2024 WC FEE SCHEDULE

Table B, Part II: 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)
201	OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES	32322	121	170	3400
202	CIRRHOSIS & ALCOHOLIC HEPATITIS	13087	64	87	2800
203	MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS	12384	63	89	2800
204	DISORDERS OF PANCREAS EXCEPT MALIGNANCY	11376	57	73	2800
205	DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC	12284	61	84	2800
206	DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC	6220	34	47	2500
207	DISORDERS OF THE BILIARY TRACT W CC	10063	49	64	2700
208	DISORDERS OF THE BILIARY TRACT W/O CC	5661	29	37	2300
209	MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMIT	23173	77	86	2900
210	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE>17 W CC	18427	90	106	3100
211	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE>17 W/O CC	12990	70	79	2900
212	HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17	9084	36	41	1900
213	AMPUTATION FOR MUSCULOSKELETAL SYSTEM&CONN TISSUE DISORDERS	17234	82	113	3000
214	BACK & NECK PROCEDURES W CC	19237	65	82	2800
215	BACK & NECK PROCEDURES W/O CC	10977	39	48	2400
216	BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE	21046	93	133	3100
217	WND DEBRID&SKIN GRFT EXCPT HAND,FOR MUSCSKEL & CONN TISS DIS	30084	123	189	3400
218	LOWER EXTREM & HUMER PROC EXCPT HIP,FOOT,FEMUR AGE>17 W CC	14028	57	74	2800
219	LOWER EXTREM & HUMER PROC EXCPT HIP,FOOT,FEMUR AGE>17 W/O CC	9132	36	44	2300
220	LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE 0-17	9626	53	53	2700
221	KNEE PROCEDURES W CC	17911	67	93	2900
222	KNEE PROCEDURES W/O CC	9852	35	47	2500
223	MAJR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC W CC	8162	25	32	1800
224	SHOULDER,ELBOW, OR FOREARM PROC,EXC MAJOR JOINT PROC, W/O CC	6932	22	27	1300
225	FOOT PROCEDURES	9006	33	51	2500
226	SOFT TISSUE PROCEDURES W CC	13381	50	77	2700
227	SOFT TISUE PROCEDURES W/O CC	6999	24	32	2000
228	MAJR THUMB OR JOINT PROC, OR OTH HAND OR WRIST PROC W CC	8409	23	35	2400
229	HAND OR WRIST PROC, EXCEPT MAJOR JOINT PROC, W/O CC	5964	19	25	1500
230	LOCAL EXCISION & REMOVAL OF INT FIX DEVICES OF HIP & FEMUR	9145	35	55	2600
231	LOCAL EXCISION & REMOVAL OF INT FIX DEVICES EXCPT HIP&FEMUR	11275	35	54	2500
232	ARTHROSCOPY	11560	32	58	2500
233	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC	19051	74	106	2900
234	OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC	9529	35	48	2600
235	FRACTURES OF FEMUR	8964	57	88	2800
236	FRACTURES OF HIP & PELVIS	7772	55	76	2700
237	SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH	5535	37	50	2600
238	OSTEOMYELITIS	14939	91	123	3100
239	PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONN TISS MALIG	10338	68	90	2900
240	CONNECTIVE TISSUE DISORDERS W CC	11889	64	87	2800
241	CONNECTIVE TISSUE DISORDERW W/O CC	5835	39	52	2600
242	SEPTIC ARTHRITIS	11440	70	93	2900
243	MEDICAL BACK PROBLEMS	7122	49	64	2700
244	BONE DISEASES & SPECIFIC ARTHROPATHIES W CC	7346	49	66	2700
245	BONE DISEASES & SPECIFIC ARTHROPATHIES W/O CC	4813	34	47	2500
246	NON-SPECIFIC ARTHROPATHIES	5529	37	48	2600
247	SIGNS & SYMPTOMS OF MUSCULODKELETAL SYSTEM & CONN TISSUE	5532	33	45	2500
248	TENDONITIS, MYOSITIS & BURSITIS	7117	44	58	2600
249	AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE	6486	34	50	2500
250	FX,SPRN,STRN & DISL OF FOREARM,HAND,FOOT AGE>17 W CC	6950	41	57	2600
251	FX, SPRN,STRN & DISL OF FOREARM,HAND,FOOT AGE>17 W/O CC	4510	25	34	2300
252	FX, SPRN,STRN & DISL OF FOREARM,HAND,FOOT AGE 0-17	3642	18	18	1500
253	FX, SPRN,STRN & DISL OF UPARM,LOWLEG EX FOOT AGE>17 W CC	7617	50	70	2700
254	FX, SPRN,STRN & DISL OF UPARM,LOWLEG EX FOOT AGE>17 W/O CC	4324	32	43	2500
255	FX, SPRN,STRN & DISL OF UPARM,LOWLEG EX FOOT AGE 0-17	4831	29	29	2500
256	OTHER MUSCULOSKELETAL SYSTEM & CONN TISSUE DIAGNOSES	6397	34	47	2500
257	TOTAL MASTECTOMY FOR MALIGNANCY W CC	8843	35	42	2000
258	TOTAL MASTECTOMY FOR MALIGNANCY W/O CC	6989	27	31	1200
259	SUBTOTAL MASTECTOMY FOR MALIGNANCY W CC	8291	28	41	2500
260	SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC	5840	19	22	1000
261	BREAST PROC FOR NON-MALIGNANCY EXCPT BIOPSY & LOCAL EXCISION	7432	20	25	1200
262	BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY	6491	25	39	2500
263	SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC	23540	125	76	3500
264	SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W/O CC	11663	71	96	2900
265	SKN GRAFT &/OR DEBRID EXCPT FOR SKN ULCER OR CELLULIT W CC	13953	54	83	2700
266	SKN GRAFT &/OR DEBRID EXCPT FOR SKN ULCER OR CELLULIT W/O CC	7358	29	40	2500
267	PERIANAL & PILONIDAL PROCEDURES	6935	26	42	2500
268	SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES	8356	25	39	2500
269	OTHER SKIN, SUBCUTANEOUS TISS & BREAST PROC W CC	17025	74	109	2900
270	OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC	6610	25	36	2500
271	SKIN ULCERS	11343	76	100	3000
272	MAJOR SKIN DISORDERS W CC	10072	63	82	2800
273	MAJOR SKIN DISORDERS W/O CC	6339	46	61	2700
274	MALIGNANT BREAST DISORDERS W CC	11084	59	92	2800
275	MALIGNANT BREAST DISORDERS W/O CC	5132	26	41	2500
276	NON-MALIGNANT BREAST DISORDERS	6137	40	54	2600
277	CELLULITIS AGE >17 W CC	8804	62	76	2800
278	CELLULITIS AGE >17 W/O CC	5850	48	57	2700
279	CELLULITIS AGE 0-17	6708	37	43	2200
280	TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W CC	6729	42	57	2600
281	TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W/O CC	4344	29	39	2500
282	TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE 0-17	3566	22	22	1900
283	MINOR SKIN DISORDERS W CC	7155	48	63	2700
284	MINOR SKIN DISORDERS W/O CC	4342	33	43	2500
285	AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DISORD	25270	126	175	3500
286	ADRENAL & PITUITARY PROCEDURES	22621	76	93	3000
287	SKIN GRAFTS & WOUND DEBRID FOR ENDOC,NUTRIT & METAB DISORD	21035	114	164	3300
288	O.R. PROCEDURES FOR OBESITY	19030	58	80	2800
289	PARATHYROID PROCEDURES	10063	32	46	2500
290	THYROID PROCEDURES	7931	24	30	1500
291	THYROGLOSSAL PROCEDURES	5102	16	20	900
292	OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC	27197	102	150	3200
293	OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC	11604	47	66	2700
294	DIABETES AGE >35	7463	52	65	2700
295	DIABETES AGE 0-35	7433	39	51	2600
296	NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC	9179	54	74	2700
297	NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W/O CC	5305	37	47	2600
298	NUTRITIONAL & MISC METABOLIC DISORDERS AGE 0-17	5421	27	43	2500
299	INBORN ERRORS OF METABOLISM	8118	43	61	2600
300	ENDOCRINE DISORDERS W CC	10982	63	83	2800
301	ENDOCRINE DISORDERS W/O CC	6003	37	49	2600
302	KIDNEY TRANSPLANT	41394	126	146	3500
303	KIDNEY,URETER & MAJ BLADDER PROCEDURES FR NEOPLASM	25739	97	116	3200
304	KIDNEY,URETER & MAJ BLADDER PROC FOR NON-NEOPL W CC	23313	87	117	3100
305	KIDNEY,URETER & MAJ BLADDER PROC FOR NON-NEOPL W/O CC	11366	45	56	2600
306	PROSTATECTOMY W CC	12101	54	73	2700
307	PROSTATECTOMY W/O CC	6619	30	36	1800
308	MINOR BLADDER PROCEDURES W CC	14465	54	81	2700
309	MINOR BLADDER PROCEDURES W/O CC	7971	26	34	2200
310	TRANSURETHRAL PROCEDURES W CC	9159	35	50	2500
311	TRANSURETHRAL PROCEDURES W/O CC	5395	20	25	1300
312	URETHRAL PROCEDURES, AGE >17 W CC	8458	35	53	2600
313	URETHRAL PROCEDURES, AGE >17 W/O CC	4774	20	26	1600
314	URETHRAL PROCEDURES, AGE 0-17	4503	23	23	2400
315	OTHER KIDNEY & URINARY TRACT O.R. PROCEDURES	20323	60	107	2800
316	RENAL FAILURE	12840	59	84	2800
317	ADMIT FOR RENAL DIALYSIS	5149	28	39	2500
318	KIDNEY & URINARY TRACT NEOPLASMS W CC	11196	55	81	2800
319	KIDNEY & URINARY TRACT NEOPLASMS W/O CC	5530	24	33	2400
320	KIDNEY & URINARY TRACT INFECTIONS AGE > 17 W CC	9451	59	74	2800
321	KIDNEY & URINARY TRACT INFECTIONS AGE > 17 W/O CC	6109	44	52	2600
322	KIDNEY & URINARY TRACT INFECTIONS AGE 0-17	5464	39	47	2500
323	URINARY STONES W CC, 7/OR ESW LITHOTRIPSY	7221	29	39	2500
324	URINARY STONES W/O CC	3872	19	23	1200
325	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W CC	6476	39	52	2600
326	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W/O CC	4186	26	34	2200
327	KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17	7222	31	31	2500
328	URETHRAL STRICTURE AGE >17 W CC	6732	35	48	2600
329	URETHRAL STRICTURE AGE >17 W/O CC	4291	19	25	1500
330	URETHRAL STRICTURE AGE 0-17	2903	16	16	900
331	OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC	9943	51	70	2700
332	OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W/O CC	6019	31	43	2500
333	OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17	10377	49	72	2700
334	MAJOR MALE PELVIS PROCEDURES W CC	17172	68	75	2400
335	MAJOR MALE PELVIS PROCEDURES W/O CC	13447	56	61	1900
336	TRANSURETHRAL PROSTATECTOMY W CC	8523	40	48	2300
337	TRANSURETHRAL PROSTATECTOMY W/O CC	6130	30	33	1200
338	TESTES PROCEDURES, FOR MALIGNANCY	9738	37	57	2600
339	TESTES PROCEDURES, NON-MALIGNANCY AGE >17	8265	31	44	2500
340	TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17	4516	24	24	1300
341	PENIS PROCEDURES	10192	29	38	2400
342	CIRCUMCISION AGE >17	6689	27	41	2500
343	CIRCUMCISION AGE 0-17	3945	17	17	600
344	OTHR MALE REPRODUCTIVE SYST O.R. PROCED FOR MALIGNANCY	9941	27	36	2500
345	OTHR MALE REPRODUCTIVE SYST O.R. PROC EXCEPT FOR MALIGNANCY	7521	31	45	2500
346	MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W CC	9598	53	77	2700
347	MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W/O CC	4899	25	37	2500
348	BENIGN PROSTATIC HYPERTROPHY W CC	6724	37	51	2600
349	BENIGN PROSTATIS HYPERTROPHY W/O CC	4094	24	32	2200
350	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM	6787	45	54	2700
351	STERILIZATION, MALE	3472	13	13	500
352	OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES	5807	32	43	2500
353	PELVIS EVISCERATION, RADICAL HYSTERECTOMY & RADICAL VULVECT	18865	80	98	3000
354	UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC	13747	59	69	2800
355	UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC	8773	40	43	1200
356	FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES	7162	32	36	1400
357	UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY	22834	89	109	3100
358	UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC	11018	47	54	2000
359	UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC	7987	35	38	1100
360	VAGINA, CERVIX & VULVA PROCEDURES	8186	35	43	2200
361	LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION	11047	31	48	2500
362	ENDOSCOPIC TUBAL INTERRUPTION	5189	14	14	500
363	D&C, CONIZATION & RADIO-IMPLANT, FOR MALIGNANCY	6470	28	37	2100
364	D&C, CONIZATION EXCEPT FOR MALIGNANCY	6239	26	37	2500
365	OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES	17127	63	92	2800
366	MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC	12111	59	91	2800
367	MALIGNANCYM, FEMALE REPRODUCTIVE SYSTEM W/O CC	4486	23	33	2400
368	INFECTIONS, FEMALE REPRODUCTIVE SYSTEM	9704	56	73	2800
369	MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS	5095	29	40	2500
370	CESAREAN SECTION W CC	8976	49	59	2400
371	CESAREAN SETION W/O CC	6340	36	38	900
372	VAGINAL DELIVERY W COMPLICATING DIAGNOSES	4902	27	34	1700
373	VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES	3387	19	22	800
374	VAGINAL DELIVERY W STERILIZATION &/OR D&C	6152	24	31	1600
375	VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C	7101	44	44	2600
376	POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE	3513	24	34	2100
377	POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE	9762	34	57	2500
378	ECTOPIC PREGNANCY	7052	26	30	1500
379	THREATENED ABORTION	3204	21	28	1800
380	ABORTION W/O D&C	3481	16	21	1100
381	ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY	4063	17	22	1200
382	FALSE LABOR	1856	13	15	500
383	OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS	4060	30	40	2500
384	OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS	2909	19	25	1500
385	NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY	12741	18	18	2400
386	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	37999	179	179	4000
387	PREMATURITY W MAJOR PROBLEMS	19028	133	133	3500
388	PREMATURITY W/O MAJOR PROBLEMS	12053	86	86	3100
389	FULL TERM NEONATE W MAJOR PROBLEMS	12972	56	77	2800
390	NEONATE W OTHER SIGNIFICANT PROBLEMS	5385	31	48	2500
391	NORMAL NEWBORN	2311	31	31	1100
392	SPLENECTOMY AGE >17	32021	101	132	3200
393	SPLENECTOMY AGE 0-17	15839	91	91	3100
394	OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS	15713	50	85	2700
395	RED BLOOD CELL DISORDERS AGE >17	8118	43	60	2600
396	RED BLOOD CELL DISORDERS AGE 0-17	2859	17	21	1300
397	COAGULATION DISORDERS	12490	50	69	2700
398	RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC	12139	58	74	2800
399	RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC	6723	38	48	2600
400	LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE	25674	76	118	3000

Table B, Part II: Federal Register Table 5

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