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	32322	121	170	3400
202	CIRRHOSIS & ALCOHOLIC HEPATITIS	13087	64	87	2800
203	MALIGNANCY OF HEPATOBILIARY SYSTEM	12384	63	89	2800
204	DISORDERS OF PANCREAS EXCEPT	11376	57	73	2800
205	DISORDERS OF LIVER EXCEPT MALIG,	12284	61	84	2800
206	DISORDERS OF LIVER EXCEPT MALIG,	6220	34	47	2500
207	DISORDERS OF THE BILIARY TRACT W	10063	49	64	2700
208	DISORDERS OF THE BILIARY TRACT W/O	5661	29	37	2300
209	MAJOR JOINT & LIMB REATTACHMENT	23173	77	86	2900
210	HIP & FEMUR PROCEDURES EXCEPT	18427	90	106	3100
211	HIP & FEMUR PROCEDURES EXCEPT	12990	70	79	2900
212	HIP & FEMUR PROCEDURES EXCEPT	9084	36	41	1900
213	AMPUTATION FOR MUSCULOSKELETAL	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	21046	93	133	3100
217	WND DEBRID & SKN GRFT EXCEPT HAND	30084	123	189	3400
218	LOWER EXTREM & HUMER PROC EXCEPT	14028	57	74	2800
219	LOWER EXTREM & HUMER PROC EXCEPT	9132	36	44	2300
220	*LOWER EXTREM & HUMER PROC EXCEPT	9626	53	53	2700
221	KNEE PROCEDURES W CC	17911	67	93	2900
222	KNEE PROCEDURES W/O CC	9852	35	47	2500
223	MAJOR SHOULDER/ELBOW PROC, OR	8162	25	32	1800
224	SHOULDER, ELBOW OR FOREARM PROC,	6932	22	27	1300
225	FOOT PROCEDURES	9006	33	51	2500
226	SOFT TISSUE PROCEDURES W CC	13381	50	77	2700
227	SOFT TISSUE PROCEDURES W/O CC	6999	24	32	2000
228	MAJOR THUMB OR JOINT PROC, OR OTH	8409	23	35	2400
229	HAND OR WRIST PROC, EXCEPT MAJOR	5964	19	25	1500
230	LOCAL EXCISION & REMOVAL OF INT	9145	35	55	2600
231	LOCAL EXCISION & REMOVAL OF INT	11275	35	54	2500
232	ARTHROSCOPY	11560	32	58	2500
233	OTHER MUSCULOSKELET SYS & CONN	19051	74	106	2900
234	OTHER MUSCULOSKELET SYS & CONN	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	5535	37	50	2600
238	OSTEOMYELITIS	14939	91	123	3100
239	PATHOLOGICAL FRACTURES &	10338	68	90	2900
240	CONNECTIVE TISSUE DISORDERS W CC	11889	64	87	2800
241	CONNECTIVE TISSUE DISORDERS 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	7346	49	66	2700
245	BONE DISEASES & SPECIFIC	4813	34	47	2500
246	NON-SPECIFIC ARTHROPATHIES	5529	37	48	2600
247	SIGNS & SYMPTOMS OF	5532	33	45	2500
248	TENDONITIS, MYOSITIS & BURSITIS	7117	44	58	2600
249	AFTERCARE, MUSCULOSKELETAL SYSTEM	6486	34	50	2500
250	FX, SPRN, STRN & DISL OF FOREARM,	6950	41	57	2600
251	FX, SPRN, STRN & DISL OF FOREARM,	4510	25	34	2300
252	*FX, SPRN, STRN & DISL OF FOREARM,	3642	18	18	1500
253	FX, SPRN, STRN & DISL OF UPARM,	7617	50	70	2700
254	FX, SPRN, STRN & DISL OF UPARM,	4324	32	43	2500
255	*FX, SPRN, STRN & DISL OF UPARM,	4831	29	29	2500
256	OTHER MUSCULOSKELETAL SYSTEM &	6397	34	47	2500
257	TOTAL MASTECTOMY FOR MALIGNANCY W	8843	35	42	2000
258	TOTAL MASTECTOMY FOR MALIGNANCY W/	6989	27	31	1200
259	SUBTOTAL MASTECTOMY FOR MALIGNANCY	8291	28	41	2500
260	SUBTOTAL MASTECTOMY FOR MALIGNANCY	5840	19	22	1000
261	BREAST PROC FOR NON-MALIGNANCY	7432	20	25	1200
262	BREAST BIOPSY & LOCAL EXCISION FOR	6491	25	39	2500
263	SKIN GRAFT &/OR DEBRID FOR SKN	23540	125	176	3500
264	SKIN GRAFT &/OR DEBRID FOR SKN	11663	71	96	2900
265	SKIN GRAFT &/OR DEBRID EXCEPT FOR	13953	54	83	2700
266	SKIN GRAFT &/OR DEBRID EXCEPT FOR	7358	29	40	2500
267	PERIANAL & PILONIDAL PROCEDURES	6935	26	42	2500
268	SKIN, SUBCUTANEOUS TISSUE & BREAST	8356	25	39	2500
269	OTHER SKIN, SUBCUT TISS & BREAST	17025	74	109	2900
270	OTHER SKIN, SUBCUT TISS & BREAST	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-MALIGANT 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 &	6729	42	57	2600
281	TRAUMA TO THE SKIN, SUBCUT TISS &	4344	29	39	2500
282	*TRAUMA TO THE SKIN, SUBCUT TISS &	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	25270	126	175	3500
286	ADRENAL & PITUITARY PROCEDURES	22621	76	93	3000
287	SKIN GRAFTS & WOUND DEBRID FOR	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	27197	102	150	3200
293	OTHER ENDOCRINE, NUTRIT & METAB	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	9179	54	74	2700
297	NUTRITIONAL & MISC METABOLIC	5305	37	47	2600
298	NUTRITIONAL & MISC METABOLIC	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 & MAJOR BLADDER	25739	97	116	3200
304	KIDNEY, URETER & MAJOR BLADDER	23313	87	117	3100
305	KIDNEY, URETER & MAJOR BLADDER	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	4774	20	26	1600
314	*URETHRAL PROCEDURES, AGE 0-17	4503	23	23	2400
315	OTHER KIDNEY & URINARY TRACT O.R.	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	11196	55	81	2800
319	KIDNEY & URINARY TRACT NEOPLASMS W	5530	24	33	2400
320	KIDNEY & URINARY TRACT INFECTIONS	9451	59	74	2800
321	KIDNEY & URINARY TRACT INFECTIONS	6109	44	52	2600
322	KIDNEY & URINARY TRACT INFECTIONS	5464	39	47	2500
323	URINARY STONES W CC, &/OR ESW	7221	29	39	2500
324	URINARY STONES W/O CC	3872	19	23	1200
325	KIDNEY & URINARY TRACT SIGNS &	6476	39	52	2600
326	KIDNEY & URINARY TRACT SIGNS &	4186	26	34	2200
327	*KIDNEY & URINARY TRACT SIGNS &	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	9943	51	70	2700
332	OTHER KIDNEY & URINARY TRACT	6019	31	43	2500
333	OTHER KIDNEY & URINARY TRACT	10377	49	72	2700
334	MAJOR MALE PELVIC PROCEDURES W CC	17172	68	75	2400
335	MAJOR MALE PELVIC PROCEDURES W/O	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	8265	31	44	2500
340	*TESTES PROCEDURES, NON-MALIGNANCY	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	OTHER MALE REPRODUCTIVE SYSTEM O.R.	9941	27	36	2500
345	OTHER MALE REPRODUCTIVE SYSTEM O.R.	7521	31	45	2500
346	MALIGNANCY, MALE REPRODUCTIVE	9598	53	77	2700
347	MALIGNANCY, MALE REPRODUCTIVE	4899	25	37	2500
348	BENIGN PROSTATIC HYPERTROPHY W CC	6724	37	51	2600
349	BENIGN PROSTATIC HYPERTROPHY W/O	4094	24	32	2200
350	INFLAMMATION OF THE MALE	6787	45	54	2700
351	*STERILIZATION, MALE	3472	13	13	500
352	OTHER MALE REPRODUCTIVE SYSTEM	5807	32	43	2500
353	PELVIC EVISCERATION, RADICAL	18865	80	98	3000
354	UTERINE, ADNEXA PROC FOR NON-	13747	59	69	2800
355	UTERINE, ADNEXA PROC FOR NON-	8773	40	43	1200
356	FEMALE REPRODUCTIVE SYSTEM	7162	32	36	1400
357	UTERINE & ADNEXA PROC FOR OVARIAN	22834	89	109	3100
358	UTERINE & ADNEXA PROC FOR NON-	11018	47	54	2000
359	UTERINE & ADNEXA PROC FOR NON-	7987	35	38	1100
360	VAGINA, CERVIX & VULVA PROCEDURES	8186	35	43	2200
361	LAPAROSCOPY & INCISIONAL TUBAL	11047	31	48	2500
362	*ENDOSCOPIC TUBAL INTERRUPTION	5189	14	14	500
363	D&C, CONIZATION & RADIO-IMPLANT,	6470	28	37	2100
364	D&C, CONIZATION EXCEPT FOR	6239	26	37	2500
365	OTHER FEMALE REPRODUCTIVE SYSTEM	17127	63	92	2800
366	MALIGNANCY, FEMALE REPRODUCTIVE	12111	59	91	2800
367	MALIGNANCY, FEMALE REPRODUCTIVE	4486	23	33	2400
368	INFECTIONS, FEMALE REPRODUCTIVE	9704	56	73	2800
369	MENSTRUAL & OTHER FEMALE	5095	29	40	2500
370	CESAREAN SECTION W CC	8976	49	59	2400
371	CESAREAN SECTION W/O CC	6340	36	38	900
372	VAGINAL DELIVERY W COMPLICATING	4902	27	34	1700
373	VAGINAL DELIVERY W/O COMPLICATING	3387	19	22	800
374	VAGINAL DELIVERY W STERILIZATION &	6152	24	31	1600
375	*VAGINAL DELIVERY W O.R. PROC	7101	44	44	2600
376	POSTPARTUM & POST ABORTION	3513	24	34	2100
377	POSTPARTUM & POST ABORTION	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	4063	17	22	1200
382	FALSE LABOR	1856	13	15	500
383	OTHER ANTEPARTUM DIAGNOSES W	4060	30	40	2500
384	OTHER ANTEPARTUM DIAGNOSES W/O	2909	19	25	1500
385	*NEONATES, DIED OR TRANSFERRED TO	12741	18	18	2400
386	*EXTREME IMMATURITY OR RESPIRATORY	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	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	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	12139	58	74	2800
399	RETICULOENDOTHELIAL & IMMUNITY	6723	38	48	2600
400	LYMPHOMA & LEUKEMIA W MAJOR O.R.	25674	76	118	3000

Table B, Part II: Federal Register Table 5

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