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)
Appendix C - Ratios Applied to Revise Certain DRG Weights in California
Universal Citation: 8 CA Code of Regs C
Current through Register 2024 Notice Reg. No. 38, September 20, 2024
| 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 |
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