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Appendix C Ratios Applied to Revise Certain DRG Weights in California

8 CA ADC § 9792.1 App. CBarclays Official California Code of Regulations

Barclays California Code of Regulations
Title 8. Industrial Relations
Division 1. Department of Industrial Relations
Chapter 4.5. Division of Workers' Compensation
Subchapter 1. Administrative Director--Administrative Rules
Article 5.5. Application of the Official Medical Fee Schedule (Treatment)
8 CCR § 9792.1 App. C
Appendix C Ratios Applied to Revise Certain DRG Weights in California
Currentness
Number
DRG
Ratio
004
Spinal Procs
0.6283
008
Peripheral/Cranial Nerve & Orth OR Nervous Sys. Procs
0.8082
025
Seizures and Headaches: AD WO CC
0.7485
029
Traumatic Stupor and Coma: AD WO CC
1.0025
032
Concussion: AD WO CC
0.8749
042
Intraocular Proc Exc. Retina, Iris and Lens
1.0661
063
Other Ear, Nose, Mouth and Throat OR Procs
0.8753
112
Percutaneous Cardiovascular Procs
0.8409
140
Angina Pectoris
0.7834
143
Chest Pain
0.8417
160
Hernia Proc: AD Exc. Inguinal or Femoral, WO CC
0.9016
162
Hernia Proc: AD Inguinal or Femoral, WO CC
0.8672
209
Major Joints and Limb Reattachment, Lower Extremity
0.9500
210
Hip and Femur, Exc Major joint Proc: AD W CC
1.1800
211
Hip and Femur, Exc Major joint Proc: AD WO CC
0.9726
214
Back and Neck Proc W CC
0.9674
215
Back and Neck Procs WO CC
0.9556
217
Wound Debridement and Skin Graft Exc. Hand
0.5717
218
Lower Extr/Humerous Exc. Hip, Foot and Femur: AD W CC
1.0298
219
Lower Extr/Humer. Exc. Hip, Foot and Femur: AD WO CC
0.9681
221
Knee Proc W CC
0.8177
222
Knee Proc WO CC
1.0382
223
Maj. Shoulder/Elbow Proc/Other Upper Extrem. Proc W CC
0.8850
224
Shoulder/Elbow/Forearm Proc exc. Major Joint Proc WO CC
1.0122
225
Foot Proc
1.0008
227
Soft Tissue Proc WO CC
0.9443
228
Major Thumb/Joint Proc, or Other Hand or Wrist Proc W CC
0.9063
229
Hand and Wrist Proc, Exc. Major joint Proc WO CC
1.0367
231
Local Excision/Removal Int. Fix. Devices Exc. Hip & Femur
0.7341
232
Arthroscopy
0.8166
234
Oth. Musculoskel. Sys/Connective Tissue OR Procs WO CC
0.8133
236
Fracture of Hip and Pelvis
0.9790
243
Medical Back
0.7609
251
Frac, Sprain, Strain, Disloc Forearm, Hand/Foot: AD WO CC
0.9012
254
Frac, Sprain, Strain, Disloc Up Arm/Low Leg ex Foot: AD W CC
1.0031
266
Skin Graft/Debridement Exc. Skin Ulcer or Cellulitis WO CC
1.1306
277
Cellulitis: AD W CC
0.7910
278
Cellulitis: AD WO CC
0.8654
281
Trauma to Skin, Subcutaneous Tiss and Breast: AD WO CC
0.9709
415
Infectious and Parasitic Disease OR Proc
0.4907
418
Postoperative and Post traumatic Infection
0.6801
440
Wound Debridement for Injury
0.7738
441
Hand Proc for Injury
0.9914
443
Other Proc for Injury WO CC
1.0024
445
Traumatic Injury: AD WO CC
0.8112
450
Injury/Poison/Drug: AD WO CC
0.6657
455
Other Injury/Poisoning and Toxic Effect Diagnosis WO CC
0.7483
461
OR Proc with Diagnosis of Other Contact with Health Services
0.9207
This database is current through 4/12/24 Register 2024, No. 15.
Cal. Admin. Code tit. 8, § 9792.1 App. C, 8 CA ADC § 9792.1 App. C
End of Document