.2 $0670 No No 11 SURG TRANSURETHRAL PROCEDURES W/O CC/MCC 0.9836 2.2 2.7 $0671 No No 11 SURG URETHRAL PROCEDURES W CC/MCC 1.5344 3.8 5.0 $0672 No No 11 SURG URETHRAL PROCEDURES W/O CC/MCC 1.0226 1.9 2.4 $0673 No No 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 3.5242 7.7 10.7 $0674 No No 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.3165 5.3 7.0 $0675 No No 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.6406 2.6 3.3 $0682 Yes No 11 MED RENAL FAILURE W MCC 1.4843 4.3 5.8 $0683 Yes No 11 MED RENAL FAILURE W CC 0.9292 3.3 4.1 $0684 Yes No 11 MED RENAL FAILURE W/O CC/MCC 0.6284 2.3 2.8 $0685 No No 11 MED ADMIT FOR RENAL DIALYSIS 1.0550 2.7 3.4 $0686 No No 11 MED KIDNEY & URINARY TRACT NEOPLASMS W MCC 1.7275 5.1 6.7 $0687 No No 11 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.0986 3.5 4.5 $0688 No No 11 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.8512 2.0 2.4 $0689 Yes No 11 MED KIDNEY & URINARY TRACT INFECTIONS W MCC 1.0793 3.9 4.8 $0690 Yes No 11 MED KIDNEY & URINARY TRACT INFECTIONS W/O MCC 0.7945 3.0 3.6 $0691 No No 11 MED URINARY STONES W ESW LITHOTRIPSY W CC/MCC 1.5982 2.6 3.4 $0692 No No 11 MED URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC 1.1899 1.9 2.3 $0693 No No 11 MED URINARY STONES W/O ESW LITHOTRIPSY W MCC 1.4272 4.1 5.3 $0694 No No 11 MED URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 0.8142 2.1 2.7 $0695 No No 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC 1.1703 3.8 4.9 $0696 No No 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC 0.6962 2.5 3.1 $0697 No No 11 MED URETHRAL STRICTURE 1.0295 2.9 3.7 $0698 Yes No 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC 1.5879 4.9 6.3 $0699 Yes No 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC 1.0465 3.5 4.3 $0700 Yes No 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC 0.7765 2.6 3.2 $0707 No No 12 SURG MAJOR MALE PELVIC PROCEDURES W CC/MCC 1.8021 2.4 3.3 $0708 No No 12 SURG MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 1.3846 1.3 1.5 $0709 No No 12 SURG PENIS PROCEDURES W CC/MCC 2.2849 4.2 6.6 $0710 No No 12 SURG PENIS PROCEDURES W/O CC/MCC 1.5075 1.8 2.3 $0711 No No 12 SURG TESTES PROCEDURES W CC/MCC 2.0198 5.5 7.3 $0712 No No 12 SURG TESTES PROCEDURES W/O CC/MCC 0.9299 2.3 2.9 $0713 No No 12 SURG TRANSURETHRAL PROSTATECTOMY W CC/MCC 1.4241 2.9 4.2 $0714 No No 12 SURG TRANSURETHRAL PROSTATECTOMY W/O CC/MCC 0.8815 1.7 2.0 $0
715 No No 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC 2.1754 4.9 7.1 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
716 No No 12 SURGOTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC 1.4265 1.5 1.8 $0
717 No No 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC 1.9292 4.0 5.4 $0
718 No No 12 SURGOTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC 1.2463 2.4 2.8 $0
722 No No 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC 1.7366 5.1 6.9 $0723 No No 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC 1.1220 3.6 4.6 $0724 No No 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.7578 1.8 2.3 $0725 No No 12 MED BENIGN PROSTATIC HYPERTROPHY W MCC 1.2737 4.2 5.6 $0726 No No 12 MED BENIGN PROSTATIC HYPERTROPHY W/O MCC 0.7374 2.6 3.2 $0727 No No 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC 1.4500 4.7 6.0 $0728 No No 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC 0.8116 3.1 3.7 $0729 No No 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC 1.0556 3.3 4.3 $0730 No No 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6382 1.9 2.4 $0
734 No No 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC 2.1754 3.8 5.3 $0
735 No No 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC 1.3082 1.8 2.2 $0
736 No No 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC 3.9277 9.2 11.4 $0737 No No 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC 1.9597 4.8 5.6 $0
738 No No 13 SURGUTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC 1.3936 2.8 3.2 $0
739 No No 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC 3.5413 6.8 9.4 $0740 No No 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.7214 3.1 4.0 $0741 No No 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC 1.2644 1.8 2.1 $0742 No No 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC 1.6389 3.1 4.0 $0743 No No 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC 1.0745 1.8 2.0 $0744 No No 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC 1.6994 4.3 5.7 $0745 No No 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC 1.0601 2.2 2.6 $0746 No No 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC 1.6343 3.6 5.1 $0747 No No 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC 0.9222 1.6 2.0 $0748 No No 13 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.2673 1.7 2.1 $0749 No No 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC 2.5771 5.9 7.7 $0750 No No 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.2998 2.4 3.1 $0754 No No 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC 1.7905 5.1 7.0 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
755 No No 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.0976 3.5 4.6 $0756 No No 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6351 2.0 2.4 $0757 No No 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC 1.4655 5.1 6.5 $0758 No No 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC 1.0031 3.9 4.8 $0759 No No 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.7156 2.8 3.3 $0
760 No No 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC 0.8586 2.7 3.4 $0
761 No No 13 MEDMENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC 0.6425 1.9 2.4 $0
765 No No 14 SURG CESAREAN SECTION W CC/MCC 1.1770 3.7 4.7 $0766 No No 14 SURG CESAREAN SECTION W/O CC/MCC 0.8371 2.8 3.1 $0767 No No 14 SURG VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.9311 2.4 2.9 $0768 No No 14 SURG VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 1.1337 3.4 3.8 $0769 No No 14 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.7239 3.2 5.1 $0770 No No 14 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.7878 1.8 2.2 $0774 No No 14 MED VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.8304 2.6 3.4 $0775 No No 14 MED VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.6454 2.1 2.3 $0776 No No 14 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.8073 2.5 3.3 $0777 No No 14 MED ECTOPIC PREGNANCY 0.8781 1.6 1.9 $0778 No No 14 MED THREATENED ABORTION 0.6086 2.1 3.1 $0779 No No 14 MED ABORTION W/O D&C 0.6735 1.7 2.3 $0780 No No 14 MED FALSE LABOR 0.4879 1.6 2.0 $0781 No No 14 MED OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.8615 2.7 4.1 $0782 No No 14 MED OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.6115 1.9 2.6 $0789 No No 15 MED NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.6412 1.8 1.8 $0790 No No 15 MED EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 5.4121 17.9 17.9 $0791 No No 15 MED PREMATURITY W MAJOR PROBLEMS 3.6963 13.3 13.3 $0792 No No 15 MED PREMATURITY W/O MAJOR PROBLEMS 2.2302 8.6 8.6 $0793 No No 15 MED FULL TERM NEONATE W MAJOR PROBLEMS 3.7969 4.7 4.7 $0794 No No 15 MED NEONATE W OTHER SIGNIFICANT PROBLEMS 1.3439 3.4 3.4 $0795 No No 15 MED NORMAL NEWBORN 0.1819 3.1 3.1 $0799 No No 16 SURG SPLENECTOMY W MCC 4.8769 8.0 10.7 $0800 No No 16 SURG SPLENECTOMY W CC 2.6869 5.1 6.5 $0801 No No 16 SURG SPLENECTOMY W/O CC/MCC 1.7028 2.6 3.2 $0802 No No 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 3.2539 7.3 10.1 $0803 No No 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 1.8603 4.4 5.7 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
804 No No 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.1986 2.3 2.9 $0808 No No 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.1286 5.6 7.5 $0809 No No 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.1964 3.6 4.5 $0
810 No No 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.9406 2.8 3.4 $0811 No No 16 MED RED BLOOD CELL DISORDERS W MCC 1.3376 3.7 4.9 $0812 No No 16 MED RED BLOOD CELL DISORDERS W/O MCC 0.8828 2.8 3.5 $0813 No No 16 MED COAGULATION DISORDERS 1.7310 3.6 4.9 $0814 No No 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 1.7550 4.8 6.5 $0815 No No 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 1.0019 3.2 4.0 $0816 No No 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.7021 2.4 2.9 $0820 No No 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 5.4176 11.2 15.3 $0821 No No 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.3355 4.3 6.1 $0822 No No 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.2401 2.0 2.5 $0823 No No 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC 4.3126 10.5 13.6 $0824 No No 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC 2.1851 5.3 7.1 $0825 No No 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC 1.2860 2.5 3.4 $0826 No No 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 5.2149 10.7 14.2 $0827 No No 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.3681 5.0 6.4 $0
828 No No 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.6206 3.1 3.9 $0
829 No No 17 SURGMYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC 3.1308 6.3 9.5 $0
830 No No 17 SURGMYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC 1.2790 2.4 3.1 $0
834 No No 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC 5.4939 10.0 16.8 $0835 No No 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC 2.1139 4.4 7.0 $0836 No No 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC 1.3767 3.0 4.8 $0
837 No No 17 MED CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 5.7037 13.9 19.3 $0838 No No 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 2.3520 6.1 8.2 $0839 No No 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 1.3326 4.7 5.3 $0840 Yes No 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 3.0793 7.0 9.8 $0841 Yes No 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.6206 4.3 5.7 $0842 Yes No 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.1243 2.9 3.7 $0843 No No 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 1.7890 5.3 7.1 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
844 No No 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.2069 3.8 5.0 $0845 No No 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.9022 2.8 3.5 $0
846 No No 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 2.3804 5.8 7.8 $0847 No No 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.2613 3.5 4.0 $0
848 No No 17 MEDCHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.9320 2.8 3.3 $0
849 No No 17 MED RADIOTHERAPY 1.7999 4.8 6.3 $0853 Yes No 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 5.1279 10.3 13.3 $0854 Yes No 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.3912 6.3 7.7 $0855 Yes No 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.4400 3.4 4.2 $0856 Yes No 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 4.4513 9.3 12.3 $0857 Yes No 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 1.9881 5.3 6.6 $0
858 Yes No 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.3488 3.7 4.5 $0862 Yes No 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.8327 5.1 6.7 $0863 Yes No 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 1.0072 3.6 4.4 $0864 No No 18 MED FEVER 0.8701 2.8 3.5 $0865 No No 18 MED VIRAL ILLNESS W MCC 1.5014 4.1 5.6 $0866 No No 18 MED VIRAL ILLNESS W/O MCC 0.8005 2.7 3.4 $0867 Yes No 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.1174 5.6 7.6 $0868 Yes No 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 1.0596 3.8 4.7 $0869 Yes No 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.7886 2.9 3.5 $0870 Yes No 18 MED SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS 6.0896 12.5 14.5 $0871 Yes No 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC 1.8229 4.9 6.4 $0872 Yes No 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC 1.0546 3.7 4.5 $0876 No No 19 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 3.5094 7.6 14.2 $0880 No No 19 MED ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.8085 2.7 3.7 $0881 No No 19 MED DEPRESSIVE NEUROSES 0.7457 3.8 5.2 $0882 No No 19 MED NEUROSES EXCEPT DEPRESSIVE 0.7791 3.2 4.5 $0883 No No 19 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.1768 4.8 7.8 $0884 Yes No 19 MED ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY 1.2342 4.2 6.5 $0885 No No 19 MED PSYCHOSES 1.1735 5.8 8.2 $0886 No No 19 MED BEHAVIORAL & DEVELOPMENTAL DISORDERS 1.0675 3.8 6.9 $0887 No No 19 MED OTHER MENTAL DISORDER DIAGNOSES 1.0740 3.1 4.6 $0894 No No 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.5243 2.1 2.9 $0895 No No 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 1.3303 9.1 11.9 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
896 Yes No 20 MEDALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.6357 4.8 6.7 $0
897 Yes No 20 MEDALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 0.7896 3.4 4.3 $0
901 No No 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W MCC 4.1541 9.0 13.1 $0902 No No 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W CC 1.9980 5.1 6.8 $0903 No No 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC 1.2477 3.1 3.9 $0904 No No 21 SURG SKIN GRAFTS FOR INJURIES W CC/MCC 3.2509 6.7 9.7 $0905 No No 21 SURG SKIN GRAFTS FOR INJURIES W/O CC/MCC 1.4619 3.5 4.4 $0906 No No 21 SURG HAND PROCEDURES FOR INJURIES 1.7443 2.9 4.5 $0907 Yes No 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W MCC 4.1721 7.3 10.3 $0908 Yes No 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 2.0254 4.0 5.2 $0909 Yes No 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC 1.4069 2.5 3.1 $0913 No No 21 MED TRAUMATIC INJURY W MCC 1.3797 3.6 4.8 $0914 No No 21 MED TRAUMATIC INJURY W/O MCC 0.8302 2.5 3.2 $0915 No No 21 MED ALLERGIC REACTIONS W MCC 1.6178 3.7 4.9 $0916 No No 21 MED ALLERGIC REACTIONS W/O MCC 0.6002 1.8 2.1 $0917 Yes No 21 MED POISONING & TOXIC EFFECTS OF DRUGS W MCC 1.4020 3.5 4.8 $0918 Yes No 21 MED POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 0.7502 2.3 3.0 $0919 No No 21 MED COMPLICATIONS OF TREATMENT W MCC 1.7507 4.3 6.0 $0920 No No 21 MED COMPLICATIONS OF TREATMENT W CC 0.9993 3.0 3.9 $0921 No No 21 MED COMPLICATIONS OF TREATMENT W/O CC/MCC 0.7093 2.2 2.8 $0922 No No 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC 1.4820 4.0 5.4 $0923 No No 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC 0.8166 2.6 3.6 $0
927 No No 22 SURG EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT 16.9378 23.7 30.0 $0928 No No 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC 5.7034 10.7 14.6 $0929 No No 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC 2.6348 5.6 7.5 $0
933 No No 22 MED EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT 3.2557 2.8 5.9 $0934 No No 22 MED FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ 1.7432 4.3 6.4 $0935 No No 22 MED NON-EXTENSIVE BURNS 1.6879 3.5 5.0 $0
939 No No 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC 3.4821 6.5 9.5 $0940 No No 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC 2.3429 4.0 5.3 $0
941 No No 23 SURGO.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC 1.8581 2.5 3.2 $0
MS-DRG
FY 2018 Final Post-
Acute DRG
FY 2018 Final
Special Pay DRG
MDC TYPE MS-DRG Title Weights Geometric mean LOS
Arithmetic mean LOS
Acquisition Fee Add-on
945 Yes No 23 MED REHABILITATION W CC/MCC 1.2539 8.3 10.9 $0946 Yes No 23 MED REHABILITATION W/O CC/MCC 1.1299 6.4 7.3 $0947 Yes No 23 MED SIGNS & SYMPTOMS W MCC 1.1739 3.5 4.8 $0948 Yes No 23 MED SIGNS & SYMPTOMS W/O MCC 0.7726 2.7 3.3 $0949 No No 23 MED AFTERCARE W CC/MCC 1.1656 4.4 6.1 $0950 No No 23 MED AFTERCARE W/O CC/MCC 0.8044 3.4 4.8 $0951 No No 23 MED OTHER FACTORS INFLUENCING HEALTH STATUS 0.7927 2.4 3.2 $0955 No No 24 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 6.0302 7.3 10.9 $0
956 Yes No 24 SURG LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 3.9066 6.3 7.7 $0957 No No 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC 7.3033 9.7 13.8 $0958 No No 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC 4.2558 7.1 8.8 $0
959 No No 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 2.6946 3.9 4.8 $0963 No No 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC 2.6785 5.4 8.0 $0964 No No 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W CC 1.4288 4.0 4.8 $0965 No No 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 0.9934 2.9 3.3 $0969 No No 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W MCC 5.4440 11.3 15.4 $0970 No No 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W/O MCC 2.5694 4.4 7.1 $0974 No No 25 MED HIV W MAJOR RELATED CONDITION W MCC 2.7733 6.5 9.2 $0975 No No 25 MED HIV W MAJOR RELATED CONDITION W CC 1.3595 4.4 5.8 $0976 No No 25 MED HIV W MAJOR RELATED CONDITION W/O CC/MCC 0.9985 3.3 4.3 $0977 No No 25 MED HIV W OR W/O OTHER RELATED CONDITION 1.2996 3.7 5.2 $0
981 Yes No PRE SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 4.3098 8.5 11.5 $0982 Yes No PRE SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.4839 5.0 6.6 $0
983 Yes No PRE SURGEXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.6456 2.5 3.5 $0
987 Yes Yes PRE SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.2362 7.9 10.6 $0988 Yes Yes PRE SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC 1.7104 4.4 5.9 $0
989 Yes Yes PRE SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.1056 2.2 2.9 $0998 No No PRE ** PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $0999 No No PRE ** UNGROUPABLE $0