| MS-DRG | PACT DRG | Spec Pay | MDC | TYPE | MS-DRG title | Weights | Geometric mean LOS | Arithmetic mean LOS | |||
| 1 | No | No | PRE | SURG | Heart transplant or implant of heart assist system w MCC. | 23.1117 | 30.8 | 45.6 | |||
| 2 | No | No | PRE | SURG | Heart transplant or implant of heart assist system w/o MCC. | 16.2735 | 16.1 | 22.8 | |||
| 3 | Yes | No | PRE | SURG | ECMO or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R | 18.7707 | 33.4 | 40.6 | |||
| 4 | Yes | No | PRE | SURG | Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R | 11.4219 | 23.8 | 29.3 | |||
| 5 | No | No | PRE | SURG | Liver transplant w MCC or intestinal transplant | 10.612 | 17.6 | 23.5 | |||
| 6 | No | No | PRE | SURG | Liver transplant w/o MCC | 7.2562 | 9.1 | 10.5 | |||
| 7 | No | No | PRE | SURG | Lung transplant | 8.4002 | 14.6 | 17.3 | |||
| 8 | No | No | PRE | SURG | Simultaneous pancreas/kidney transplant | 5.1726 | 10.1 | 11.8 | |||
| 9 | No | No | PRE | SURG | Bone marrow transplant | 6.4842 | 18.1 | 21.7 | |||
| 10 | No | No | PRE | SURG | Pancreas transplant | 3.8902 | 9.2 | 10.5 | |||
| 11 | No | No | PRE | SURG | Tracheostomy for face,mouth & neck diagnoses w MCC | 4.1482 | 12.8 | 16.2 | |||
| 12 | No | No | PRE | SURG | Tracheostomy for face,mouth & neck diagnoses w CC | 3.2472 | 8.9 | 10.9 | |||
| 13 | No | No | PRE | SURG | Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC | 2.676 | 6.1 | 7.2 | |||
| 20 | No | No | 1 | SURG | Intracranial vascular procedures w PDX hemorrhage w MCC | 7.7073 | 15.2 | 19.1 | |||
| 21 | No | No | 1 | SURG | Intracranial vascular procedures w PDX hemorrhage w CC | 6.7021 | 13.4 | 15.5 | |||
| 22 | No | No | 1 | SURG | Intracranial vascular procedures w PDX hemorrhage w/o CC/MCC | 5.6085 | 7.8 | 9.6 | |||
| 23 | No | No | 1 | SURG | Cranio w major dev impl/acute complex CNS PDX w MCC or chemo implant | 4.7036 | 9 | 12.8 | |||
| 24 | No | No | 1 | SURG | Cranio w major dev impl/acute complex CNS PDX w/o MCC | 3.8978 | 6.1 | 8.9 | |||
| 25 | Yes | No | 1 | SURG | Craniotomy & endovascular intracranial procedures w MCC | 4.2362 | 10.3 | 13.3 | |||
| 26 | Yes | No | 1 | SURG | Craniotomy & endovascular intracranial procedures w CC | 3.1582 | 6.5 | 8.2 | |||
| 27 | Yes | No | 1 | SURG | Craniotomy & endovascular intracranial procedures w/o CC/ MCC | 2.3259 | 3.5 | 4.6 | |||
| 28 | Yes | Yes | 1 | SURG | Spinal procedures w MCC .................. | 4.2339 | 10.8 | 14.7 | |||
| 29 | Yes | Yes | 1 | SURG | Spinal procedures w CC or spinal neurostimulators | 2.8356 | 5.3 | 7.3 | |||
| 30 | Yes | Yes | 1 | SURG | Spinal procedures w/o CC/MCC ......... | 1.7617 | 2.8 | 3.7 | |||
| 31 | Yes | No | 1 | SURG | Ventricular shunt procedures w MCC | 3.2226 | 9.2 | 13.2 | |||
| 32 | Yes | No | 1 | SURG | Ventricular shunt procedures w CC .... | 1.9342 | 3.8 | 5.8 | |||
| 33 | Yes | No | 1 | SURG | Ventricular shunt procedures w/o CC/ MCC | 1.4281 | 2.3 | 3.1 | |||
| 34 | No | No | 1 | SURG | Carotid artery stent procedure w MCC | 2.5438 | 4.8 | 7.3 | |||
| 35 | No | No | 1 | SURG | Carotid artery stent procedure w CC .. | 1.8996 | 2 | 2.9 | |||
| 36 | No | No | 1 | SURG | Carotid artery stent procedure w/o CC/MCC | 1.6977 | 1.3 | 1.6 | |||
| 37 | No | No | 1 | SURG | Extracranial procedures w MCC ......... | 2.263 | 6 | 8.7 | |||
| 38 | No | No | 1 | SURG | Extracranial procedures w CC ............ | 1.4686 | 2.5 | 3.7 | |||
| 39 | No | No | 1 | SURG | Extracranial procedures w/o CC/MCC | 1.0909 | 1.5 | 1.8 | |||
| 40 | Yes | Yes | 1 | SURG | Periph/cranial nerve & other nerv syst proc w MCC | 3.255 | 10 | 13.6 | |||
| 41 | Yes | Yes | 1 | SURG | Periph/cranial nerve & other nerv syst proc w CC or periph neurostim | 2.3595 | 5.4 | 7.3 | |||
| 42 | Yes | Yes | 1 | SURG | Periph/cranial nerve & other nerv syst proc w/o CC/MCC | 1.871 | 2.5 | 3.6 | |||
| 52 | No | No | 1 | MED | Spinal disorders & injuries w CC/MCC | 1.4329 | 4.7 | 7 | |||
| 53 | No | No | 1 | MED | Spinal disorders & injuries w/o CC/ MCC | 1.1172 | 3.1 | 4 | |||
| 54 | Yes | No | 1 | MED | Nervous system neoplasms w MCC ... | 1.4228 | 5.3 | 7.2 | |||
| 55 | Yes | No | 1 | MED | Nervous system neoplasms w/o MCC | 1.1213 | 3.8 | 5 | |||
| 56 | Yes | No | 1 | MED | Degenerative nervous system disorders w MCC | 1.282 | 5.8 | 7.8 | |||
| 57 | Yes | No | 1 | MED | Degenerative nervous system disorders w/o MCC | 0.8951 | 3.9 | 4.9 | |||
| 58 | No | No | 1 | MED | Multiple sclerosis & cerebellar ataxia w MCC | 1.2669 | 5.8 | 8 | |||
| 59 | No | No | 1 | MED | Multiple sclerosis & cerebellar ataxia w CC | 0.9226 | 4.3 | 5.2 | |||
| 60 | No | No | 1 | MED | Multiple sclerosis & cerebellar ataxia w/o CC/MCC | 0.816 | 3.4 | 4.1 | |||
| 61 | No | No | 1 | MED | Acute ischemic stroke w use of thrombolytic agent w MCC | 2.5541 | 7.3 | 9.6 | |||
| 62 | No | No | 1 | MED | Acute ischemic stroke w use of thrombolytic agent w CC | 2.0886 | 5.3 | 6.3 | |||
| 63 | No | No | 1 | MED | Acute ischemic stroke w use of thrombolytic agent w/o CC/MCC | 1.8642 | 3.9 | 4.5 | |||
| 64 | Yes | No | 1 | MED | Intracranial hemorrhage or cerebral infarction w MCC | 1.547 | 5.6 | 7.6 | |||
| 65 | Yes | No | 1 | MED | Intracranial hemorrhage or cerebral infarction w CC | 1.1901 | 4.3 | 5.3 | |||
| 66 | Yes | No | 1 | MED | Intracranial hemorrhage or cerebral infarction w/o CC/MCC | 1.0303 | 3.1 | 3.8 | |||
| 67 | No | No | 1 | MED | Nonspecific cva & precerebral occlusion w/o infarct w MCC | 1.2194 | 4.7 | 6.2 | |||
| 68 | No | No | 1 | MED | Nonspecific cva & precerebral occlusion w/o infarct w/o MCC | 0.9131 | 2.8 | 3.6 | |||
| 69 | No | No | 1 | MED | Transient ischemia | 0.7339 | 2.5 | 3.1 | |||
| 70 | Yes | No | 1 | MED | Nonspecific cerebrovascular disorders w MCC | 1.6212 | 6 | 7.9 | |||
| 71 | Yes | No | 1 | MED | Nonspecific cerebrovascular disorders w CC | 1.2522 | 4.5 | 5.6 | |||
| 72 | Yes | No | 1 | MED | Nonspecific cerebrovascular disorders w/o CC/MCC | 0.9586 | 2.9 | 3.7 | |||
| 73 | No | No | 1 | MED | Cranial & peripheral nerve disorders w MCC | 1.1717 | 4.8 | 6.4 | |||
| 74 | No | No | 1 | MED | Cranial & peripheral nerve disorders w/o MCC | 0.8954 | 3.4 | 4.4 | |||
| 75 | No | No | 1 | MED | Viral meningitis w CC/MCC | 1.5369 | 6 | 7.6 | |||
| 76 | No | No | 1 | MED | Viral meningitis w/o CC/MCC | 1.1439 | 3.4 | 4.2 | |||
| 77 | No | No | 1 | MED | Hypertensive encephalopathy w MCC | 1.4611 | 5.6 | 7.2 | |||
| 78 | No | No | 1 | MED | Hypertensive encephalopathy w CC | 1.0996 | 3.7 | 4.6 | |||
| 79 | No | No | 1 | MED | Hypertensive encephalopathy w/o CC/ MCC | 0.9839 | 2.8 | 3.4 | |||
| 80 | No | No | 1 | MED | Nontraumatic stupor & coma w MCC | 0.9014 | 3.6 | 4.9 | |||
| 81 | No | No | 1 | MED | Nontraumatic stupor & coma w/o MCC | 0.7161 | 2.7 | 3.4 | |||
| 82 | No | No | 1 | MED | Traumatic stupor & coma, coma >= 1 hr w MCC | 1.6724 | 3.9 | 6.4 | |||
| 83 | No | No | 1 | MED | Traumatic stupor & coma, coma >= 1 hr w CC | 1.3328 | 3.7 | 5.2 | |||
| 84 | No | No | 1 | MED | Traumatic stupor & coma, coma >= 1 hr w/o CC/MCC | 1.1106 | 2.3 | 3.1 | |||
| 85 | Yes | No | 1 | MED | Traumatic stupor & coma, coma <1 hr w MCC | 1.6946 | 5.7 | 7.9 | |||
| 86 | Yes | No | 1 | MED | Traumatic stupor & coma, coma <1 hr w CC | 1.2337 | 4 | 5.1 | |||
| 87 | Yes | No | 1 | MED | Traumatic stupor & coma, coma <1 hr w/o CC/MCC | 0.9235 | 2.6 | 3.4 | |||
| 88 | No | No | 1 | MED | Concussion w MCC | 1.2968 | 4.3 | 6.1 | |||
| 89 | No | No | 1 | MED | Concussion w CC | 0.9479 | 3 | 3.8 | |||
| 90 | No | No | 1 | MED | Concussion w/o CC/MCC | 0.7405 | 2 | 2.5 | |||
| 91 | Yes | No | 1 | MED | Other disorders of nervous system w MCC | 1.3242 | 4.7 | 6.6 | |||
| 92 | Yes | No | 1 | MED | Other disorders of nervous system w CC | 0.9529 | 3.5 | 4.4 | |||
| 93 | Yes | No | 1 | MED | Other disorders of nervous system w/o CC/MCC | 0.771 | 2.6 | 3.2 | |||
| 94 | No | No | 1 | MED | Bacterial & tuberculous infections of nervous system w MCC | 3.1499 | 9.7 | 12.5 | |||
| 95 | No | No | 1 | MED | Bacterial & tuberculous infections of nervous system w CC | 2.5679 | 7.2 | 9.1 | |||
| 96 | No | No | 1 | MED | Bacterial & tuberculous infections of nervous system w/o CC/MCC | 2.3482 | 4.9 | 6.2 | |||
| 97 | No | No | 1 | MED | Non-bacterial infect of nervous sys exc viral meningitis w MCC | 2.6665 | 9.3 | 11.8 | |||
| 98 | No | No | 1 | MED | Non-bacterial infect of nervous sys exc viral meningitis w CC | 2.0568 | 6.8 | 8.5 | |||
| 99 | No | No | 1 | MED | Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC | 1.8177 | 5.1 | 6.3 | |||
| 100 | Yes | No | 1 | MED | Seizures w MCC | 1.25 | 4.7 | 6.3 | |||
| 101 | Yes | No | 1 | MED | Seizures w/o MCC | 0.8258 | 2.9 | 3.7 | |||
| 102 | No | No | 1 | MED | Headaches w MCC | 0.871 | 3.6 | 5.1 | |||
| 103 | No | No | 1 | MED | Headaches w/o MCC | 0.6677 | 2.5 | 3.2 | |||
| 113 | No | No | 2 | SURG | Orbital procedures w CC/MCC | 1.4141 | 3.8 | 5.5 | |||
| 114 | No | No | 2 | SURG | Orbital procedures w/o CC/MCC | 1.0292 | 2 | 2.7 | |||
| 115 | No | No | 2 | SURG | Extraocular procedures except orbit | 1.1185 | 3.3 | 4.5 | |||
| 116 | No | No | 2 | SURG | Intraocular procedures w CC/MCC | 0.8891 | 2.2 | 3.4 | |||
| 117 | No | No | 2 | SURG | Intraocular procedures w/o CC/MCC | 0.7094 | 1.5 | 1.9 | |||
| 121 | No | No | 2 | MED | Acute major eye infections w CC/MCC | 0.88 | 4.6 | 5.8 | |||
| 122 | No | No | 2 | MED | Acute major eye infections w/o CC/ MCC | 0.6608 | 3.3 | 4.1 | |||
| 123 | No | No | 2 | MED | Neurological eye disorders | 0.7224 | 2.4 | 2.9 | |||
| 124 | No | No | 2 | MED | Other disorders of the eye w MCC | 0.9308 | 3.9 | 5.3 | |||
| 125 | No | No | 2 | MED | Other disorders of the eye w/o MCC | 0.6792 | 2.7 | 3.5 | |||
| 129 | No | No | 3 | SURG | Major head & neck procedures w CC/ MCC or major device | 1.7992 | 3.7 | 5.1 | |||
| 130 | No | No | 3 | SURG | Major head & neck procedures w/o CC/MCC | 1.3987 | 2.4 | 3.2 | |||
| 131 | No | No | 3 | SURG | Cranial/facial procedures w CC/MCC | 1.63 | 4 | 5.8 | |||
| 132 | No | No | 3 | SURG | Cranial/facial procedures w/o CC/ MCC | 1.2054 | 2.1 | 2.6 | |||
| 133 | No | No | 3 | SURG | Other ear, nose, mouth & throat O.R. procedures w CC/MCC | 1.4331 | 3.7 | 5.8 | |||
| 134 | No | No | 3 | SURG | Other ear, nose, mouth & throat O.R. procedures w/o CC/MCC | 0.9474 | 1.7 | 2.1 | |||
| 135 | No | No | 3 | SURG | Sinus & mastoid procedures w CC/ MCC | 1.5318 | 4.3 | 6.4 | |||
| 136 | No | No | 3 | SURG | Sinus & mastoid procedures w/o CC/ MCC | 1.1094 | 1.8 | 2.6 | |||
| 137 | No | No | 3 | SURG | Mouth procedures w CC/MCC | 1.2677 | 3.7 | 5.4 | |||
| 138 | No | No | 3 | SURG | Mouth procedures w/o CC/MCC | 0.8474 | 1.9 | 2.4 | |||
| 139 | No | No | 3 | SURG | Salivary gland procedures | 0.847 | 1.4 | 1.8 | |||
| 146 | No | No | 3 | MED | Ear, nose, mouth & throat malignancy w MCC | 1.7734 | 7.1 | 10.3 | |||
| 147 | No | No | 3 | MED | Ear, nose, mouth & throat malignancy w CC | 1.2182 | 4.2 | 5.8 | |||
| 148 | No | No | 3 | MED | Ear, nose, mouth & throat malignancy w/o CC/MCC | 1.007 | 2.5 | 3.5 | |||
| 149 | No | No | 3 | MED | Dysequilibrium | 0.6154 | 2.2 | 2.7 | |||
| 150 | No | No | 3 | MED | Epistaxis w MCC | 0.9916 | 4 | 5.5 | |||
| 151 | No | No | 3 | MED | Epistaxis w/o MCC | 0.6227 | 2.3 | 2.9 | |||
| 152 | No | No | 3 | MED | Otitis media & URI w MCC | 0.816 | 3.7 | 4.7 | |||
| 153 | No | No | 3 | MED | Otitis media & URI w/o MCC | 0.6207 | 2.8 | 3.4 | |||
| 154 | No | No | 3 | MED | Nasal trauma & deformity w MCC | 1.1294 | 4.8 | 6.5 | |||
| 155 | No | No | 3 | MED | Nasal trauma & deformity w CC | 0.863 | 3.5 | 4.5 | |||
| 156 | No | No | 3 | MED | Nasal trauma & deformity w/o CC/ MCC | 0.7412 | 2.5 | 3.2 | |||
| 157 | No | No | 3 | MED | Dental & Oral Diseases w MCC | 1.1909 | 5 | 6.9 | |||
| 158 | No | No | 3 | MED | Dental & Oral Diseases w CC | 0.8653 | 3.4 | 4.4 | |||
| 159 | No | No | 3 | MED | Dental & Oral Diseases w/o CC/MCC | 0.7361 | 2.4 | 3.1 | |||
| 163 | Yes | No | 4 | SURG | Major chest procedures w MCC | 4.0452 | 12.2 | 15 | |||
| 164 | Yes | No | 4 | SURG | Major chest procedures w CC | 2.8081 | 6.9 | 8.3 | |||
| 165 | Yes | No | 4 | SURG | Major chest procedures w/o CC/MCC | 2.4106 | 4.5 | 5.4 | |||
| 166 | Yes | No | 4 | SURG | Other resp system O.R. procedures w MCC | 3.2677 | 10.1 | 13 | |||
| 167 | Yes | No | 4 | SURG | Other resp system O.R. procedures w CC | 2.4151 | 6.5 | 8.1 | |||
| 168 | Yes | No | 4 | SURG | Other resp system O.R. procedures w/o CC/MCC | 1.8181 | 4 | 5.4 | |||
| 175 | Yes | No | 4 | MED | Pulmonary embolism w MCC | 1.4152 | 6.1 | 7.4 | |||
| 176 | Yes | No | 4 | MED | Pulmonary embolism w/o MCC | 1.158 | 4.7 | 5.5 | |||
| 177 | Yes | No | 4 | MED | Respiratory infections & inflammations w MCC | 1.8444 | 7.2 | 9.2 | |||
| 178 | Yes | No | 4 | MED | Respiratory infections & inflammations w CC | 1.5636 | 6 | 7.4 | |||
| 179 | Yes | No | 4 | MED | Respiratory infections & inflammations w/o CC/MCC | 1.2754 | 4.6 | 5.6 | |||
| 180 | No | No | 4 | MED | Respiratory neoplasms w MCC | 1.555 | 6.1 | 8 | |||
| 181 | No | No | 4 | MED | Respiratory neoplasms w CC | 1.3126 | 4.5 | 6 | |||
| 182 | No | No | 4 | MED | Respiratory neoplasms w/o CC/MCC | 1.1455 | 3.3 | 4.3 | |||
| 183 | No | No | 4 | MED | Major chest trauma w MCC | 1.2664 | 5.7 | 7.2 | |||
| 184 | No | No | 4 | MED | Major chest trauma w CC | 0.9611 | 3.8 | 4.6 | |||
| 185 | No | No | 4 | MED | Major chest trauma w/o CC/MCC | 0.7298 | 2.7 | 3.3 | |||
| 186 | Yes | No | 4 | MED | Pleural effusion w MCC | 1.4542 | 5.8 | 7.5 | |||
| 187 | Yes | No | 4 | MED | Pleural effusion w CC | 1.1947 | 4.2 | 5.5 | |||
| 188 | Yes | No | 4 | MED | Pleural effusion w/o CC/MCC | 0.9745 | 3.2 | 4.1 | |||
| 189 | No | No | 4 | MED | Pulmonary edema & respiratory failure | 1.366 | 4.8 | 6.2 | |||
| 190 | Yes | No | 4 | MED | Chronic obstructive pulmonary disease w MCC | 1.1138 | 5.1 | 6.5 | |||
| 191 | Yes | No | 4 | MED | Chronic obstructive pulmonary disease w CC | 0.9405 | 4.2 | 5.1 | |||
| 192 | Yes | No | 4 | MED | Chronic obstructive pulmonary disease w/o CC/MCC | 0.8145 | 3.4 | 4 | |||
| 193 | Yes | No | 4 | MED | Simple pneumonia & pleurisy w MCC | 1.2505 | 5.5 | 6.9 | |||
| 194 | Yes | No | 4 | MED | Simple pneumonia & pleurisy w CC | 1.0235 | 4.5 | 5.3 | |||
| 195 | Yes | No | 4 | MED | Simple pneumonia & pleurisy w/o CC/ MCC | 0.8398 | 3.5 | 4.1 | |||
| 196 | Yes | No | 4 | MED | Interstitial lung disease w MCC | 1.3781 | 5.8 | 7.3 | |||
| 197 | Yes | No | 4 | MED | Interstitial lung disease w CC | 1.1458 | 4.4 | 5.4 | |||
| 198 | Yes | No | 4 | MED | Interstitial lung disease w/o CC/MCC | 0.9654 | 3.5 | 4.3 | |||
| 199 | No | No | 4 | MED | Pneumothorax w MCC | 1.4699 | 6.6 | 8.5 | |||
| 200 | No | No | 4 | MED | Pneumothorax w CC | 1.0753 | 3.9 | 5.1 | |||
| 201 | No | No | 4 | MED | Pneumothorax w/o CC/MCC | 0.8588 | 3.2 | 4.1 | |||
| 202 | No | No | 4 | MED | Bronchitis & asthma w CC/MCC | 0.7841 | 3.6 | 4.5 | |||
| 203 | No | No | 4 | MED | Bronchitis & asthma w/o CC/MCC | 0.6252 | 2.9 | 3.5 | |||
| 204 | No | No | 4 | MED | Respiratory signs & symptoms | 0.6658 | 2.2 | 2.9 | |||
| 205 | Yes | No | 4 | MED | Other respiratory system diagnoses w MCC | 1.0636 | 4.2 | 5.6 | |||
| 206 | Yes | No | 4 | MED | Other respiratory system diagnoses w/o MCC | 0.7848 | 2.7 | 3.5 | |||
| 207 | Yes | No | 4 | MED | Respiratory system diagnosis w ventilator support 96+ hours | 5.1231 | 12.6 | 15 | |||
| 208 | No | No | 4 | MED | Respiratory system diagnosis w ventilator support 96 hours | 2.2463 | 5.2 | 7.3 | |||
| 215 | No | No | 5 | SURG | Other heart assist system implant ...... | 12.0016 | 6.3 | 12 | |||
| 216 | Yes | No | 5 | SURG | Cardiac valve & oth maj cardiothoracic proc w card cath w MCC | 9.304 | 15.9 | 18.7 | |||
| 217 | Yes | No | 5 | SURG | Cardiac valve & oth maj cardiothoracic proc w card cath w CC | 7.5813 | 10.9 | 12.2 | |||
| 218 | Yes | No | 5 | SURG | Cardiac valve & oth maj cardiothoracic proc w card cath w/o CC/MCC | 6.8595 | 8.3 | 9.1 | |||
| 219 | Yes | Yes | 5 | SURG | Cardiac valve & oth maj cardiothoracic proc w/o card cath w MCC | 7.2072 | 11.7 | 14.5 | |||
| 220 | Yes | Yes | 5 | SURG | |||||||