2024 WC FEE SCHEDULE

Table B, Part I: Federal Register Table 5

DRG #	DESCRIPTION OF DRG	RELATIVE WEIGHT	GEOMETRIC MEAN LENGTH OF STAY	ARITHMETIC MEAN LENGTH OF STAY	OUTLIER THRESHOLD
		Implied Decimal 4	Implied Decimal 1		Implied Decimal 2 (in days)
001	CRANIOTOMY AGE >17 EXCEPT FOR TRAUMA	31565	96	135	3200
002	CRANIOTOMY FOR TRAUMA AGE> 17	30968	98	139	3200
003	CRANIOTOMY AGE 0-17	30398	127	127	3500
004	SPINAL PROCEDURES	23292	72	110	2900
005	EXTRACRANIAL VASCULAR PROCEDURES	15601	44	56	2600
006	CARPAL TUNNEL RELEASE	6339	22	32	2400
007	PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W CC	25005	101	174	3200
008	PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W/O CC	9185	29	47	2500
009	SPINAL DISORDERS & INJURIES	12553	60	88	2800
010	NERVOUS SYSTEM NEOPLASMS W CC	12618	67	97	2900
011	NERVOUS SYSTEM NEOPLASMS W/O CC	7734	38	55	2600
012	DEGENERATIVE NERVOUS SYSTEM DISORDERS	9574	63	90	2800
013	MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA	7813	57	72	2800
014	SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA	11956	64	87	2800
015	TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS	6909	38	49	2600
016	NONSPECIFIC CEREBROVASCULAR DISORDERS W CC	10488	58	78	2800
017	NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC	6195	35	46	2600
018	CRANIAL & PERIPHERAL NERVE DISORDERS W CC	9126	55	72	2700
019	CRANIAL & PERIPHERAL NERVE DISORDERS W/O CC	5925	37	48	2600
020	NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS	20828	82	117	3000
021	VIRAL MENINGITIS	14342	64	86	2800
022	HYPERTENSIVE ENCEPHALOPATHY	7806	42	54	2600
023	NONTRAUMATIC STUPOR & COMA	8004	40	56	2600
024	SEIZURE & HEADACHE AGE > 17 W CC	9647	48	66	2700
025	SEIZURE & HEADACHE > 17 W/O CC	5515	32	41	2500
026	SEIZURE & HEADACHE AGE 0-17	6270	28	43	2500
027	TRAUMATIC STUPOR & COMA, COMA 1 HR	13457	39	74	2600
028	TRAUMATIC STUPOR & COMA, COMA <1 HR AGE > 17 W CC	12170	55	83	2700
029	TRAUMATIC STUPOR & COMA, COMA < 1 HR AGE > 17 W/O CC	6200	32	46	2500
030	TRAUMATIC STUPOR & COMA, COMA < 1 HR AGE 0-17	3687	20	20	1700
031	CONCUSSION AGE > 17 W CC	7627	40	56	2600
032	CONCUSSION AGE > 17 W/O CC	4635	25	34	2300
033	CONCUSSION AGE 0-17	2559	16	16	900
034	OTHER DISORDERS OF NERVOUS SYSTEM W CC	10862	53	75	2700
035	OTHER DISORDERS OF NERVOUS SYSTEM W/O CC	5866	35	49	2600
036	RETINAL PROCEDURES	5989	15	18	800
037	ORBITAL PROCEDURES	8089	26	39	2500
038	PRIMARY IRIS PROCEDURES	4005	20	27	1600
039	LENS PROCEDURES WITH OR WITHOUT VITRECTOMY	5055	15	19	900
040	EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17	6241	23	36	2400
041	EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17	3810	16	16	700
042	INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS	5687	17	22	1200
043	HYPHEMA	3400	30	36	2000
044	ACUTE MAJOR EYE INFECTIONS	5755	49	60	2700
045	NEUROLOGICAL EYE DISORDERS	6211	35	43	2500
046	OTHER DISORDERS OF THE EYE AGE > 17 W CC	7553	44	61	2600
047	OTHER DISORDERS OF THE EYE AGE > 17 W/O CC	4331	30	39	2500
048	OTHER DISORDERS OF THE EYE AGE 0-17	4186	29	29	2500
049	MAJOR HEAD & NECK PROCEDURES	17106	49	68	2700
050	SIALODENECTOMY	7131	19	23	1100
051	SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY	6838	20	30	2200
052	CLEFT LIP & PALATE REPAIR	9152	23	30	2000
053	SINUS & MASTOID PROCEDURES AGE > 17	8647	22	34	2400
054	SINUS & MASTOID PROCEDURES AGE 0-17	7176	32	32	2200
055	MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES	6455	18	28	2000
056	RHINOPLASTY	7684	22	31	2400
057	T&A PROC, EXCPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY,AGE>17	10174	34	52	2500
058	T&A PROC, EXCPT TONSILLECTOMY &OR ADENOIDECTOMY ONLY,AGE0-17	3227	15	15	400
059	TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17	4602	15	19	900
060	TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17	2724	15	15	400
061	MYRINGOTOMY W TUBE INSERTION AGE > 17	10019	29	51	2500
062	MYRINGOTOMY W TUBE INSERTION AGE 0-17	3217	13	13	500
063	OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES	11047	34	50	2500
064	EAR, NOSE, MOUTH & THROAT MALIGNANCY	11419	50	84	2700
065	DTYSEQUILIBRIUM	5067	30	38	2200
066	EPISTAXIS	5076	31	39	2400
067	SPIGLOTTITIS	8381	38	47	2600
068	OTITIS MEDIA & URI AGE >17 W CC	7100	44	54	2600
069	OTITIS MEDIA & URI AGE > 17 W/O CC	5133	35	42	2200
070	OTITIS MEDIA & URI AGE 0-17	5812	36	44	2400
071	LARYNGOTRACHEITIS	6508	35	42	2200
072	NASAL TRAUMA & DEFORMITY	6160	31	44	2500
073	OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17	7616	41	55	2600
074	OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17	3571	21	21	2000
075	MAJOR CHEST PROCEDURES	30551	99	124	3200
076	OTHER RESP SYSTEM O.R. PROCEDURES W CC	25126	100	139	3200
077	OTHER RESP SYSTEM O.R. PROCEDURES W/O CC	10630	40	60	2600
078	PULMONARY EMBOLISM	14211	78	92	3000
079	RESPIRATORY INFECTIONS & INFLAMMATIONS AGE > 17 W CC	16955	83	107	3000
080	RESPIRATORY INFECTIONS & INFLAMMATIONS AGE > 17 W/O CC	9259	59	74	2800
081	RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17	14323	57	71	2800
082	RESPIRATORY NEOPLASMS	13237	63	89	2800
083	MAJOR CHEST TRAUMA W CC	9530	55	72	2800
084	MAJOR CHEST TRAUMA W/O CC	4996	32	43	2500
085	PLEURAL EFFUSION W CC	11890	62	82	2800
086	PLEURAL EFFUSION W/O CC	6753	38	49	2600
087	PULMONARY EDEMA & RESPIRATORY FAILURE	13306	55	75	2700
088	CHRONIC OBSTRUCTIVE PULMONARY DISEASE	10053	56	69	2800
089	SIMPLE PNEUMONIA & PLEURISY AGE > 17 W CC	11317	65	80	2900
090	SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC	6924	49	57	2700
091	SIMPLE PNEUMONIA & PLEURISY AGE 0-17	6834	38	44	2000
092	INTERSTITIAL LUNG DISEASE W CC	12084	64	81	2800
093	INTERSTITIAL LUNG DISEASE W/O CC	7700	45	57	2600
094	PNEUMOTHORAX W CC	12427	65	85	2800
095	PNEUMOTHORAX W/O CC	6146	39	49	2600
096	BRONCHITIS & ASTHMA AGE >17 W CC	8488	52	62	2700
097	BRONCHITIS & ASTHMA AGE > 17 W/O CC	6122	41	49	2400
098	BRONCHITIS & ASTHMA AGE 0-17	5356	31	41	2500
099	RESPIRATORY SIGNS & SYMPTOMS W CC	7019	32	41	2500
100	RESPIRATORY SIGNS & SYMPTOMS W/O CC	5051	23	28	1500
101	OTHER RESPIRATORY SYSTEM DIAGNOSES W CC	9055	46	62	2700
102	OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC	5339	30	40	2500
103	HEART TRANSPLANT	135495	254	358	4700
104	CARDIAC VALVE PROCEDURES W CARDIAC CATH	76076	152	180	3700
105	CARDIAC VALVE PROCEDURES W/O CARDIAC CATH	57656	110	130	3300
106	CORONARY BYPASS W CARDIAC CATH	56683	121	136	3400
107	CORONARY BYPASS W/O CARDIAC CATH	41974	93	104	3100
108	OTHER CARDIOTHORACIC PROCEDURES	61081	114	147	3300
109	NO LONGER VALID	0	0	0	0
110	MAJOR CARDIOVASCULAR PROCEDURES W CC	40796	91	122	3100
111	MAJOR CARDIOVASCULAR PROCEDURES W/O CC	23024	65	75	2800
112	PERCUTANEOUS CARDIOVASCULAR PROCEDURES	19881	39	53	2600
113	AMPUTATION FOR CIRC SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE	27765	127	172	3500
114	UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS	15385	79	109	3000
115	PERM CARD PACEM IMPL W AMI, HEART FAILURE OR SHOCK	35936	104	127	3200
116	OTH PERM CARD PACEM IMPL OR PTCA W CORON ARTERY STENT IMPLNT	24514	47	65	2700
117	CARDIAC PACEMAKER REVISION EXCEPT DEVISE REPLACEMENT	11671	33	49	2500
118	CARDIAC PACEMAKER DEVICE REPLACEMENT	15582	23	35	2400
119	VEIN LIGATION & STRIPPING	9949	33	56	2500
120	OTHER CIRCULATORY SYSTEM O.R. PROCEDURES	19616	63	107	2800
121	CIRCULATORY DISORDERS W AMI&MAJOR COMP, DISCHARGED ALIVE	16022	70	86	2900
122	CIRCULATORY DISORDERS W AMI W/O MAJOR COMP, DISCHARGED ALIVE	11292	49	60	2700
123	CIRCULATROY DISORDERS W AMI, EXPIRED	14286	29	51	2500
124	CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH&COMPLEX DIAG	12657	42	55	2600
125	CIRCULAT DISORDERS EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG	8451	24	32	2300
126	ACUTE & SUBACUTE ENDOCARDITIS	27724	137	184	3600
127	HEART FAILURE & SHOCK	10239	55	71	2700
128	DEEP VEIN THROMBOPHLIBITIS	7820	67	75	2900
129	CARDIAC ARREST, UNEXPLAINED	11308	21	38	2400
130	PERIPHERAL VASCULAR DISORDERS W CC	9177	58	74	2800
131	PERIPHERAL VASCULAR DISORDERS W/O CC	5889	45	56	2700
132	ATHEROSCLEROSIS W CC	7296	36	47	2600
133	ATHEROSCLEROSIS W/O CC	5348	27	35	2100
134	HYPERTENSION	5761	35	44	2500
135	CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W CC	8507	43	58	2600
136	CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W/O CC	5600	29	37	2300
137	CARDIAC CONGENITAL & VALVULAR DISORDERS AGE 0-17	6578	33	33	2500
138	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC	7964	39	52	2600
139	CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC	4939	26	33	2000
140	ANGINA PECTORIS	6258	32	40	2300
141	SYNCOPE & COLLAPSE W CC	7025	39	51	2600
142	SYNCOPE & COLLAPSE W/O CC	5174	29	36	2100
143	CHEST PAIN	5169	24	30	1600
144	OTHER CIRCULATORY SYSTEM DIAGNOSES W CC	10580	45	64	2700
145	OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC	6155	28	37	2500
146	RECTAL RESECTION W CC	25367	107	122	3300
147	RECTAL RESECTION W/O CC	15469	74	80	2800
148	MAJOR SMALL & LARGE BOWEL PROCEDURES W CC	32220	122	147	3400
149	MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC	15022	76	82	2600
150	PERTIONEAL ADHESIOLYSIS W CC	25652	105	128	3200
151	PERITONEAL ADJESIOLYSIS W/O CC	11814	55	68	2700
152	MINOR SMALL & LARGE BOWEL PROCEDURES W CC	17829	83	97	3000
153	MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC	11151	60	67	2600
154	STOMACH, ESOPHAGEAL & DUODENAL PROCED AGE >17 W CC	41740	133	170	3500
155	STOMACH, ESOPHAGEAL & DUODENAL PROCED AGE >17 W/0 CC	13898	61	72	2800
156	STOMACH, ESOPHAGEAL & DUODENAL PROCED AGE 0-17	8732	60	60	2800
157	ANAL & STOMAL PROCEDURES W CC	10320	44	61	2600
158	ANAL & STOMAL PROCEDURES W/O CC	5445	23	30	1800
159	HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC	11066	43	56	2600
160	HERNIA PRODEDURES EXCEPT INGUINAL & FEMORAL AGE > 17 W/0 CC	6574	25	31	1800
161	INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC	9053	32	46	2500
162	INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC	5156	18	22	1100
163	HERNIA PROCEDURES AGE 0-17	7275	39	48	2400
164	APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC	21645	88	102	3100
165	APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC	11976	57	63	2400
166	APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC	13465	52	63	2700
167	APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC	7828	32	37	1600
168	MOUTH PROCEDURES W CC	10856	35	54	2500
169	MOUTH PROCEDURES W/O CC	6149	21	27	1600
170	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC	27813	98	146	3200
171	OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC	10638	43	59	2600
172	DIGESTIVE MALIGNANCY W CC	12990	65	94	2900
173	DIGESTIVE MALIGNANCY W/O CC	6262	32	46	2500
174	G.I. HEMORRHAGE W CC	9726	49	62	2700
175	G.I. HEMORRHAGE W/O CC	5359	33	39	1900
176	COMPLICATED PEPTIC ULCER	10436	53	69	2700
177	UNCOMPLICATED PEPTIC ULCER W CC	8062	45	56	2700
178	UNCOMPLICATED PEPTIC ULCER W/O CC	5807	33	39	1900
179	INFLAMMATORY BOWEL DISEASE	11143	64	82	2800
180	G.I. OBSTRUCTION W CC	9139	52	68	2700
181	G.I. OBSTRUCTION W/O CC	4975	34	42	2300
182	ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC	7685	43	56	2600
183	ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE>17 W/O CC	5356	31	38	2200
184	ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17	4240	26	34	2100
185	DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE>17	8312	41	57	2600
186	DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE0-17	4282	29	29	2300
187	DENTAL EXTRACTIONS & RESTORATIONS	6350	28	38	2500
188	OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC	10201	49	68	2700
189	OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC	5027	27	37	2500
190	OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17	6707	32	45	2500
191	PANCREAS, LIVER & SHUNT PROCEDURES W CC	44176	136	182	3600
192	PANCREAS, LIVER & SHUNT PROCEDURES W/O CC	17609	69	89	2900
193	BILIARY TRACT PROC EXCPT ONLY CHOLECYST W OR W/O C.D.E. W CC	31497	129	157	3500
194	BILIARY TRCT PROC EXCPT ONLY CHOLECYST W OR W/O C.D.E.W/O CC	16562	73	92	2900
195	CHOLECYSTECTOMY W C.D.E. W CC	24576	97	114	3200
196	CHOLECYSTECTOMY W C.D.E. W/O CC	14861	65	75	2900
197	CHOLECYSTECTOMY EXCPT BY LAPAROSCOPE W/O C.D.E. W CC	20796	81	97	3000
198	CHOLECYSTECTOMY EXCPT BY LAPAROSCOPE W/O C.D.E. W/O CC	10930	46	53	2400
199	HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY	23603	99	132	3200
200	HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY	29698	84	131	3000

Table B, Part I: Federal Register Table 5

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