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TABLE 5.

LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
001
002
003
004
005
006
007
008
010
011
012
013
014
016
017
020
021
022
023
024
025
026
027
028
029
030
031
032
033
034

MDC
PRE
PRE
PRE
PRE
PRE
PRE
PRE
PRE
PRE
PRE
PRE
PRE
PRE
PRE
PRE
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG

MS-DRG Title
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC
ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.
TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.
LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT
LIVER TRANSPLANT W/O MCC
LUNG TRANSPLANT
SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT
PANCREAS TRANSPLANT
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC
ALLOGENEIC BONE MARROW TRANSPLANT
AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC
AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC
CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT
CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC
CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC
CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC
CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC
SPINAL PROCEDURES W MCC
SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS
SPINAL PROCEDURES W/O CC/MCC
VENTRICULAR SHUNT PROCEDURES W MCC
VENTRICULAR SHUNT PROCEDURES W CC
VENTRICULAR SHUNT PROCEDURES W/O CC/MCC
CAROTID ARTERY STENT PROCEDURE W MCC
1 of 26

Weights
25.3518
15.2738
17.6369
10.9288
10.4214
4.7639
9.1929
5.1527
4.1554
4.7246
3.2291
2.1647
10.6157
6.0304
4.2906
9.3897
6.4458
4.7113
5.1587
3.7121
4.4422
2.9842
2.2505
5.4339
3.0782
1.8091
3.9460
1.9780
1.5226
3.4145

Geometric
mean LOS
28.3
15.9
27.2
20.3
15.1
7.9
15.4
9.5
8.8
11.4
8.3
5.7
20.7
18.1
9.9
14.3
11.9
5.5
8.0
4.5
7.8
5.0
2.6
9.6
4.6
2.5
7.7
3.4
2.0
4.7

Arithmetic
mean LOS
35.9
18.6
33.2
24.7
20.1
9.0
17.9
11.0
10.3
14.0
9.8
6.5
26.2
19.5
13.2
17.4
13.4
7.3
11.2
6.6
10.1
6.5
3.4
12.3
6.2
3.3
11.0
4.9
2.5
6.9

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
035
036
037
038
039
040
041
042
052
053
054
055
056
057
058
059
060
061
062
063
064
065
066
067
068
069
070
071
072
073

MDC
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
CAROTID ARTERY STENT PROCEDURE W CC
CAROTID ARTERY STENT PROCEDURE W/O CC/MCC
EXTRACRANIAL PROCEDURES W MCC
EXTRACRANIAL PROCEDURES W CC
EXTRACRANIAL PROCEDURES W/O CC/MCC
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC
SPINAL DISORDERS & INJURIES W CC/MCC
SPINAL DISORDERS & INJURIES W/O CC/MCC
NERVOUS SYSTEM NEOPLASMS W MCC
NERVOUS SYSTEM NEOPLASMS W/O MCC
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC
ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC
ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC
ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC
TRANSIENT ISCHEMIA
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC
2 of 26

Weights
2.1781
1.7224
3.0641
1.5958
1.0452
3.7851
2.1731
1.8616
1.4102
0.8746
1.3195
1.0100
1.7368
0.9841
1.6027
1.0399
0.7899
2.7316
1.8561
1.4685
1.7417
1.0776
0.7566
1.4172
0.8582
0.6948
1.6593
0.9796
0.6919
1.3014

Geometric
mean LOS
2.1
1.3
5.5
2.4
1.4
8.3
5.0
2.6
4.0
2.7
4.1
3.1
5.3
3.6
5.4
4.0
3.1
5.8
4.2
3.0
4.7
3.5
2.5
4.1
2.5
2.2
4.9
3.6
2.3
3.9

Arithmetic
mean LOS
3.1
1.5
7.9
3.5
1.6
11.0
6.4
3.4
5.3
3.3
5.5
4.2
7.1
4.7
7.1
4.9
3.7
7.5
4.9
3.4
6.3
4.3
2.9
5.3
3.1
2.6
6.6
4.6
2.9
5.3

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
089
090
091
092
093
094
095
096
097
098
099
100
101
102
103

MDC
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01
01

TYPE
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC
VIRAL MENINGITIS W CC/MCC
VIRAL MENINGITIS W/O CC/MCC
HYPERTENSIVE ENCEPHALOPATHY W MCC
HYPERTENSIVE ENCEPHALOPATHY W CC
HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC
NONTRAUMATIC STUPOR & COMA W MCC
NONTRAUMATIC STUPOR & COMA W/O MCC
TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC
TRAUMATIC STUPOR & COMA, COMA >1 HR W CC
TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC
TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC
TRAUMATIC STUPOR & COMA, COMA <1 HR W CC
TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC
CONCUSSION W MCC
CONCUSSION W CC
CONCUSSION W/O CC/MCC
OTHER DISORDERS OF NERVOUS SYSTEM W MCC
OTHER DISORDERS OF NERVOUS SYSTEM W CC
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC
SEIZURES W MCC
SEIZURES W/O MCC
HEADACHES W MCC
HEADACHES W/O MCC
3 of 26

Weights
0.8786
1.5918
0.8425
1.6290
0.9467
0.7118
1.2252
0.7455
1.9463
1.2643
0.8491
1.9733
1.1105
0.7345
1.5029
0.9406
0.7140
1.5851
0.8918
0.6614
3.4974
2.2787
1.9694
3.1963
1.7657
1.1835
1.5185
0.7569
1.0430
0.6663

Geometric
mean LOS
3.1
5.2
3.2
4.6
3.1
2.3
3.7
2.6
3.4
3.4
2.1
4.9
3.3
2.2
3.9
2.7
1.9
4.3
3.1
2.2
8.3
6.2
4.5
8.5
5.8
4.1
4.2
2.6
3.1
2.3

Arithmetic
mean LOS
3.9
6.5
3.7
6.0
3.9
2.8
5.1
3.4
5.7
4.4
2.7
6.7
4.2
2.7
5.1
3.3
2.3
5.9
3.9
2.7
10.8
7.7
5.4
11.0
7.4
5.0
5.7
3.3
4.2
2.9

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
113
114
115
116
117
121
122
123
124
125
129
130
131
132
133
134
135
136
137
138
139
146
147
148
149
150
151
152
153
154

MDC
02
02
02
02
02
02
02
02
02
02
03
03
03
03
03
03
03
03
03
03
03
03
03
03
03
03
03
03
03
03

TYPE
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
ORBITAL PROCEDURES W CC/MCC
ORBITAL PROCEDURES W/O CC/MCC
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
INTRAOCULAR PROCEDURES W CC/MCC
INTRAOCULAR PROCEDURES W/O CC/MCC
ACUTE MAJOR EYE INFECTIONS W CC/MCC
ACUTE MAJOR EYE INFECTIONS W/O CC/MCC
NEUROLOGICAL EYE DISORDERS
OTHER DISORDERS OF THE EYE W MCC
OTHER DISORDERS OF THE EYE W/O MCC
MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE
MAJOR HEAD & NECK PROCEDURES W/O CC/MCC
CRANIAL/FACIAL PROCEDURES W CC/MCC
CRANIAL/FACIAL PROCEDURES W/O CC/MCC
OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC
OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC
SINUS & MASTOID PROCEDURES W CC/MCC
SINUS & MASTOID PROCEDURES W/O CC/MCC
MOUTH PROCEDURES W CC/MCC
MOUTH PROCEDURES W/O CC/MCC
SALIVARY GLAND PROCEDURES
EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC
EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC
EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC
DYSEQUILIBRIUM
EPISTAXIS W MCC
EPISTAXIS W/O MCC
OTITIS MEDIA & URI W MCC
OTITIS MEDIA & URI W/O MCC
OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC
4 of 26

Weights
1.8998
1.0216
1.2543
1.4806
0.8211
1.0215
0.6147
0.6963
1.1990
0.6812
2.1925
1.2687
2.2038
1.2855
1.7824
0.9584
2.0110
0.9709
1.3477
0.8304
0.9169
2.0402
1.2317
0.7688
0.6184
1.3298
0.6557
1.0042
0.6439
1.3785

Geometric
mean LOS
4.0
2.3
3.2
3.2
1.8
3.9
2.9
2.2
3.7
2.5
3.6
2.1
3.9
2.0
3.6
1.8
4.1
1.8
3.7
2.0
1.5
5.6
3.9
2.3
2.1
3.7
2.2
3.3
2.4
4.1

Arithmetic
mean LOS
5.6
2.9
4.3
4.8
2.4
4.8
3.5
2.7
5.1
3.1
5.1
2.6
5.4
2.6
5.3
2.4
5.9
2.4
5.0
2.5
2.0
8.2
5.4
3.0
2.5
4.9
2.8
4.3
2.9
5.5

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
155
156
157
158
159
163
164
165
166
167
168
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193

MDC
03
03
03
03
03
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04

TYPE
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC
OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC
DENTAL & ORAL DISEASES W MCC
DENTAL & ORAL DISEASES W CC
DENTAL & ORAL DISEASES W/O CC/MCC
MAJOR CHEST PROCEDURES W MCC
MAJOR CHEST PROCEDURES W CC
MAJOR CHEST PROCEDURES W/O CC/MCC
OTHER RESP SYSTEM O.R. PROCEDURES W MCC
OTHER RESP SYSTEM O.R. PROCEDURES W CC
OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC
PULMONARY EMBOLISM W MCC
PULMONARY EMBOLISM W/O MCC
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC
RESPIRATORY NEOPLASMS W MCC
RESPIRATORY NEOPLASMS W CC
RESPIRATORY NEOPLASMS W/O CC/MCC
MAJOR CHEST TRAUMA W MCC
MAJOR CHEST TRAUMA W CC
MAJOR CHEST TRAUMA W/O CC/MCC
PLEURAL EFFUSION W MCC
PLEURAL EFFUSION W CC
PLEURAL EFFUSION W/O CC/MCC
PULMONARY EDEMA & RESPIRATORY FAILURE
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC
SIMPLE PNEUMONIA & PLEURISY W MCC
5 of 26

Weights
0.8610
0.6160
1.5380
0.8525
0.6100
5.0952
2.6086
1.7943
3.6741
1.9860
1.3101
1.5346
0.9891
1.9934
1.3955
0.9741
1.7026
1.1725
0.7905
1.4649
0.9832
0.6907
1.5727
1.0808
0.7468
1.2184
1.1708
0.9343
0.7120
1.4550

Geometric
mean LOS
3.1
2.3
4.5
3.1
2.1
11.0
5.6
3.3
8.8
5.2
3.0
5.3
3.7
6.4
5.1
3.7
5.4
3.8
2.6
4.8
3.4
2.5
4.9
3.6
2.6
3.9
4.2
3.5
2.8
5.0

Arithmetic
mean LOS
3.9
2.8
6.1
3.9
2.6
13.4
6.7
4.0
11.2
6.6
3.9
6.4
4.4
7.9
6.1
4.5
7.1
5.0
3.3
5.9
4.1
2.9
6.3
4.5
3.3
5.0
5.1
4.2
3.3
6.1

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229

MDC
04
04
04
04
04
04
04
04
04
04
04
04
04
04
04
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05

TYPE
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG

MS-DRG Title
SIMPLE PNEUMONIA & PLEURISY W CC
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC
INTERSTITIAL LUNG DISEASE W MCC
INTERSTITIAL LUNG DISEASE W CC
INTERSTITIAL LUNG DISEASE W/O CC/MCC
PNEUMOTHORAX W MCC
PNEUMOTHORAX W CC
PNEUMOTHORAX W/O CC/MCC
BRONCHITIS & ASTHMA W CC/MCC
BRONCHITIS & ASTHMA W/O CC/MCC
RESPIRATORY SIGNS & SYMPTOMS
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS
OTHER HEART ASSIST SYSTEM IMPLANT
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC
CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC
CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC
CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC
CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC
CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC
CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC
OTHER CARDIOTHORACIC PROCEDURES W MCC
OTHER CARDIOTHORACIC PROCEDURES W CC
6 of 26

Weights
0.9771
0.6997
1.6686
1.0627
0.7958
1.8127
0.9692
0.7053
0.8678
0.6391
0.6780
1.3935
0.7911
5.2556
2.2871
14.7790
9.4801
6.2835
5.4262
7.9191
5.2917
4.6424
8.8167
6.4257
7.7224
5.9206
7.0099
5.5397
6.8682
4.4413

Geometric
mean LOS
3.8
2.9
5.4
3.8
2.9
5.9
3.3
2.6
3.2
2.5
2.1
4.0
2.5
12.1
5.0
10.0
13.1
8.4
6.1
10.0
6.6
4.9
9.6
4.6
8.1
4.1
6.0
2.2
11.1
6.9

Arithmetic
mean LOS
4.6
3.4
6.8
4.7
3.6
7.6
4.3
3.3
3.9
3.0
2.7
5.4
3.2
14.1
6.8
16.7
15.8
9.7
7.2
12.1
7.3
5.5
11.9
6.2
10.0
4.9
8.4
3.2
13.2
7.8

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259

MDC
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG

MS-DRG Title
OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC
CORONARY BYPASS W PTCA W MCC
CORONARY BYPASS W PTCA W/O MCC
CORONARY BYPASS W CARDIAC CATH W MCC
CORONARY BYPASS W CARDIAC CATH W/O MCC
CORONARY BYPASS W/O CARDIAC CATH W MCC
CORONARY BYPASS W/O CARDIAC CATH W/O MCC
MAJOR CARDIOVASC PROCEDURES W MCC
MAJOR CARDIOVASC PROCEDURES W/O MCC
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC
PERMANENT CARDIAC PACEMAKER IMPLANT W CC
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC
AICD GENERATOR PROCEDURES
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC
PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC
PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC
OTHER VASCULAR PROCEDURES W MCC
OTHER VASCULAR PROCEDURES W CC
OTHER VASCULAR PROCEDURES W/O CC/MCC
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC
CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC
CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC
7 of 26

Weights
3.6669
7.8158
5.6145
7.3887
4.8270
5.8478
3.8011
5.0962
3.3576
4.8601
2.6789
1.4226
3.7491
2.6716
2.1608
4.7022
3.1830
2.0408
2.9479
1.8245
2.9881
1.9737
3.1477
2.5172
1.7012
2.6404
1.5973
0.9017
2.7229
1.9462

Geometric
mean LOS
4.4
10.7
8.1
11.9
8.0
9.2
6.0
6.9
2.6
10.9
7.2
4.6
5.9
3.7
2.4
3.3
3.9
2.1
4.6
2.4
5.1
2.4
5.3
4.1
2.2
6.8
5.3
3.0
4.9
2.7

Arithmetic
mean LOS
5.1
12.4
8.9
13.4
8.6
10.6
6.5
9.8
3.8
13.9
8.8
5.5
7.6
4.6
2.9
4.7
5.2
2.5
6.2
3.0
7.0
3.1
7.7
5.5
2.9
8.8
6.5
3.7
6.2
3.4

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
260
261
262
263
264
265
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303

MDC
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05
05

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC
VEIN LIGATION & STRIPPING
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
AICD LEAD PROCEDURES
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC
ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC
ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC
ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC
CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC
CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC
ACUTE & SUBACUTE ENDOCARDITIS W MCC
ACUTE & SUBACUTE ENDOCARDITIS W CC
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC
HEART FAILURE & SHOCK W MCC
HEART FAILURE & SHOCK W CC
HEART FAILURE & SHOCK W/O CC/MCC
DEEP VEIN THROMBOPHLEBITIS W CC/MCC
DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC
CARDIAC ARREST, UNEXPLAINED W MCC
CARDIAC ARREST, UNEXPLAINED W CC
CARDIAC ARREST, UNEXPLAINED W/O CC/MCC
PERIPHERAL VASCULAR DISORDERS W MCC
PERIPHERAL VASCULAR DISORDERS W CC
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC
ATHEROSCLEROSIS W MCC
ATHEROSCLEROSIS W/O MCC
8 of 26

Weights
3.7238
1.7284
1.3866
1.8888
2.7138
2.6890
1.7431
1.0568
0.7551
1.6885
0.7614
0.5227
2.1058
1.0866
2.7956
1.7891
1.2359
1.5031
0.9938
0.6723
0.9439
0.6287
1.3013
0.6063
0.4260
1.3647
0.9666
0.6681
1.0287
0.6034

Geometric
mean LOS
7.7
3.2
2.3
3.6
5.6
2.5
4.7
3.1
2.1
3.0
1.8
1.4
4.9
2.4
7.8
5.7
3.9
4.6
3.7
2.6
4.0
3.1
1.9
1.2
1.0
4.4
3.6
2.7
2.9
1.9

Arithmetic
mean LOS
10.5
4.3
2.9
5.2
8.2
3.6
6.0
3.8
2.5
4.7
2.5
1.7
6.7
3.1
9.9
7.0
4.8
5.9
4.5
3.1
4.9
3.6
2.9
1.5
1.1
5.6
4.5
3.3
3.9
2.3

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
304
305
306
307
308
309
310
311
312
313
314
315
316
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342

MDC
05
05
05
05
05
05
05
05
05
05
05
05
05
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06

TYPE
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG

MS-DRG Title
HYPERTENSION W MCC
HYPERTENSION W/O MCC
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC
ANGINA PECTORIS
SYNCOPE & COLLAPSE
CHEST PAIN
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC
STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC
STOMACH, ESOPHAGEAL & DUODENAL PROC W CC
STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC
RECTAL RESECTION W MCC
RECTAL RESECTION W CC
RECTAL RESECTION W/O CC/MCC
PERITONEAL ADHESIOLYSIS W MCC
PERITONEAL ADHESIOLYSIS W CC
PERITONEAL ADHESIOLYSIS W/O CC/MCC
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC
9 of 26

Weights
1.0268
0.6176
1.3659
0.7917
1.2088
0.7867
0.5512
0.5649
0.7228
0.5992
1.8941
0.9534
0.6358
5.6013
2.6598
1.4765
5.1272
2.5609
1.6380
4.7072
2.4466
1.5849
4.1615
2.3513
1.5742
3.1217
1.7117
1.1741
2.1821
1.2968

Geometric
mean LOS
3.3
2.1
3.9
2.6
3.8
2.7
1.9
1.8
2.4
1.8
4.9
3.1
2.0
11.6
6.1
2.6
11.9
7.3
4.4
10.9
6.4
3.7
10.7
7.0
4.1
7.8
5.1
3.0
4.6
2.8

Arithmetic
mean LOS
4.4
2.6
5.3
3.3
4.9
3.3
2.3
2.2
3.0
2.1
6.7
4.0
2.5
14.9
8.0
3.4
14.6
8.5
4.9
13.2
7.4
4.3
13.0
8.4
5.0
9.5
6.0
3.5
6.3
3.5

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
368
369
370
371
372
373
374
375
376
377
378
379
380
381

MDC
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06
06

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC
MINOR SMALL & LARGE BOWEL PROCEDURES W MCC
MINOR SMALL & LARGE BOWEL PROCEDURES W CC
MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC
ANAL & STOMAL PROCEDURES W MCC
ANAL & STOMAL PROCEDURES W CC
ANAL & STOMAL PROCEDURES W/O CC/MCC
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC
INGUINAL & FEMORAL HERNIA PROCEDURES W CC
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC
MAJOR ESOPHAGEAL DISORDERS W MCC
MAJOR ESOPHAGEAL DISORDERS W CC
MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC
DIGESTIVE MALIGNANCY W MCC
DIGESTIVE MALIGNANCY W CC
DIGESTIVE MALIGNANCY W/O CC/MCC
G.I. HEMORRHAGE W MCC
G.I. HEMORRHAGE W CC
G.I. HEMORRHAGE W/O CC/MCC
COMPLICATED PEPTIC ULCER W MCC
COMPLICATED PEPTIC ULCER W CC
10 of 26

Weights
0.9358
3.5966
1.6865
1.2174
2.5182
1.3585
0.8834
2.4598
1.3761
0.9239
2.7885
1.6401
1.1783
3.8388
2.1448
1.3942
1.8779
1.0660
0.7486
1.9027
1.1733
0.8103
2.1051
1.2561
0.8738
1.7629
1.0029
0.6937
1.9223
1.1199

Geometric
mean LOS
1.6
8.9
5.5
4.0
6.3
4.0
2.4
5.8
3.5
2.0
6.2
4.0
2.5
8.6
5.4
3.2
5.0
3.5
2.5
6.2
4.8
3.6
6.2
4.2
2.7
4.8
3.3
2.4
5.5
3.8

Arithmetic
mean LOS
1.9
11.3
6.5
4.4
8.5
5.1
3.0
7.8
4.5
2.5
8.0
5.0
3.0
11.5
6.9
4.1
6.6
4.2
3.0
7.9
5.8
4.2
8.4
5.4
3.5
6.1
3.9
2.8
7.2
4.6

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
382
383
384
385
386
387
388
389
390
391
392
393
394
395
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420

MDC
06
06
06
06
06
06
06
06
06
06
06
06
06
06
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07

TYPE
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG

MS-DRG Title
COMPLICATED PEPTIC ULCER W/O CC/MCC
UNCOMPLICATED PEPTIC ULCER W MCC
UNCOMPLICATED PEPTIC ULCER W/O MCC
INFLAMMATORY BOWEL DISEASE W MCC
INFLAMMATORY BOWEL DISEASE W CC
INFLAMMATORY BOWEL DISEASE W/O CC/MCC
G.I. OBSTRUCTION W MCC
G.I. OBSTRUCTION W CC
G.I. OBSTRUCTION W/O CC/MCC
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC
PANCREAS, LIVER & SHUNT PROCEDURES W MCC
PANCREAS, LIVER & SHUNT PROCEDURES W CC
PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC
CHOLECYSTECTOMY W C.D.E. W MCC
CHOLECYSTECTOMY W C.D.E. W CC
CHOLECYSTECTOMY W C.D.E. W/O CC/MCC
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC
11 of 26

Weights
0.7784
1.3850
0.8501
1.7973
1.0097
0.7533
1.6170
0.8853
0.6046
1.1903
0.7395
1.6563
0.9653
0.6669
5.4333
2.7667
1.9139
4.1182
2.4337
1.5123
3.5968
2.3659
1.7220
3.6208
2.0173
1.3268
2.4784
1.6536
1.2239
3.6786

Geometric
mean LOS
2.7
4.4
3.0
6.0
4.0
3.1
5.3
3.6
2.7
3.9
2.9
4.7
3.5
2.4
11.0
6.0
4.2
10.6
6.7
4.3
9.3
6.5
4.2
8.8
5.8
3.5
6.0
4.1
2.6
8.7

Arithmetic
mean LOS
3.3
5.5
3.6
7.8
5.0
3.8
7.0
4.5
3.2
5.1
3.5
6.5
4.4
3.0
14.5
7.6
5.1
13.2
7.9
5.0
11.3
7.6
5.0
10.6
6.7
4.1
7.5
5.0
3.1
12.3

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
421
422
423
424
425
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
453
454
455
456
457
458
459
460
461
462

MDC
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
07
08
08
08
08
08
08
08
08
08
08

TYPE
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG

MS-DRG Title
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC
CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC
DISORDERS OF THE BILIARY TRACT W MCC
DISORDERS OF THE BILIARY TRACT W CC
DISORDERS OF THE BILIARY TRACT W/O CC/MCC
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC
SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W MCC
SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W CC
SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W/O CC/MCC
SPINAL FUSION EXCEPT CERVICAL W MCC
SPINAL FUSION EXCEPT CERVICAL W/O MCC
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC
12 of 26

Weights
1.7714
1.2175
4.2183
2.3149
1.6396
1.7150
0.9249
0.6156
1.7356
1.1548
0.9282
1.7210
0.9162
0.6452
1.8534
0.9280
0.6418
1.6060
1.0476
0.7499
11.7453
8.0200
6.2882
9.5871
6.8188
5.1378
6.8163
4.0221
5.0254
3.5190

Geometric
mean LOS
4.6
3.1
9.6
6.3
3.8
4.7
3.3
2.4
5.2
3.9
2.8
5.1
3.6
2.7
5.0
3.4
2.6
4.7
3.4
2.4
9.7
5.1
3.1
10.2
5.6
3.3
7.1
3.1
6.1
3.5

Arithmetic
mean LOS
6.3
3.9
13.0
8.2
4.9
6.3
4.1
3.0
6.9
5.0
3.6
7.0
4.5
3.2
6.8
4.3
3.2
6.1
4.2
2.9
12.2
6.1
3.6
12.5
6.5
3.8
8.7
3.6
7.5
3.8

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492

MDC
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG

MS-DRG Title
WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC
WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC
WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC
REVISION OF HIP OR KNEE REPLACEMENT W MCC
REVISION OF HIP OR KNEE REPLACEMENT W CC
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
CERVICAL SPINAL FUSION W MCC
CERVICAL SPINAL FUSION W CC
CERVICAL SPINAL FUSION W/O CC/MCC
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC
MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W CC/MCC
MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC
KNEE PROCEDURES W PDX OF INFECTION W MCC
KNEE PROCEDURES W PDX OF INFECTION W CC
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC
KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC
BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM
BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC
13 of 26

Weights
5.1152
3.0243
1.9199
5.2748
3.4140
2.7624
3.4377
2.1463
4.9444
2.9288
2.2458
3.6884
2.0488
1.0717
3.2827
2.2115
1.7340
3.0694
1.9721
1.6305
2.6488
2.2298
3.2719
2.0199
1.5215
1.7379
1.2799
1.8845
1.0893
3.1831

Geometric
mean LOS
10.4
6.2
3.8
7.0
3.9
3.0
6.2
3.1
6.4
2.5
1.5
8.8
5.7
3.1
8.6
5.4
3.3
7.1
4.8
3.9
2.8
1.8
8.4
5.6
4.1
3.5
2.5
3.4
1.9
6.4

Arithmetic
mean LOS
14.0
8.0
4.8
8.6
4.5
3.2
7.4
3.4
8.9
3.5
1.8
11.2
7.1
3.9
10.8
6.7
4.2
8.3
5.2
4.2
3.4
2.0
10.3
6.5
4.6
4.3
2.8
4.6
2.3
8.0

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
533
534
535
536
537

MDC
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED

MS-DRG Title
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC
LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC
LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC
SOFT TISSUE PROCEDURES W MCC
SOFT TISSUE PROCEDURES W CC
SOFT TISSUE PROCEDURES W/O CC/MCC
FOOT PROCEDURES W MCC
FOOT PROCEDURES W CC
FOOT PROCEDURES W/O CC/MCC
MAJOR THUMB OR JOINT PROCEDURES
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC
ARTHROSCOPY
SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC
SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC
SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC
HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC
HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC
FRACTURES OF FEMUR W MCC
FRACTURES OF FEMUR W/O MCC
FRACTURES OF HIP & PELVIS W MCC
FRACTURES OF HIP & PELVIS W/O MCC
SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC
14 of 26

Weights
1.9971
1.5073
2.9110
1.7290
1.1731
2.1924
0.9577
3.0116
1.5804
1.1277
2.2584
1.6133
1.2072
1.2041
1.9667
1.3190
1.3245
2.2717
1.5894
1.2266
1.4122
0.8781
3.3340
2.0160
1.6777
1.3759
0.7364
1.3085
0.7091
0.8604

Geometric
mean LOS
4.0
2.7
7.2
4.0
2.1
5.3
2.1
7.3
4.4
2.4
6.3
4.9
2.7
2.9
4.1
2.0
2.7
4.8
3.2
2.0
3.7
2.2
7.5
4.5
2.8
4.3
2.9
4.2
3.0
3.4

Arithmetic
mean LOS
4.8
3.2
9.6
5.2
2.6
7.2
2.6
9.8
5.5
2.9
7.8
5.9
3.3
3.8
5.6
2.4
3.5
6.0
3.8
2.3
4.9
2.7
9.6
5.5
3.4
5.6
3.6
5.4
3.5
4.0

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
570

MDC
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
08
09

TYPE
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG

MS-DRG Title
SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC
OSTEOMYELITIS W MCC
OSTEOMYELITIS W CC
OSTEOMYELITIS W/O CC/MCC
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC
CONNECTIVE TISSUE DISORDERS W MCC
CONNECTIVE TISSUE DISORDERS W CC
CONNECTIVE TISSUE DISORDERS W/O CC/MCC
SEPTIC ARTHRITIS W MCC
SEPTIC ARTHRITIS W CC
SEPTIC ARTHRITIS W/O CC/MCC
MEDICAL BACK PROBLEMS W MCC
MEDICAL BACK PROBLEMS W/O MCC
BONE DISEASES & ARTHROPATHIES W MCC
BONE DISEASES & ARTHROPATHIES W/O MCC
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC
TENDONITIS, MYOSITIS & BURSITIS W MCC
TENDONITIS, MYOSITIS & BURSITIS W/O MCC
AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC
AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC
AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC
FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC
FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC
SKIN DEBRIDEMENT W MCC
15 of 26

Weights
0.6870
1.8631
1.3063
0.9743
1.9451
1.1267
0.7736
2.4445
1.1711
0.8061
1.7811
1.1101
0.8149
1.6317
0.8467
1.2370
0.7181
1.1974
0.7066
1.4756
0.8337
1.8639
1.0260
0.6408
1.3528
0.7535
1.4855
0.9281
0.6642
2.4154

Geometric
mean LOS
2.4
6.2
4.9
3.6
6.0
4.2
3.2
6.0
4.0
2.9
5.9
4.3
3.1
5.0
3.2
4.4
2.9
3.7
2.6
5.1
3.4
5.0
3.4
2.0
4.4
3.0
4.5
3.6
2.6
7.2

Arithmetic
mean LOS
2.8
8.1
6.1
4.7
7.9
5.2
3.7
8.5
5.0
3.6
7.6
5.2
3.8
6.4
3.9
5.6
3.6
5.0
3.2
6.4
4.0
6.9
4.4
2.5
5.5
3.5
6.1
4.4
3.3
9.4

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606

MDC
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09
09

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
SKIN DEBRIDEMENT W CC
SKIN DEBRIDEMENT W/O CC/MCC
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC
OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC
OTHER SKIN, SUBCUT TISS & BREAST PROC W CC
OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC
MASTECTOMY FOR MALIGNANCY W CC/MCC
MASTECTOMY FOR MALIGNANCY W/O CC/MCC
BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC
BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC
SKIN ULCERS W MCC
SKIN ULCERS W CC
SKIN ULCERS W/O CC/MCC
MAJOR SKIN DISORDERS W MCC
MAJOR SKIN DISORDERS W/O MCC
MALIGNANT BREAST DISORDERS W MCC
MALIGNANT BREAST DISORDERS W CC
MALIGNANT BREAST DISORDERS W/O CC/MCC
NON-MALIGNANT BREAST DISORDERS W CC/MCC
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC
CELLULITIS W MCC
CELLULITIS W/O MCC
TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC
TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC
MINOR SKIN DISORDERS W MCC
16 of 26

Weights
1.4906
1.0077
3.4623
2.6883
1.4376
4.2927
2.0212
1.2617
2.6106
1.5398
1.0605
1.1913
0.9711
1.6998
1.3162
1.4131
1.0094
0.6814
1.9464
0.9284
1.7064
1.0817
0.6547
0.9963
0.6445
1.4607
0.8402
1.3223
0.7372
1.3594

Geometric
mean LOS
5.4
3.8
8.2
7.1
4.2
7.9
4.0
2.4
7.0
3.8
2.0
2.0
1.5
3.5
2.0
5.1
4.2
3.1
5.7
3.6
5.2
3.9
2.5
3.8
2.8
5.0
3.6
3.9
2.6
4.3

Arithmetic
mean LOS
6.5
4.6
12.3
9.6
5.4
12.3
5.9
3.3
9.2
5.1
2.6
2.7
1.7
4.8
2.6
6.6
5.1
3.9
7.8
4.6
7.1
5.1
3.1
4.7
3.4
6.3
4.2
5.1
3.2
6.0

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
607
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
637
638
639
640
641
642
643
644
645
652
653
654

MDC
09
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11

TYPE
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG

MS-DRG Title
MINOR SKIN DISORDERS W/O MCC
ADRENAL & PITUITARY PROCEDURES W CC/MCC
ADRENAL & PITUITARY PROCEDURES W/O CC/MCC
AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC
AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC
AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC
O.R. PROCEDURES FOR OBESITY W MCC
O.R. PROCEDURES FOR OBESITY W CC
O.R. PROCEDURES FOR OBESITY W/O CC/MCC
SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC
SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC
SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC
OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC
OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC
OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC
DIABETES W MCC
DIABETES W CC
DIABETES W/O CC/MCC
MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC
MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC
INBORN AND OTHER DISORDERS OF METABOLISM
ENDOCRINE DISORDERS W MCC
ENDOCRINE DISORDERS W CC
ENDOCRINE DISORDERS W/O CC/MCC
KIDNEY TRANSPLANT
MAJOR BLADDER PROCEDURES W MCC
MAJOR BLADDER PROCEDURES W CC
17 of 26

Weights
0.7043
2.5455
1.4579
4.0773
2.0071
1.2489
3.6200
1.9399
1.5772
3.3505
1.8239
0.9635
2.4009
1.2459
0.8458
3.3515
2.1292
1.3444
1.3888
0.8252
0.5708
1.1111
0.6992
1.0674
1.6693
1.0194
0.7041
3.1530
5.9558
3.0944

Geometric
mean LOS
2.8
4.3
2.3
10.9
6.1
4.3
4.8
2.7
1.8
9.1
5.7
3.5
4.4
2.0
1.3
6.6
6.0
3.0
4.2
3.0
2.2
3.3
2.8
3.2
5.5
3.9
2.8
5.8
12.7
7.8

Arithmetic
mean LOS
3.6
5.9
2.7
13.1
7.4
5.2
7.7
3.2
2.0
12.2
7.1
4.2
7.3
2.8
1.4
9.6
7.2
3.8
5.5
3.7
2.6
4.6
3.4
4.2
6.9
4.7
3.4
6.8
15.4
8.9

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
682
683
684
685
686
687
688
689
690

MDC
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
MAJOR BLADDER PROCEDURES W/O CC/MCC
KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC
MINOR BLADDER PROCEDURES W MCC
MINOR BLADDER PROCEDURES W CC
MINOR BLADDER PROCEDURES W/O CC/MCC
PROSTATECTOMY W MCC
PROSTATECTOMY W CC
PROSTATECTOMY W/O CC/MCC
TRANSURETHRAL PROCEDURES W MCC
TRANSURETHRAL PROCEDURES W CC
TRANSURETHRAL PROCEDURES W/O CC/MCC
URETHRAL PROCEDURES W CC/MCC
URETHRAL PROCEDURES W/O CC/MCC
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC
OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC
RENAL FAILURE W MCC
RENAL FAILURE W CC
RENAL FAILURE W/O CC/MCC
ADMIT FOR RENAL DIALYSIS
KIDNEY & URINARY TRACT NEOPLASMS W MCC
KIDNEY & URINARY TRACT NEOPLASMS W CC
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC
KIDNEY & URINARY TRACT INFECTIONS W MCC
KIDNEY & URINARY TRACT INFECTIONS W/O MCC
18 of 26

Weights
2.1671
3.5221
2.0261
1.5074
3.4051
1.8827
1.3435
2.9801
1.5666
1.2208
3.1414
1.7042
0.8949
2.5573
1.2693
0.8354
1.5887
0.8835
3.1150
2.2378
1.3807
1.5401
0.9655
0.6213
0.9282
1.7237
1.0441
0.6867
1.1300
0.7693

Geometric
mean LOS
4.7
7.2
4.5
2.8
7.6
4.3
2.3
7.7
3.9
1.7
9.2
4.5
2.0
6.6
3.0
1.9
4.3
1.9
6.5
5.1
1.9
4.7
3.7
2.5
2.6
5.4
3.7
2.2
4.3
3.2

Arithmetic
mean LOS
5.5
9.3
5.4
3.1
10.3
5.6
2.8
10.2
5.3
2.2
11.7
6.2
2.6
8.8
4.1
2.4
5.7
2.3
9.7
6.9
2.7
6.2
4.5
3.0
3.4
7.2
4.8
2.7
5.3
3.8

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
691
692
693
694
695
696
697
698
699
700
707
708
709
710
711
712
713
714
715
716
717
718
722
723
724
725
726
727
728
729

MDC
11
11
11
11
11
11
11
11
11
11
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12

TYPE
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
URINARY STONES W ESW LITHOTRIPSY W CC/MCC
URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC
URINARY STONES W/O ESW LITHOTRIPSY W MCC
URINARY STONES W/O ESW LITHOTRIPSY W/O MCC
KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC
KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC
URETHRAL STRICTURE
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC
MAJOR MALE PELVIC PROCEDURES W CC/MCC
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC
PENIS PROCEDURES W CC/MCC
PENIS PROCEDURES W/O CC/MCC
TESTES PROCEDURES W CC/MCC
TESTES PROCEDURES W/O CC/MCC
TRANSURETHRAL PROSTATECTOMY W CC/MCC
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC
MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC
MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC
MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC
BENIGN PROSTATIC HYPERTROPHY W MCC
BENIGN PROSTATIC HYPERTROPHY W/O MCC
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC
19 of 26

Weights
1.5454
1.0690
1.4186
0.6879
1.2773
0.6615
0.8225
1.5681
0.9890
0.7026
1.8265
1.2928
2.1038
1.3429
2.0316
0.9580
1.3814
0.7402
2.2268
0.9629
1.7495
0.8786
1.6031
1.0532
0.5501
1.2644
0.7159
1.4106
0.7821
1.1196

Geometric
mean LOS
3.0
1.7
4.1
2.0
4.2
2.5
2.5
5.1
3.5
2.6
3.0
1.4
4.0
1.5
5.5
2.3
3.3
1.7
5.5
1.5
4.9
2.3
5.3
3.9
1.8
4.4
2.8
4.8
3.2
3.7

Arithmetic
mean LOS
3.8
2.0
5.3
2.4
5.5
3.1
3.2
6.4
4.4
3.2
4.1
1.6
6.2
1.9
7.6
3.0
4.5
2.0
7.8
1.8
6.7
2.9
7.1
5.0
2.4
5.6
3.4
6.2
3.9
5.0

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
730
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
754
755
756
757
758
759
760
761
765
766
767
768

MDC
12
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
14
14
14
14

TYPE
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG

MS-DRG Title
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC
PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC
PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC
UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC
UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC
UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC
D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC
D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC
VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC
VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC
CESAREAN SECTION W CC/MCC
CESAREAN SECTION W/O CC/MCC
VAGINAL DELIVERY W STERILIZATION &/OR D&C
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C
20 of 26

Weights
0.6266
2.5547
1.1910
4.2211
2.0310
1.2602
3.1647
1.5819
1.1470
1.4972
0.9903
1.5084
0.8514
1.3694
0.8814
1.0096
2.6239
1.0854
1.9784
1.0880
0.6334
1.5292
1.0452
0.6995
0.8063
0.4904
1.1125
0.7766
0.9235
1.0976

Geometric
mean LOS
2.2
4.6
1.9
10.1
5.3
2.9
6.5
3.1
1.8
3.0
1.7
3.9
1.9
3.0
1.6
1.5
6.1
2.2
5.8
3.7
2.1
5.7
4.2
3.2
2.8
1.8
3.9
2.9
2.7
3.1

Arithmetic
mean LOS
2.8
6.7
2.3
12.4
6.2
3.3
8.7
4.1
2.1
4.0
1.9
5.5
2.4
4.3
1.8
1.8
8.4
2.8
8.4
5.0
2.6
7.2
5.2
3.8
3.6
2.2
4.8
3.1
3.6
3.2

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
769
770
774
775
776
777
778
779
780
781
782
789
790
791
792
793
794
795
799
800
801
802
803
804
808
809
810
811
812
813

MDC
14
14
14
14
14
14
14
14
14
14
14
15
15
15
15
15
15
15
16
16
16
16
16
16
16
16
16
16
16
16

TYPE
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED

MS-DRG Title
POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE
ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
VAGINAL DELIVERY W COMPLICATING DIAGNOSES
VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE
ECTOPIC PREGNANCY
THREATENED ABORTION
ABORTION W/O D&C
FALSE LABOR
OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS
OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS
NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
PREMATURITY W MAJOR PROBLEMS
PREMATURITY W/O MAJOR PROBLEMS
FULL TERM NEONATE W MAJOR PROBLEMS
NEONATE W OTHER SIGNIFICANT PROBLEMS
NORMAL NEWBORN
SPLENECTOMY W MCC
SPLENECTOMY W CC
SPLENECTOMY W/O CC/MCC
OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC
OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC
OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC
RED BLOOD CELL DISORDERS W MCC
RED BLOOD CELL DISORDERS W/O MCC
COAGULATION DISORDERS
21 of 26

Weights
2.1785
0.7070
0.7137
0.5625
0.7075
0.9550
0.5247
0.4843
0.2515
0.7568
0.4463
1.5258
5.0315
3.4363
2.0734
3.5299
1.2494
0.1692
5.0639
2.5234
1.5980
3.1642
1.8831
1.1558
2.2217
1.1901
0.8226
1.2488
0.7985
1.6433

Geometric
mean LOS
4.3
1.6
2.5
2.1
2.5
1.6
1.9
1.5
1.2
2.7
1.6
1.8
17.9
13.3
8.6
4.7
3.4
3.1
9.9
5.2
2.8
7.7
4.7
2.3
6.1
3.8
2.7
3.6
2.6
3.6

Arithmetic
mean LOS
6.4
2.1
3.0
2.3
3.4
2.1
2.9
1.8
1.4
3.9
2.3
1.8
17.9
13.3
8.6
4.7
3.4
3.1
12.9
6.8
3.5
10.4
6.3
3.0
8.1
4.8
3.3
4.8
3.4
5.0

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
814
815
816
820
821
822
823
824
825
826
827
828
829
830
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849

MDC
16
16
16
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17
17

TYPE
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC
LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC
LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC
LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC
LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC
LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC
LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC
ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC
ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC
ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC
CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC
CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT
CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC
LYMPHOMA & NON-ACUTE LEUKEMIA W CC
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC
RADIOTHERAPY
22 of 26

Weights
1.6910
0.9844
0.6655
5.8779
2.4025
1.2336
4.4850
2.1684
1.2935
4.9280
2.2746
1.3642
3.1769
1.2781
5.3828
2.1606
1.2240
6.0485
2.8181
1.3175
3.0843
1.6167
1.0830
1.7768
1.1701
0.7830
2.4337
1.1062
0.8635
1.4239

Geometric
mean LOS
4.9
3.3
2.4
13.0
4.8
2.2
11.3
5.9
2.9
10.8
5.3
2.7
6.7
2.4
10.3
4.6
2.9
15.6
6.7
4.8
7.5
4.8
3.1
5.3
4.1
2.8
5.7
3.0
2.5
4.6

Arithmetic
mean LOS
6.8
4.2
2.9
17.1
6.9
2.8
14.7
7.7
4.0
14.0
6.8
3.3
10.2
3.1
16.8
7.5
4.3
21.2
9.7
5.5
10.5
6.3
4.1
7.2
5.3
3.7
8.2
3.6
3.0
6.0

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
853
854
855
856
857
858
862
863
864
865
866
867
868
869
870
871
872
876
880
881
882
883
884
885
886
887
894
895
896
897

MDC
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
18
19
19
19
19
19
19
19
19
19
20
20
20
20

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED

MS-DRG Title
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC
FEVER
VIRAL ILLNESS W MCC
VIRAL ILLNESS W/O MCC
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC
SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC
SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION
DEPRESSIVE NEUROSES
NEUROSES EXCEPT DEPRESSIVE
DISORDERS OF PERSONALITY & IMPULSE CONTROL
ORGANIC DISTURBANCES & MENTAL RETARDATION
PSYCHOSES
BEHAVIORAL & DEVELOPMENTAL DISORDERS
OTHER MENTAL DISORDER DIAGNOSES
ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA
ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC
23 of 26

Weights
5.3491
2.4891
1.5849
4.7874
2.0412
1.3115
1.8903
0.9845
0.8441
1.7351
0.7855
2.6139
1.0775
0.7406
5.9187
1.8527
1.0687
2.8172
0.6388
0.6541
0.6953
1.2682
1.0060
1.0048
0.9173
0.9795
0.4509
1.1939
1.5146
0.6824

Geometric
mean LOS
11.1
7.0
3.6
10.1
5.7
3.9
5.6
3.8
2.9
4.9
2.9
6.8
4.0
2.9
12.5
5.1
4.1
7.5
2.2
3.2
3.2
4.7
4.0
5.4
4.2
2.9
2.1
9.1
4.7
3.2

Arithmetic
mean LOS
14.3
8.5
4.9
13.4
7.1
4.8
7.4
4.6
3.6
6.8
3.5
9.2
5.0
3.5
14.6
6.7
4.9
12.3
2.9
4.4
4.4
7.7
5.7
7.3
7.1
4.5
2.9
11.7
6.5
4.0

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
901
902
903
904
905
906
907
908
909
913
914
915
916
917
918
919
920
921
922
923
927
928
929
933
934
935
939
940
941
945

MDC
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
21
22
22
22
22
22
22
23
23
23
23

TYPE
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
MED
MED
MED
SURG
SURG
SURG
MED

MS-DRG Title
WOUND DEBRIDEMENTS FOR INJURIES W MCC
WOUND DEBRIDEMENTS FOR INJURIES W CC
WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC
SKIN GRAFTS FOR INJURIES W CC/MCC
SKIN GRAFTS FOR INJURIES W/O CC/MCC
HAND PROCEDURES FOR INJURIES
OTHER O.R. PROCEDURES FOR INJURIES W MCC
OTHER O.R. PROCEDURES FOR INJURIES W CC
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC
TRAUMATIC INJURY W MCC
TRAUMATIC INJURY W/O MCC
ALLERGIC REACTIONS W MCC
ALLERGIC REACTIONS W/O MCC
POISONING & TOXIC EFFECTS OF DRUGS W MCC
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC
COMPLICATIONS OF TREATMENT W MCC
COMPLICATIONS OF TREATMENT W CC
COMPLICATIONS OF TREATMENT W/O CC/MCC
OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC
OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC
EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W SKIN GRAFT
FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC
FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC
EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W/O SKIN GRAFT
FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ
NON-EXTENSIVE BURNS
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC
REHABILITATION W CC/MCC
24 of 26

Weights
4.0316
1.7077
1.0527
3.1738
1.2475
1.2228
3.9235
1.9485
1.2150
1.1683
0.7110
1.4721
0.5139
1.4093
0.6346
1.7206
0.9779
0.6522
1.5088
0.6620
16.4534
5.7744
2.2090
3.2785
1.6045
1.3909
3.1182
1.7675
1.3403
1.3804

Geometric
mean LOS
9.3
4.9
3.1
7.2
3.2
2.4
7.7
4.4
2.5
3.7
2.5
3.6
1.7
3.5
2.1
4.4
3.1
2.2
4.0
2.2
22.3
11.9
5.1
2.6
4.2
3.2
6.6
3.7
2.2
8.3

Arithmetic
mean LOS
13.9
6.6
4.2
10.7
4.3
3.5
10.7
5.8
3.2
5.0
3.1
4.9
2.1
4.8
2.7
6.1
4.0
2.8
5.6
2.9
30.7
16.1
7.2
8.2
6.1
4.8
9.8
5.3
2.8
10.1

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
946
947
948
949
950
951
955
956
957
958
959
963
964
965
969
970
974
975
976
977
981
982
983
984
985
986
987
988
989
998

MDC
23
23
23
23
23
23
24
24
24
24
24
24
24
24
25
25
25
25
25
25

TYPE
MED
MED
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
MED
MED
MED
SURG
SURG
MED
MED
MED
MED
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
SURG
**

MS-DRG Title
REHABILITATION W/O CC/MCC
SIGNS & SYMPTOMS W MCC
SIGNS & SYMPTOMS W/O MCC
AFTERCARE W CC/MCC
AFTERCARE W/O CC/MCC
OTHER FACTORS INFLUENCING HEALTH STATUS
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC
OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC
OTHER MULTIPLE SIGNIFICANT TRAUMA W CC
OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC
HIV W EXTENSIVE O.R. PROCEDURE W MCC
HIV W EXTENSIVE O.R. PROCEDURE W/O MCC
HIV W MAJOR RELATED CONDITION W MCC
HIV W MAJOR RELATED CONDITION W CC
HIV W MAJOR RELATED CONDITION W/O CC/MCC
HIV W OR W/O OTHER RELATED CONDITION
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC
PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC
PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC
PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS
25 of 26

Weights
1.2037
1.1324
0.6897
1.0038
0.6005
0.8578
5.4056
3.8321
6.7306
3.8734
2.5391
2.6733
1.3904
0.9824
5.4896
2.2785
2.6335
1.3383
0.8627
1.1194
4.9319
2.8504
1.7462
3.4143
1.8859
1.0389
3.3422
1.7554
1.0430
0.0000

Geometric
mean LOS
6.5
3.6
2.6
2.8
2.3
2.4
7.2
6.8
9.7
7.3
4.3
5.5
4.1
3.0
12.0
4.9
6.7
4.7
3.3
3.6
10.1
5.9
2.8
9.3
5.1
2.1
8.4
4.8
2.3
0.0

Arithmetic
mean LOS
7.4
4.8
3.3
4.1
3.5
5.5
10.6
8.3
13.9
8.9
5.4
8.1
5.0
3.6
16.7
7.1
9.3
6.1
4.2
4.8
13.1
7.6
3.8
12.5
7.2
3.0
11.2
6.4
3.0
0.0

TABLE 5.LIST OF MEDICARE SEVERITY DIAGNOSIS-RELATED GROUPS (MS-DRGS), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARITHMETIC MEAN
LENGTH OF STAYFY 2014 Final Rule
MSDRG
999

MDC

TYPE
**

MS-DRG Title
UNGROUPABLE

MS-DRGs 998 and 999 contain cases that could not be assigned to valid DRGs.

26 of 26

Weights
0.0000

Geometric
mean LOS
0.0

Arithmetic
mean LOS
0.0

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