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Record Layout / Sample Data

File Description / Details:
Description: DRG Codes, Descriptions, MDC, GMLOS, AMLOS, Relative Weights 
File Name: DRG
Sample DRG Data  


DRG Record Layout:

Field Type Size  Description
DRG Text 3 DRG Diagnosis Related Group 
POST_ACUTE Text 2 Final Rule Post-Acute DRG
SPECIAL_PAY Text 2 Final Rule Special Pay DRG
MDC Text 3 Major Diagnostic Category 
TYPE Text 5 Surgery or Medicine
DESC Text 72 DRG Diagnosis Related Group Description 
RW Num 2.4 Relative Value Weights
GMLOS Num 2.4 Geometric Mean Length of Stay
AMLOS Num 2.4 Arithmetic Mean Length of Stay

DRG Post_Acute Special_Pay MDC TYPE DESC RW GMLOS AMLOS
001 No No PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 27.1011 30 38.6
002 No No PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 16.1549 18.1 22.2
003 Yes No PRE SURG ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 17.9495 25.3 31.9
004 Yes No PRE SURG TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 10.9257 20.1 24.4
005 No No PRE SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.2721 15.4 21.3
006 No No PRE SURG LIVER TRANSPLANT W/O MCC 4.8095 7.7 8.5
007 No No PRE SURG LUNG TRANSPLANT 9.6933 15.9 18.5
008 No No PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.4864 9.3 10.6
010 No No PRE SURG PANCREAS TRANSPLANT 3.8403 8 9.1
011 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 5.0013 11.5 14.3
012 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.4858 8.5 9.9
013 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 2.2677 5.9 6.8
014 No No PRE SURG ALLOGENEIC BONE MARROW TRANSPLANT 11.6407 23.8 27.9
016 No No PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 6.105 17.2 18.5
017 No No PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.0701 8.5 11.6
020 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 9.7053 13.4 16.4
021 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 7.291 11.9 13.6
022 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 4.6095 6.2 7.7
023 Yes No 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT 5.3762 7.7 10.6
024 Yes No 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 4.0114 4.1 5.5
025 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.2413 7.1 9.2
026 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 2.9723 4.4 5.8
027 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.3761 2.3 3
028 Yes Yes 01 SURG SPINAL PROCEDURES W MCC 5.5439 9.4 11.9
029 Yes Yes 01 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 3.1882 5 6.5
030 Yes Yes 01 SURG SPINAL PROCEDURES W/O CC/MCC 1.9008 2.6 3.4
031 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W MCC 4.0706 7.6 10.5
032 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W CC 2.0555 3.2 4.7
033 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W/O CC/MCC 1.5992 1.9 2.4
034 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W MCC 3.8503 5.1 7.2
035 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W CC 2.3365 2.2 3.3
036 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.7487 1.3 1.5
037 No No 01 SURG EXTRACRANIAL PROCEDURES W MCC 3.0795 5.3 7.7
038 No No 01 SURG EXTRACRANIAL PROCEDURES W CC 1.5762 2.2 3.2
039 No No 01 SURG EXTRACRANIAL PROCEDURES W/O CC/MCC 1.0818 1.3 1.5
040 Yes Yes 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 3.7117 7.9 10.5
041 Yes Yes 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 2.1218 4.6 5.8
042 Yes Yes 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 1.8984 2.6 3.3
052 No No 01 MED SPINAL DISORDERS & INJURIES W CC/MCC 1.5848 4.3 5.9

09/28/16