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)
1	CRANIOTOMY AGE >17 EXCEPT FOR	31565	96	135	3200
2	CRANIOTOMY FOR TRAUMA AGE >17	30968	98	139	3200
3	*CRANIOTOMY AGE 0-17	30398	127	127	3500
4	SPINAL PROCEDURES	23292	72	110	2900
5	EXTRACRANIAL VASCULAR PROCEDURES	15601	44	56	2600
6	CARPAL TUNNEL RELEASE	6339	22	32	2400
7	PERIPH & CRANIAL NERVE & OTHER	25005	101	174	3200
8	PERIPH & CRANIAL NERVE & OTHER	9185	29	47	2500
9	SPINAL DISORDERS & INJURIES	12553	60	88	2800
10	NERVOUS SYSTEM NEOPLASMS W CC	12618	67	97	2900
11	NERVOUS SYSTEM NEOPLASMS W/O CC	7734	38	55	2600
12	DEGENERATIVE NERVOUS SYSTEM	9574	63	90	2800
13	MULTIPLE SCLEROSIS & CEREBELLAR	7813	57	72	2800
14	SPECIFIC CEREBROVASCULAR DISORDERS	11956	64	87	2800
15	TRANSIENT ISCHEMIC ATTACK &	6909	38	49	2600
16	NONSPECIFIC CEREBROVASCULAR	10488	58	78	2800
17	NONSPECIFIC CEREBROVASCULAR	6195	35	46	2600
18	CRANIAL & PERIPHERAL NERVE	9126	55	72	2700
19	CRANIAL & PERIPHERAL NERVE	5925	37	48	2600
20	NERVOUS SYSTEM INFECTION EXCEPT	20828	82	117	3000
21	VIRAL MENINGITIS	14342	64	86	2800
22	HYPERTENSIVE ENCEPHALOPATHY	7806	42	54	2600
23	NONTRAUMATIC STUPOR & COMA	8004	40	56	2600
24	SEIZURE & HEADACHE AGE >17 W CC	9647	48	66	2700
25	SEIZURE & HEADACHE AGE >17 W/O CC	5515	32	41	2500
26	SEIZURE & HEADACHE AGE 0-17	6270	28	43	2500
27	TRAUMATIC STUPOR & COMA, COMA >1	13457	39	74	2600
28	TRAUMATIC STUPOR & COMA, COMA <1	12170	55	83	2700
29	TRAUMATIC STUPOR & COMA, COMA <1	6200	32	46	2500
30	*TRAUMATIC STUPOR & COMA, COMA <1	3687	20	20	1700
31	CONCUSSION AGE >17 W CC	7627	40	56	2600
32	CONCUSSION AGE >17 W/O CC	4635	25	34	2300
33	*CONCUSSION AGE 0-17	2559	16	16	900
34	OTHER DISORDERS OF NERVOUS SYSTEM	10862	53	75	2700
35	OTHER DISORDERS OF NERVOUS SYSTEM	5866	35	49	2600
36	RETINAL PROCEDURES	5989	15	18	800
37	ORBITAL PROCEDURES	8089	26	39	2500
38	PRIMARY IRIS PROCEDURES	4005	20	27	1600
39	LENS PROCEDURES WITH OR WITHOUT	5055	15	19	900
40	EXTRAOCULAR PROCEDURES EXCEPT	6241	23	36	2400
41	*EXTRAOCULAR PROCEDURES EXCEPT	3810	16	16	700
42	INTRAOCULAR PROCEDURES EXCEPT	5687	17	22	1200
43	HYPHEMA	3400	30	36	2000
44	ACUTE MAJOR EYE INFECTIONS	5755	49	60	2700
45	NEUROLOGICAL EYE DISORDERS	6211	35	43	2500
46	OTHER DISORDERS OF THE EYE AGE >17	7553	44	61	2600
47	OTHER DISORDERS OF THE EYE AGE >17	4331	30	39	2500
48	*OTHER DISORDERS OF THE EYE AGE 0-	4186	29	29	2500
49	MAJOR HEAD & NECK PROCEDURES	17106	49	68	2700
50	SIALOADENECTOMY	7131	19	23	1100
51	SALIVARY GLAND PROCEDURES EXCEPT	6838	20	30	2200
52	CLEFT LIP & PALATE REPAIR	9152	23	30	2000
53	SINUS & MASTOID PROCEDURES AGE >17	8647	22	34	2400
54	*SINUS & MASTOID PROCEDURES AGE 0-	7176	32	32	2200
55	MISCELLANEOUS EAR, NOSE, MOUTH &	6455	18	28	2000
56	RHINOPLASTY	7684	22	31	2400
57	T&A PROC, EXCEPT TONSILLECTOMY &/	10174	34	52	2500
58	*T&A PROC, EXCEPT TONSILLECTOMY &/	3227	15	15	400
59	TONSILLECTOMY &/OR ADENOIDECTOMY	4602	15	19	900
60	*TONSILLECTOMY &/OR ADENOIDECTOMY	2724	15	15	400
61	MYRINGOTOMY W TUBE INSERTION AGE >	10019	29	51	2500
62	*MYRINGOTOMY W TUBE INSERTION AGE	3217	13	13	500
63	OTHER EAR, NOSE, MOUTH & THROAT	11047	34	50	2500
64	EAR, NOSE, MOUTH & THROAT	11419	50	84	2700
65	DYSEQUILIBRIUM	5067	30	38	2200
66	EPISTAXIS	5076	31	39	2400
67	EPIGLOTTITIS	8381	38	47	2600
68	OTITIS MEDIA & URI AGE >17 W CC	7100	44	54	2600
69	OTITIS MEDIA & URI AGE >17 W/O CC	5133	35	42	2200
70	OTITIS MEDIA & URI AGE 0-17	5812	36	44	2400
71	LARYNGOTRACHEITIS	6508	35	42	2200
72	NASAL TRAUMA & DEFORMITY	6160	31	44	2500
73	OTHER EAR, NOSE, MOUTH & THROAT	7616	41	55	2600
74	*OTHER EAR, NOSE, MOUTH & THROAT	3571	21	21	2000
75	MAJOR CHEST PROCEDURES	30551	99	124	3200
76	OTHER RESP SYSTEM O.R. PROCEDURES	25126	100	139	3200
77	OTHER RESP SYSTEM O.R. PROCEDURES	10630	40	60	2600
78	PULMONARY EMBOLISM	14211	78	92	3000
79	RESPIRATORY INFECTIONS &	16955	83	107	3000
80	RESPIRATORY INFECTIONS &	9259	59	74	2800
81	RESPIRATORY INFECTIONS &	14323	57	71	2800
82	RESPIRATORY NEOPLASMS	13237	63	89	2800
83	MAJOR CHEST TRAUMA W CC	9530	55	72	2800
84	MAJOR CHEST TRAUMA W/O CC	4996	32	43	2500
85	PLEURAL EFFUSION W CC	11890	62	82	2800
86	PLEURAL EFFUSION W/O CC	6753	38	49	2600
87	PULMONARY EDEMA & RESPIRATORY	13306	55	75	2700
88	CHRONIC OBSTRUCTIVE PULMONARY	10053	56	69	2800
89	SIMPLE PNEUMONIA & PLEURISY AGE >	11317	65	80	2900
90	SIMPLE PNEUMONIA & PLEURISY AGE >	6924	49	57	2700
91	SIMPLE PNEUMONIA & PLEURISY AGE 0-	6834	38	44	2000
92	INTERSTITIAL LUNG DISEASE W CC	12084	64	81	2800
93	INTERSTITIAL LUNG DISEASE W/O CC	7700	45	57	2600
94	PNEUMOTHORAX W CC	12427	65	85	2800
95	PNEUMOTHORAX W/O CC	6146	39	49	2600
96	BRONCHITIS & ASTHMA AGE >17 W CC .	8488	52	62	2700
97	BRONCHITIS & ASTHMA AGE >17 W/O CC	6122	41	49	2400
98	BRONCHITIS & ASTHMA AGE 0-17	5356	31	41	2500
99	RESPIRATORY SIGNS & SYMPTOMS W CC	7019	32	41	2500
100	RESPIRATORY SIGNS & SYMPTOMS W/O	5051	23	28	1500
101	OTHER RESPIRATORY SYSTEM DIAGNOSES	9055	46	62	2700
102	OTHER RESPIRATORY SYSTEM DIAGNOSES	5339	30	40	2500
103	HEART TRANSPLANT	135495	254	358	4700
104	CARDIAC VALVE PROCEDURES W CARDIAC	76076	152	180	3700
105	CARDIAC VALVE PROCEDURES W/O	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	40796	91	122	3100
111	MAJOR CARDIOVASCULAR PROCEDURES W/	23024	65	75	2800
112	PERCUTANEOUS CARDIOVASCULAR	19881	39	53	2600
113	AMPUTATION FOR CIRC SYSTEM	27765	127	172	3500
114	UPPER LIMB & TOE AMPUTATION FOR	15385	79	109	3000
115	PERM CARDIAC PACEMAKER IMPLANT W	35936	104	127	3200
116	OTH PERM CARDIAC PACEMAKER IMPLANT	24514	47	65	2700
117	CARDIAC PACEMAKER REVISION EXCEPT	11671	33	49	2500
118	CARDIAC PACEMAKER DEVICE	15582	23	35	2400
119	VEIN LIGATION & STRIPPING	9949	33	56	2500
120	OTHER CIRCULATORY SYSTEM O.R.	19616	63	107	2800
121	CIRCULATORY DISORDERS W AMI & C.V.	16022	70	86	2900
122	CIRCULATORY DISORDERS W AMI W/O	11292	49	60	2700
123	CIRCULATORY DISORDERS W AMI,	14286	29	51	2500
124	CIRCULATORY DISORDERS EXCEPT AMI,	12657	42	55	2600
125	CIRCULATORY DISORDERS EXCEPT AMI,	8451	24	32	2300
126	ACUTE & SUBACUTE ENDOCARDITIS	27724	137	184	3600
127	HEART FAILURE & SHOCK	10239	55	71	2700
128	DEEP VEIN THROMBOPHLEBITIS	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	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	8507	43	58	2600
136	CARDIAC CONGENITAL & VALVULAR	5600	29	37	2300
137	*CARDIAC CONGENITAL & VALVULAR	6578	33	33	2500
138	CARDIAC ARRHYTHMIA & CONDUCTION	7964	39	52	2600
139	CARDIAC ARRHYTHMIA & CONDUCTION	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	10580	45	64	2700
145	OTHER CIRCULATORY SYSTEM DIAGNOSES	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	32220	122	147	3400
149	MAJOR SMALL & LARGE BOWEL	15022	76	82	2600
150	PERITONEAL ADHESIOLYSIS W CC	25652	105	128	3200
151	PERITONEAL ADHESIOLYSIS W/O CC	11814	55	68	2700
152	MINOR SMALL & LARGE BOWEL	17829	83	97	3000
153	MINOR SMALL & LARGE BOWEL	11151	60	67	2600
154	STOMACH, ESOPHAGEAL & DUODENAL	41740	133	170	3500
155	STOMACH, ESOPHAGEAL & DUODENAL	13898	61	72	2800
156	*STOMACH, ESOPHAGEAL & DUODENAL	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	11066	43	56	2600
160	HERNIA PROCEDURES EXCEPT INGUINAL	6574	25	31	1800
161	INGUINAL & FEMORAL HERNIA	9053	32	46	2500
162	INGUINAL & FEMORAL HERNIA	5156	18	22	1100
163	HERNIA PROCEDURES AGE 0-17	7275	39	48	2400
164	APPENDECTOMY W COMPLICATED	21645	88	102	3100
165	APPENDECTOMY W COMPLICATED	11976	57	63	2400
166	APPENDECTOMY W/O COMPLICATED	13465	52	63	2700
167	APPENDECTOMY W/O COMPLICATED	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.	27813	98	146	3200
171	OTHER DIGESTIVE SYSTEM O.R.	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	7685	43	56	2600
183	ESOPHAGITIS, GASTROENT & MISC	5356	31	38	2200
184	ESOPHAGITIS, GASTROENT & MISC	4240	26	34	2100
185	DENTAL & ORAL DIS EXCEPT	8312	41	57	2600
186	*DENTAL & ORAL DIS EXCEPT	4282	29	29	2300
187	DENTAL EXTRACTIONS & RESTORATIONS	6350	28	38	2500
188	OTHER DIGESTIVE SYSTEM DIAGNOSES	10201	49	68	2700
189	OTHER DIGESTIVE SYSTEM DIAGNOSES	5027	27	37	2500
190	OTHER DIGESTIVE SYSTEM DIAGNOSES	6707	32	45	2500
191	PANCREAS, LIVER & SHUNT PROCEDURES	44176	136	182	3600
192	PANCREAS, LIVER & SHUNT PROCEDURES	17609	69	89	2900
193	BILIARY TRACT PROC EXCEPT ONLY	31497	129	157	3500
194	BILIARY TRACT PROC EXCEPT ONLY	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 EXCEPT BY	20796	81	97	3000
198	CHOLECYSTECTOMY EXCEPT BY	10930	46	53	2400
199	HEPATOBILIARY DIAGNOSTIC PROCEDURE	23603	99	132	3200
200	HEPATOBILIARY DIAGNOSTIC PROCEDURE	29698	84	131	3000

Table B, Part I: Federal Register Table 5

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