Appendix C: Ratios Applied to Revise Certain DRG Weights in California
Number |
DRG |
Ratio |
004 |
Spinal Procs | 0.6283 |
008 |
Peripheral/Cranial Nerve & Orth OR Nervous Sys. Procs | 0.8082 |
025 |
Seizures and Headaches: AD WO CC | 0.7485 |
029 |
Traumatic Stupor and Coma: AD WO CC | 1.0025 |
032 |
Concussion: AD WO CC | 0.8749 |
042 |
Intraocular Proc Exc. Retina, Iris and Lens | 1.0661 |
063 |
Other Ear, Nose, Mouth and Throat OR Procs | 0.8753 |
112 |
Percutaneous Cardiovascular Procs | 0.8409 |
140 |
Angina Pectoris | 0.7834 |
143 |
Chest Pain | 0.8417 |
160 |
Hernia Proc: AD Exc. Inguinal or Femoral, WO CC | 0.9016 |
162 |
Hernia Proc: AD Inguinal or Femoral, WO CC | 0.8672 |
209 |
Major Joints and Limb Reattachment, Lower Extremity | 0.9500 |
210 |
Hip and Femur, Exc Major joint Proc: AD W CC | 1.1800 |
211 |
Hip and Femur, Exc Major joint Proc: AD WO CC | 0.9726 |
214 |
Back and Neck Proc W CC | 0.9674 |
215 |
Back and Neck Procs WO CC | 0.9556 |
217 |
Wound Debridement and Skin Graft Exc. Hand | 0.5717 |
218 |
Lower Extr/Humerous Exc. Hip, Foot and Femur: AD W CC | 1.0298 |
219 |
Lower Extr/Humer. Exc. Hip, Foot and Femur: AD WO CC | 0.9681 |
221 |
Knee Proc W CC | 0.8177 |
222 |
Knee Proc WO CC | 1.0382 |
223 |
Maj. Shoulder/Elbow Proc/Other Upper Extrem. Proc W CC | 0.8850 |
224 |
Shoulder/Elbow/Forearm Proc exc. Major Joint Proc WO CC | 1.0122 |
225 |
Foot Proc | 1.0008 |
227 |
Soft Tissue Proc WO CC | 0.9443 |
228 |
Major Thumb/Joint Proc, or Other Hand or Wrist Proc W CC | 0.9063 |
229 |
Hand and Wrist Proc, Exc. Major joint Proc WO CC | 1.0367 |
231 |
Local Excision/Removal Int. Fix. Devices Exc. Hip & Femur | 0.7341 |
232 |
Arthroscopy | 0.8166 |
234 |
Oth. Musculoskel. Sys/Connective Tissue OR Procs WO CC | 0.8133 |
236 |
Fracture of Hip and Pelvis | 0.9790 |
243 |
Medical Back | 0.7609 |
251 |
Frac, Sprain, Strain, Disloc Forearm, Hand/Foot: AD WO CC | 0.9012 |
254 |
Frac, Sprain, Strain, Disloc Up Arm/Low Leg ex Foot: AD W CC | 1.0031 |
266 |
Skin Graft/Debridement Exc. Skin Ulcer or Cellulitis WO CC | 1.1306 |
277 |
Cellulitis: AD W CC | 0.7910 |
278 |
Cellulitis: AD WO CC | 0.8654 |
281 |
Trauma to Skin, Subcutaneous Tiss and Breast: AD WO CC | 0.9709 |
415 |
Infectious and Parasitic Disease OR Proc | 0.4907 |
418 |
Postoperative and Post traumatic Infection | 0.6801 |
440 |
Wound Debridement for Injury | 0.7738 |
441 |
Hand Proc for Injury | 0.9914 |
443 |
Other Proc for Injury WO CC | 1.0024 |
445 |
Traumatic Injury: AD WO CC | 0.8112 |
450 |
Injury/Poison/Drug: AD WO CC | 0.6657 |
455 |
Other Injury/Poisoning and Toxic Effect Diagnosis WO CC | 0.7483 |
461 |
OR Proc with Diagnosis of Other Contact with Health Services | 0.9207 |
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