All Patient Refined-Diagnosis-Related Grouper, version 30, relative … weights and... ·...
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APR-DRG, version 30 relative weights and ALOS 1 of 28 All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015 DRG Description Relative Weight ALOS 001-1 Liver Transplant &/Or Intestinal Transplant 7.5587 11.0 001-2 Liver Transplant &/Or Intestinal Transplant 7.5587 11.4 001-3 Liver Transplant &/Or Intestinal Transplant 14.3853 13.3 001-4 Liver Transplant &/Or Intestinal Transplant 31.9119 34.8 002-1 Heart &/Or Lung Transplant 7.1430 15.0 002-2 Heart &/Or Lung Transplant 7.1430 15.0 002-3 Heart &/Or Lung Transplant 7.1430 15.2 002-4 Heart &/Or Lung Transplant 26.3287 37.5 003-1 Bone Marrow Transplant 5.5823 13.6 003-2 Bone Marrow Transplant 6.6749 24.6 003-3 Bone Marrow Transplant 6.6749 24.6 003-4 Bone Marrow Transplant 25.9768 49.6 004-1 Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7.9399 18.5 004-2 Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7.9399 18.5 004-3 Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7.9399 18.5 004-4 Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19.0663 39.2 005-1 Tracheostomy W Mv 96+ Hours W/O Extensive Procedure 5.9217 20.9 005-2 Tracheostomy W Mv 96+ Hours W/O Extensive Procedure 6.4864 20.9 005-3 Tracheostomy W Mv 96+ Hours W/O Extensive Procedure 7.0616 20.9 005-4 Tracheostomy W Mv 96+ Hours W/O Extensive Procedure 11.9831 30.4 006-1 Pancreas Transplant 6.8079 9.6 006-2 Pancreas Transplant 10.6976 9.6 006-3 Pancreas Transplant 10.6976 9.6 006-4 Pancreas Transplant 11.2055 11.0 020-1 Craniotomy For Trauma 2.7441 4.4 020-2 Craniotomy For Trauma 2.7441 4.4 020-3 Craniotomy For Trauma 4.2334 6.6 020-4 Craniotomy For Trauma 7.0691 14.5 021-1 Craniotomy Except For Trauma 2.3080 3.6 021-2 Craniotomy Except For Trauma 3.0776 4.6 021-3 Craniotomy Except For Trauma 5.4010 11.7 021-4 Craniotomy Except For Trauma 7.0480 16.5 022-1 Ventricular Shunt Procedures 2.0097 2.9 022-2 Ventricular Shunt Procedures 2.0198 3.8 022-3 Ventricular Shunt Procedures 3.0803 6.4 022-4 Ventricular Shunt Procedures 6.3003 11.7 023-1 Spinal Procedures 1.4679 2.4 023-2 Spinal Procedures 2.0045 3.9 023-3 Spinal Procedures 3.9233 7.2 023-4 Spinal Procedures 6.8425 14.6 024-1 Extracranial Vascular Procedures 1.5691 1.5 024-2 Extracranial Vascular Procedures 2.2659 2.3 024-3 Extracranial Vascular Procedures 2.9253 5.6 024-4 Extracranial Vascular Procedures 5.0313 10.2 026-1 Other Nervous System & Related Procedures 1.4553 2.1
Transcript of All Patient Refined-Diagnosis-Related Grouper, version 30, relative … weights and... ·...
APR-DRG, version 30 relative weights and ALOS 1 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
001-1 Liver Transplant &/Or Intestinal Transplant 7.5587 11.0
001-2 Liver Transplant &/Or Intestinal Transplant 7.5587 11.4
001-3 Liver Transplant &/Or Intestinal Transplant 14.3853 13.3
001-4 Liver Transplant &/Or Intestinal Transplant 31.9119 34.8
002-1 Heart &/Or Lung Transplant 7.1430 15.0
002-2 Heart &/Or Lung Transplant 7.1430 15.0
002-3 Heart &/Or Lung Transplant 7.1430 15.2
002-4 Heart &/Or Lung Transplant 26.3287 37.5
003-1 Bone Marrow Transplant 5.5823 13.6
003-2 Bone Marrow Transplant 6.6749 24.6
003-3 Bone Marrow Transplant 6.6749 24.6
003-4 Bone Marrow Transplant 25.9768 49.6
004-1 Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7.9399 18.5
004-2 Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7.9399 18.5
004-3 Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7.9399 18.5
004-4 Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19.0663 39.2
005-1 Tracheostomy W Mv 96+ Hours W/O Extensive Procedure 5.9217 20.9
005-2 Tracheostomy W Mv 96+ Hours W/O Extensive Procedure 6.4864 20.9
005-3 Tracheostomy W Mv 96+ Hours W/O Extensive Procedure 7.0616 20.9
005-4 Tracheostomy W Mv 96+ Hours W/O Extensive Procedure 11.9831 30.4
006-1 Pancreas Transplant 6.8079 9.6
006-2 Pancreas Transplant 10.6976 9.6
006-3 Pancreas Transplant 10.6976 9.6
006-4 Pancreas Transplant 11.2055 11.0
020-1 Craniotomy For Trauma 2.7441 4.4
020-2 Craniotomy For Trauma 2.7441 4.4
020-3 Craniotomy For Trauma 4.2334 6.6
020-4 Craniotomy For Trauma 7.0691 14.5
021-1 Craniotomy Except For Trauma 2.3080 3.6
021-2 Craniotomy Except For Trauma 3.0776 4.6
021-3 Craniotomy Except For Trauma 5.4010 11.7
021-4 Craniotomy Except For Trauma 7.0480 16.5
022-1 Ventricular Shunt Procedures 2.0097 2.9
022-2 Ventricular Shunt Procedures 2.0198 3.8
022-3 Ventricular Shunt Procedures 3.0803 6.4
022-4 Ventricular Shunt Procedures 6.3003 11.7
023-1 Spinal Procedures 1.4679 2.4
023-2 Spinal Procedures 2.0045 3.9
023-3 Spinal Procedures 3.9233 7.2
023-4 Spinal Procedures 6.8425 14.6
024-1 Extracranial Vascular Procedures 1.5691 1.5
024-2 Extracranial Vascular Procedures 2.2659 2.3
024-3 Extracranial Vascular Procedures 2.9253 5.6
024-4 Extracranial Vascular Procedures 5.0313 10.2
026-1 Other Nervous System & Related Procedures 1.4553 2.1
APR-DRG, version 30 relative weights and ALOS 2 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
026-2 Other Nervous System & Related Procedures 3.1211 3.4
026-3 Other Nervous System & Related Procedures 3.1211 6.3
026-4 Other Nervous System & Related Procedures 4.5869 14.7
040-1 Spinal Disorders & Injuries 0.8106 2.7
040-2 Spinal Disorders & Injuries 1.0656 3.4
040-3 Spinal Disorders & Injuries 1.6861 5.2
040-4 Spinal Disorders & Injuries 2.6271 22.0
041-1 Nervous System Malignancy 0.8177 2.2
041-2 Nervous System Malignancy 0.9270 3.0
041-3 Nervous System Malignancy 1.4903 5.0
041-4 Nervous System Malignancy 2.3509 7.6
042-1 Degenerative Nervous System Disorders Exc Mult Sclerosis 0.5277 3.5
042-2 Degenerative Nervous System Disorders Exc Mult Sclerosis 1.1640 6.4
042-3 Degenerative Nervous System Disorders Exc Mult Sclerosis 1.1640 6.4
042-4 Degenerative Nervous System Disorders Exc Mult Sclerosis 2.7733 9.2
043-1 Multiple Sclerosis & Other Demyelinating Diseases 1.0736 4.0
043-2 Multiple Sclerosis & Other Demyelinating Diseases 1.3115 4.1
043-3 Multiple Sclerosis & Other Demyelinating Diseases 1.5231 5.3
043-4 Multiple Sclerosis & Other Demyelinating Diseases 4.1287 9.0
044-1 Intracranial Hemorrhage 0.6654 2.5
044-2 Intracranial Hemorrhage 2.0599 5.9
044-3 Intracranial Hemorrhage 2.0599 5.9
044-4 Intracranial Hemorrhage 2.0599 5.9
045-1 Cva & Precerebral Occlusion W Infarct 0.7931 2.7
045-2 Cva & Precerebral Occlusion W Infarct 1.2005 4.0
045-3 Cva & Precerebral Occlusion W Infarct 1.8045 6.2
045-4 Cva & Precerebral Occlusion W Infarct 3.8591 10.8
046-1 Nonspecific Cva & Precerebral Occlusion W/O Infarct 0.5770 1.8
046-2 Nonspecific Cva & Precerebral Occlusion W/O Infarct 1.0396 2.9
046-3 Nonspecific Cva & Precerebral Occlusion W/O Infarct 1.0396 3.7
046-4 Nonspecific Cva & Precerebral Occlusion W/O Infarct 1.7723 6.7
047-1 Transient Ischemia 0.5465 1.9
047-2 Transient Ischemia 0.7202 2.4
047-3 Transient Ischemia 0.8870 2.9
047-4 Transient Ischemia 1.2507 6.0
048-1 Peripheral, Cranial & Autonomic Nerve Disorders 0.7296 2.7
048-2 Peripheral, Cranial & Autonomic Nerve Disorders 0.8537 3.5
048-3 Peripheral, Cranial & Autonomic Nerve Disorders 1.4090 5.0
048-4 Peripheral, Cranial & Autonomic Nerve Disorders 2.1252 7.9
049-1 Bacterial & Tuberculous Infections Of Nervous System 0.8263 3.3
049-2 Bacterial & Tuberculous Infections Of Nervous System 1.7568 4.8
049-3 Bacterial & Tuberculous Infections Of Nervous System 2.2841 8.0
049-4 Bacterial & Tuberculous Infections Of Nervous System 3.9483 12.1
050-1 Non-Bacterial Infections Of Nervous System Exc Viral Meningitis 0.5474 2.9
050-2 Non-Bacterial Infections Of Nervous System Exc Viral Meningitis 1.0105 3.8
APR-DRG, version 30 relative weights and ALOS 3 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
050-3 Non-Bacterial Infections Of Nervous System Exc Viral Meningitis 1.4985 6.0
050-4 Non-Bacterial Infections Of Nervous System Exc Viral Meningitis 4.5256 13.5
051-1 Viral Meningitis 0.4617 2.1
051-2 Viral Meningitis 1.0067 3.9
051-3 Viral Meningitis 1.2320 5.0
051-4 Viral Meningitis 4.5834 9.0
052-1 Nontraumatic Stupor & Coma 0.5217 1.7
052-2 Nontraumatic Stupor & Coma 0.7836 3.0
052-3 Nontraumatic Stupor & Coma 1.2146 4.2
052-4 Nontraumatic Stupor & Coma 2.2766 7.8
053-1 Seizure 0.5219 2.0
053-2 Seizure 0.6409 2.3
053-3 Seizure 0.8932 2.9
053-4 Seizure 2.2965 6.0
054-1 Migraine & Other Headaches 0.6681 2.5
054-2 Migraine & Other Headaches 0.7380 2.6
054-3 Migraine & Other Headaches 0.7672 2.9
054-4 Migraine & Other Headaches 1.7178 7.0
055-1 Head Trauma W Coma >1 Hr Or Hemorrhage 0.6360 2.0
055-2 Head Trauma W Coma >1 Hr Or Hemorrhage 0.9492 2.8
055-3 Head Trauma W Coma >1 Hr Or Hemorrhage 1.7905 5.8
055-4 Head Trauma W Coma >1 Hr Or Hemorrhage 4.0886 11.3
056-1 Brain Contusion/Laceration & Complicated Skull Fx, Coma < 1 Hr Or No Coma 0.6151 1.8
056-2 Brain Contusion/Laceration & Complicated Skull Fx, Coma < 1 Hr Or No Coma 0.7955 2.5
056-3 Brain Contusion/Laceration & Complicated Skull Fx, Coma < 1 Hr Or No Coma 1.3013 4.0
056-4 Brain Contusion/Laceration & Complicated Skull Fx, Coma < 1 Hr Or No Coma 3.3495 10.2
057-1 Concussion, Closed Skull Fx Nos, Uncomplicated Intracranial Injury, Coma < 1 Hr or No Coma 0.4934 1.6
057-2 Concussion, Closed Skull Fx Nos, Uncomplicated Intracranial Injury, Coma < 1 Hr or No Coma 0.7292 2.0
057-3 Concussion, Closed Skull Fx Nos, Uncomplicated Intracranial Injury, Coma < 1 Hr or No Coma 1.0932 3.1
057-4 Concussion, Closed Skull Fx Nos, Uncomplicated Intracranial Injury, Coma < 1 Hr or No Coma 2.5879 6.8
058-1 Other Disorders Of Nervous System 0.6622 2.4
058-2 Other Disorders Of Nervous System 0.9854 3.2
058-3 Other Disorders Of Nervous System 1.0206 4.0
058-4 Other Disorders Of Nervous System 2.1588 8.4
070-1 Orbital Procedures 1.0172 1.8
070-2 Orbital Procedures 1.2598 3.3
070-3 Orbital Procedures 1.7144 8.0
070-4 Orbital Procedures 1.9141 8.0
073-1 Eye Procedures Except Orbit 0.9772 2.4
073-2 Eye Procedures Except Orbit 0.9772 2.4
073-3 Eye Procedures Except Orbit 1.3873 3.0
073-4 Eye Procedures Except Orbit 1.8654 13.0
080-1 Acute Major Eye Infections 0.4154 2.1
080-2 Acute Major Eye Infections 0.5081 3.1
080-3 Acute Major Eye Infections 0.9124 5.3
APR-DRG, version 30 relative weights and ALOS 4 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
080-4 Acute Major Eye Infections 0.9124 7.0
082-1 Eye Disorders Except Major Infections 0.5436 2.4
082-2 Eye Disorders Except Major Infections 0.6310 2.4
082-3 Eye Disorders Except Major Infections 0.9127 3.3
082-4 Eye Disorders Except Major Infections 0.9127 7.0
089-1 Major Cranial/Facial Bone Procedures 1.8485 1.9
089-2 Major Cranial/Facial Bone Procedures 2.7379 3.3
089-3 Major Cranial/Facial Bone Procedures 5.4772 7.9
089-4 Major Cranial/Facial Bone Procedures 6.2217 12.2
090-1 Major Larynx & Trachea Procedures 1.1154 6.0
090-2 Major Larynx & Trachea Procedures 3.3507 7.9
090-3 Major Larynx & Trachea Procedures 4.1787 9.7
090-4 Major Larynx & Trachea Procedures 7.9327 26.0
091-1 Other Major Head & Neck Procedures 1.3322 2.7
091-2 Other Major Head & Neck Procedures 2.2453 3.6
091-3 Other Major Head & Neck Procedures 4.7601 7.5
091-4 Other Major Head & Neck Procedures 6.4650 11.6
092-1 Facial Bone Procedures Except Major Cranial/Facial Bone Procedures 1.0263 1.6
092-2 Facial Bone Procedures Except Major Cranial/Facial Bone Procedures 1.6978 1.7
092-3 Facial Bone Procedures Except Major Cranial/Facial Bone Procedures 2.2470 3.6
092-4 Facial Bone Procedures Except Major Cranial/Facial Bone Procedures 4.2828 12.0
093-1 Sinus & Mastoid Procedures 1.1024 1.7
093-2 Sinus & Mastoid Procedures 1.4954 2.9
093-3 Sinus & Mastoid Procedures 2.1426 4.9
093-4 Sinus & Mastoid Procedures 2.6875 7.2
095-1 Cleft Lip & Palate Repair 0.6975 1.2
095-2 Cleft Lip & Palate Repair 0.7756 1.5
095-3 Cleft Lip & Palate Repair 1.3520 5.0
095-4 Cleft Lip & Palate Repair 1.5052 5.0
097-1 Tonsil & Adenoid Procedures 0.5684 1.6
097-2 Tonsil & Adenoid Procedures 0.7068 2.8
097-3 Tonsil & Adenoid Procedures 1.1216 3.1
097-4 Tonsil & Adenoid Procedures 1.9437 19.0
098-1 Other Ear, Nose, Mouth & Throat Procedures 0.7292 1.7
098-2 Other Ear, Nose, Mouth & Throat Procedures 1.2801 3.9
098-3 Other Ear, Nose, Mouth & Throat Procedures 1.5773 4.1
098-4 Other Ear, Nose, Mouth & Throat Procedures 3.3650 8.1
110-1 Ear, Nose, Mouth, Throat, Cranial/Facial Malignancies 0.7301 3.5
110-2 Ear, Nose, Mouth, Throat, Cranial/Facial Malignancies 0.7802 3.5
110-3 Ear, Nose, Mouth, Throat, Cranial/Facial Malignancies 1.1277 5.0
110-4 Ear, Nose, Mouth, Throat, Cranial/Facial Malignancies 1.9155 7.0
111-1 Vertigo & Other Labyrinth Disorders 0.4908 1.7
111-2 Vertigo & Other Labyrinth Disorders 0.5607 1.9
111-3 Vertigo & Other Labyrinth Disorders 0.7237 2.9
111-4 Vertigo & Other Labyrinth Disorders 0.7237 5.0
APR-DRG, version 30 relative weights and ALOS 5 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
113-1 Infections Of Upper Respiratory Tract 0.3771 1.9
113-2 Infections Of Upper Respiratory Tract 0.5204 2.2
113-3 Infections Of Upper Respiratory Tract 0.8047 3.1
113-4 Infections Of Upper Respiratory Tract 1.7727 6.4
114-1 Dental & Oral Diseases & Injuries 0.5220 2.0
114-2 Dental & Oral Diseases & Injuries 0.6020 2.4
114-3 Dental & Oral Diseases & Injuries 0.9208 3.9
114-4 Dental & Oral Diseases & Injuries 1.2397 11.0
115-1 Other Ear, Nose, Mouth, Throat & Cranial/Facial Diagnoses 0.5350 2.3
115-2 Other Ear, Nose, Mouth, Throat & Cranial/Facial Diagnoses 0.7930 2.7
115-3 Other Ear, Nose, Mouth, Throat & Cranial/Facial Diagnoses 1.1275 3.7
115-4 Other Ear, Nose, Mouth, Throat & Cranial/Facial Diagnoses 1.8468 7.6
120-1 Major Respiratory & Chest Procedures 2.2382 4.9
120-2 Major Respiratory & Chest Procedures 2.9450 6.8
120-3 Major Respiratory & Chest Procedures 3.5345 9.5
120-4 Major Respiratory & Chest Procedures 6.2812 18.3
121-1 Other Respiratory & Chest Procedures 1.6114 3.3
121-2 Other Respiratory & Chest Procedures 1.9952 5.6
121-3 Other Respiratory & Chest Procedures 2.8326 7.5
121-4 Other Respiratory & Chest Procedures 7.1301 17.6
130-1 Respiratory System Diagnosis W Ventilator Support 96+ Hours 2.7262 9.0
130-2 Respiratory System Diagnosis W Ventilator Support 96+ Hours 3.0017 9.0
130-3 Respiratory System Diagnosis W Ventilator Support 96+ Hours 3.8734 11.1
130-4 Respiratory System Diagnosis W Ventilator Support 96+ Hours 5.5782 14.1
131-1 Cystic Fibrosis - Pulmonary Disease 1.4816 5.1
131-2 Cystic Fibrosis - Pulmonary Disease 1.4816 5.1
131-3 Cystic Fibrosis - Pulmonary Disease 2.4340 8.8
131-4 Cystic Fibrosis - Pulmonary Disease 3.4854 11.7
132-1 Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period 0.5120 2.8
132-2 Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period 0.6383 2.8
132-3 Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period 0.9059 3.4
132-4 Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period 1.1051 3.4
133-1 Pulmonary Edema & Respiratory Failure 0.4790 1.9
133-2 Pulmonary Edema & Respiratory Failure 1.0322 3.5
133-3 Pulmonary Edema & Respiratory Failure 1.4473 4.8
133-4 Pulmonary Edema & Respiratory Failure 2.1994 5.6
134-1 Pulmonary Embolism 0.8444 3.2
134-2 Pulmonary Embolism 1.0749 3.9
134-3 Pulmonary Embolism 1.5351 5.3
134-4 Pulmonary Embolism 2.1689 7.3
135-1 Major Chest & Respiratory Trauma 0.6215 2.2
135-2 Major Chest & Respiratory Trauma 1.1208 4.1
135-3 Major Chest & Respiratory Trauma 1.3130 5.2
135-4 Major Chest & Respiratory Trauma 1.7505 5.2
136-1 Respiratory Malignancy 0.5146 2.1
APR-DRG, version 30 relative weights and ALOS 6 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
136-2 Respiratory Malignancy 1.0753 3.6
136-3 Respiratory Malignancy 1.6582 5.2
136-4 Respiratory Malignancy 1.8476 6.4
137-1 Major Respiratory Infections & Inflammations 0.7709 3.3
137-2 Major Respiratory Infections & Inflammations 1.0005 3.7
137-3 Major Respiratory Infections & Inflammations 1.8741 6.2
137-4 Major Respiratory Infections & Inflammations 2.6668 8.1
138-1 Bronchiolitis & Rsv Pneumonia 0.4695 2.3
138-2 Bronchiolitis & Rsv Pneumonia 0.6275 2.8
138-3 Bronchiolitis & Rsv Pneumonia 0.9205 4.3
138-4 Bronchiolitis & Rsv Pneumonia 2.6034 9.0
139-1 Other Pneumonia 0.4997 2.3
139-2 Other Pneumonia 0.7701 2.9
139-3 Other Pneumonia 1.3208 4.6
139-4 Other Pneumonia 2.1894 6.0
140-1 Chronic Obstructive Pulmonary Disease 0.6881 2.6
140-2 Chronic Obstructive Pulmonary Disease 0.8455 3.1
140-3 Chronic Obstructive Pulmonary Disease 1.1460 4.0
140-4 Chronic Obstructive Pulmonary Disease 2.2723 7.2
141-1 Asthma 0.4048 1.9
141-2 Asthma 0.5733 2.4
141-3 Asthma 1.0382 3.8
141-4 Asthma 1.4381 4.1
142-1 Interstitial & Alveolar Lung Diseases 0.4895 2.3
142-2 Interstitial & Alveolar Lung Diseases 0.9131 3.2
142-3 Interstitial & Alveolar Lung Diseases 1.0762 5.1
142-4 Interstitial & Alveolar Lung Diseases 1.9180 8.5
143-1 Other Respiratory Diagnoses Except Signs, Symptoms & Minor Diagnoses 0.6063 2.5
143-2 Other Respiratory Diagnoses Except Signs, Symptoms & Minor Diagnoses 0.8600 3.1
143-3 Other Respiratory Diagnoses Except Signs, Symptoms & Minor Diagnoses 1.3039 4.5
143-4 Other Respiratory Diagnoses Except Signs, Symptoms & Minor Diagnoses 1.6370 5.8
144-1 Respiratory Signs, Symptoms & Minor Diagnoses 0.6109 1.9
144-2 Respiratory Signs, Symptoms & Minor Diagnoses 0.6923 2.6
144-3 Respiratory Signs, Symptoms & Minor Diagnoses 0.8477 3.1
144-4 Respiratory Signs, Symptoms & Minor Diagnoses 1.4040 4.0
160-1 Major Cardiothoracic Repair Of Heart Anomaly 3.3408 5.5
160-2 Major Cardiothoracic Repair Of Heart Anomaly 3.3408 5.5
160-3 Major Cardiothoracic Repair Of Heart Anomaly 4.3104 7.6
160-4 Major Cardiothoracic Repair Of Heart Anomaly 9.6438 16.2
161-1 Cardiac Defibrillator & Heart Assist Implant 6.1784 3.2
161-2 Cardiac Defibrillator & Heart Assist Implant 6.1784 6.4
161-3 Cardiac Defibrillator & Heart Assist Implant 11.3999 13.1
161-4 Cardiac Defibrillator & Heart Assist Implant 39.5625 44.9
162-1 Cardiac Valve Procedures W Cardiac Catheterization 4.3275 7.8
162-2 Cardiac Valve Procedures W Cardiac Catheterization 4.9908 8.3
APR-DRG, version 30 relative weights and ALOS 7 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
162-3 Cardiac Valve Procedures W Cardiac Catheterization 7.4764 15.0
162-4 Cardiac Valve Procedures W Cardiac Catheterization 9.7538 18.1
163-1 Cardiac Valve Procedures W/O Cardiac Catheterization 3.6571 6.5
163-2 Cardiac Valve Procedures W/O Cardiac Catheterization 4.9576 6.5
163-3 Cardiac Valve Procedures W/O Cardiac Catheterization 5.6073 8.5
163-4 Cardiac Valve Procedures W/O Cardiac Catheterization 12.1120 18.3
165-1 Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 3.2754 6.2
165-2 Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 4.9309 8.8
165-3 Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 5.6912 10.3
165-4 Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 11.3184 19.7
166-1 Coronary Bypass W/O Cardiac Cath Or Percutaneous Cardiac Procedure 3.5661 4.6
166-2 Coronary Bypass W/O Cardiac Cath Or Percutaneous Cardiac Procedure 3.6503 5.7
166-3 Coronary Bypass W/O Cardiac Cath Or Percutaneous Cardiac Procedure 4.5767 7.8
166-4 Coronary Bypass W/O Cardiac Cath Or Percutaneous Cardiac Procedure 6.6153 13.1
167-1 Other Cardiothoracic Procedures 2.6747 4.5
167-2 Other Cardiothoracic Procedures 3.2979 5.4
167-3 Other Cardiothoracic Procedures 3.7863 7.4
167-4 Other Cardiothoracic Procedures 6.4738 11.2
169-1 Major Thoracic & Abdominal Vascular Procedures 1.9076 3.2
169-2 Major Thoracic & Abdominal Vascular Procedures 2.8439 6.5
169-3 Major Thoracic & Abdominal Vascular Procedures 3.9182 7.4
169-4 Major Thoracic & Abdominal Vascular Procedures 6.6047 10.9
170-1 Permanent Cardiac Pacemaker Implant W Ami, Heart Failure or Shock 3.2699 3.9
170-2 Permanent Cardiac Pacemaker Implant W Ami, Heart Failure or Shock 3.2699 3.9
170-3 Permanent Cardiac Pacemaker Implant W Ami, Heart Failure or Shock 3.2699 10.3
170-4 Permanent Cardiac Pacemaker Implant W Ami, Heart Failure or Shock 4.4341 11.0
171-1 Perm Cardiac Pacemaker Implant W/O Ami, Heart Failure Or Shock 1.9053 2.2
171-2 Perm Cardiac Pacemaker Implant W/O Ami, Heart Failure Or Shock 2.3711 2.8
171-3 Perm Cardiac Pacemaker Implant W/O Ami, Heart Failure Or Shock 2.3711 5.1
171-4 Perm Cardiac Pacemaker Implant W/O Ami, Heart Failure Or Shock 3.8110 9.2
173-1 Other Vascular Procedures 2.0483 2.4
173-2 Other Vascular Procedures 2.4657 3.2
173-3 Other Vascular Procedures 3.8110 6.8
173-4 Other Vascular Procedures 7.0286 16.7
174-1 Percutaneous Cardiovascular Procedures W Ami 1.9275 2.2
174-2 Percutaneous Cardiovascular Procedures W Ami 2.0585 2.6
174-3 Percutaneous Cardiovascular Procedures W Ami 2.7940 3.9
174-4 Percutaneous Cardiovascular Procedures W Ami 5.1092 9.3
175-1 Percutaneous Cardiovascular Procedures W/O Ami 2.1485 1.8
175-2 Percutaneous Cardiovascular Procedures W/O Ami 2.3604 2.5
175-3 Percutaneous Cardiovascular Procedures W/O Ami 2.6979 4.6
175-4 Percutaneous Cardiovascular Procedures W/O Ami 4.1156 7.5
176-1 Cardiac Pacemaker & Defibrillator Device Replacement 1.4678 2.7
176-2 Cardiac Pacemaker & Defibrillator Device Replacement 2.5604 2.7
176-3 Cardiac Pacemaker & Defibrillator Device Replacement 2.9579 3.5
APR-DRG, version 30 relative weights and ALOS 8 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
176-4 Cardiac Pacemaker & Defibrillator Device Replacement 4.2011 12.0
177-1 Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 1.0427 2.0
177-2 Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 1.9490 4.5
177-3 Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 2.1134 5.7
177-4 Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 4.5068 12.8
180-1 Other Circulatory System Procedures 1.0204 2.8
180-2 Other Circulatory System Procedures 1.5046 4.5
180-3 Other Circulatory System Procedures 2.1024 7.2
180-4 Other Circulatory System Procedures 3.8966 12.4
190-1 Acute Myocardial Infarction 0.8778 2.0
190-2 Acute Myocardial Infarction 1.1734 3.0
190-3 Acute Myocardial Infarction 1.6425 4.0
190-4 Acute Myocardial Infarction 2.9029 7.6
191-1 Cardiac Catheterization W Circ Disord Exc Ischemic Heart Disease 0.9721 2.0
191-2 Cardiac Catheterization W Circ Disord Exc Ischemic Heart Disease 1.3665 3.8
191-3 Cardiac Catheterization W Circ Disord Exc Ischemic Heart Disease 1.7033 4.8
191-4 Cardiac Catheterization W Circ Disord Exc Ischemic Heart Disease 3.0184 8.5
192-1 Cardiac Catheterization For Ischemic Heart Disease 0.8702 2.0
192-2 Cardiac Catheterization For Ischemic Heart Disease 1.0005 2.3
192-3 Cardiac Catheterization For Ischemic Heart Disease 1.4867 4.1
192-4 Cardiac Catheterization For Ischemic Heart Disease 2.4132 6.7
193-1 Acute & Subacute Endocarditis 1.0016 5.4
193-2 Acute & Subacute Endocarditis 1.0311 5.4
193-3 Acute & Subacute Endocarditis 1.5283 7.3
193-4 Acute & Subacute Endocarditis 2.2793 9.8
194-1 Heart Failure 0.5691 2.1
194-2 Heart Failure 0.8854 3.2
194-3 Heart Failure 1.3768 4.9
194-4 Heart Failure 3.3733 9.8
196-1 Cardiac Arrest 0.3640 1.8
196-2 Cardiac Arrest 0.4938 1.8
196-3 Cardiac Arrest 1.9578 4.7
196-4 Cardiac Arrest 2.2505 4.7
197-1 Peripheral & Other Vascular Disorders 0.8096 3.2
197-2 Peripheral & Other Vascular Disorders 0.9717 3.3
197-3 Peripheral & Other Vascular Disorders 1.5183 5.1
197-4 Peripheral & Other Vascular Disorders 1.9618 7.1
198-1 Angina Pectoris & Coronary Atherosclerosis 0.4924 1.5
198-2 Angina Pectoris & Coronary Atherosclerosis 0.5989 1.9
198-3 Angina Pectoris & Coronary Atherosclerosis 0.9389 2.6
198-4 Angina Pectoris & Coronary Atherosclerosis 1.5237 4.6
199-1 Hypertension 0.6297 2.3
199-2 Hypertension 0.6834 2.5
199-3 Hypertension 0.8775 3.4
199-4 Hypertension 1.7291 6.2
APR-DRG, version 30 relative weights and ALOS 9 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
200-1 Cardiac Structural & Valvular Disorders 0.4386 1.6
200-2 Cardiac Structural & Valvular Disorders 0.5538 2.3
200-3 Cardiac Structural & Valvular Disorders 0.7906 3.9
200-4 Cardiac Structural & Valvular Disorders 5.5012 13.0
201-1 Cardiac Arrhythmia & Conduction Disorders 0.6239 2.1
201-2 Cardiac Arrhythmia & Conduction Disorders 0.8264 2.8
201-3 Cardiac Arrhythmia & Conduction Disorders 1.1048 3.6
201-4 Cardiac Arrhythmia & Conduction Disorders 2.9499 7.6
203-1 Chest Pain 0.4718 1.6
203-2 Chest Pain 0.5810 2.0
203-3 Chest Pain 0.9025 2.5
203-4 Chest Pain 0.9616 5.0
204-1 Syncope & Collapse 0.4623 1.8
204-2 Syncope & Collapse 0.6861 2.4
204-3 Syncope & Collapse 0.9766 3.5
204-4 Syncope & Collapse 1.6397 6.4
205-1 Cardiomyopathy 0.5204 1.9
205-2 Cardiomyopathy 0.8861 3.0
205-3 Cardiomyopathy 0.8861 3.4
205-4 Cardiomyopathy 1.2891 11.0
206-1 Malfunction, Reaction, Complication Of Cardiac/Vasc Device or Procedure 0.5594 1.8
206-2 Malfunction, Reaction, Complication Of Cardiac/Vasc Device or Procedure 0.6300 2.6
206-3 Malfunction, Reaction, Complication Of Cardiac/Vasc Device or Procedure 1.4516 4.3
206-4 Malfunction, Reaction, Complication Of Cardiac/Vasc Device or Procedure 2.1060 8.0
207-1 Other Circulatory System Diagnoses 0.6846 2.5
207-2 Other Circulatory System Diagnoses 0.7317 2.7
207-3 Other Circulatory System Diagnoses 1.2374 4.1
207-4 Other Circulatory System Diagnoses 1.7596 5.4
220-1 Major Stomach, Esophageal & Duodenal Procedures 1.3993 3.3
220-2 Major Stomach, Esophageal & Duodenal Procedures 2.4628 6.4
220-3 Major Stomach, Esophageal & Duodenal Procedures 3.5590 10.0
220-4 Major Stomach, Esophageal & Duodenal Procedures 9.1261 21.4
221-1 Major Small & Large Bowel Procedures 1.6755 4.7
221-2 Major Small & Large Bowel Procedures 2.3238 7.0
221-3 Major Small & Large Bowel Procedures 3.6211 10.7
221-4 Major Small & Large Bowel Procedures 7.7288 19.8
222-1 Other Stomach, Esophageal & Duodenal Procedures 0.5352 1.9
222-2 Other Stomach, Esophageal & Duodenal Procedures 0.9330 3.8
222-3 Other Stomach, Esophageal & Duodenal Procedures 2.0467 5.9
222-4 Other Stomach, Esophageal & Duodenal Procedures 4.2618 13.9
223-1 Other Small & Large Bowel Procedures 1.2085 3.7
223-2 Other Small & Large Bowel Procedures 1.6748 5.1
223-3 Other Small & Large Bowel Procedures 2.2066 8.5
223-4 Other Small & Large Bowel Procedures 5.2375 22.5
224-1 Peritoneal Adhesiolysis 1.2053 4.0
APR-DRG, version 30 relative weights and ALOS 10 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
224-2 Peritoneal Adhesiolysis 1.7584 5.4
224-3 Peritoneal Adhesiolysis 2.4280 10.2
224-4 Peritoneal Adhesiolysis 4.1704 14.5
225-1 Appendectomy 0.8278 1.7
225-2 Appendectomy 1.2160 3.8
225-3 Appendectomy 1.7975 5.8
225-4 Appendectomy 4.0382 12.2
226-1 Anal Procedures 0.9310 3.0
226-2 Anal Procedures 0.9450 3.0
226-3 Anal Procedures 1.7910 5.3
226-4 Anal Procedures 1.7910 10.0
227-1 Hernia Procedures Except Inguinal, Femoral & Umbilical 1.4090 2.9
227-2 Hernia Procedures Except Inguinal, Femoral & Umbilical 1.7122 4.0
227-3 Hernia Procedures Except Inguinal, Femoral & Umbilical 2.2649 6.9
227-4 Hernia Procedures Except Inguinal, Femoral & Umbilical 4.4738 11.0
228-1 Inguinal, Femoral & Umbilical Hernia Procedures 0.5861 1.4
228-2 Inguinal, Femoral & Umbilical Hernia Procedures 0.9739 2.8
228-3 Inguinal, Femoral & Umbilical Hernia Procedures 1.4760 5.1
228-4 Inguinal, Femoral & Umbilical Hernia Procedures 3.4929 10.3
229-1 Other Digestive System & Abdominal Procedures 1.2261 3.7
229-2 Other Digestive System & Abdominal Procedures 1.9084 5.6
229-3 Other Digestive System & Abdominal Procedures 2.9917 9.6
229-4 Other Digestive System & Abdominal Procedures 4.5838 11.7
240-1 Digestive Malignancy 0.7864 3.6
240-2 Digestive Malignancy 1.0675 3.6
240-3 Digestive Malignancy 1.5381 5.2
240-4 Digestive Malignancy 1.9504 7.7
241-1 Peptic Ulcer & Gastritis 0.6231 2.4
241-2 Peptic Ulcer & Gastritis 0.8093 2.9
241-3 Peptic Ulcer & Gastritis 1.3030 4.2
241-4 Peptic Ulcer & Gastritis 2.3367 7.9
242-1 Major Esophageal Disorders 0.4606 1.8
242-2 Major Esophageal Disorders 0.8600 2.8
242-3 Major Esophageal Disorders 1.4395 4.2
242-4 Major Esophageal Disorders 2.2149 7.2
243-1 Other Esophageal Disorders 0.6156 2.0
243-2 Other Esophageal Disorders 0.7081 2.6
243-3 Other Esophageal Disorders 1.0825 3.6
243-4 Other Esophageal Disorders 2.1469 8.1
244-1 Diverticulitis & Diverticulosis 0.5738 2.5
244-2 Diverticulitis & Diverticulosis 0.8757 3.4
244-3 Diverticulitis & Diverticulosis 1.3008 5.1
244-4 Diverticulitis & Diverticulosis 2.4427 9.0
245-1 Inflammatory Bowel Disease 0.7580 3.0
245-2 Inflammatory Bowel Disease 0.8429 3.5
APR-DRG, version 30 relative weights and ALOS 11 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
245-3 Inflammatory Bowel Disease 1.1974 4.1
245-4 Inflammatory Bowel Disease 1.9381 8.7
246-1 Gastrointestinal Vascular Insufficiency 0.7104 2.8
246-2 Gastrointestinal Vascular Insufficiency 1.2633 5.0
246-3 Gastrointestinal Vascular Insufficiency 1.2633 5.0
246-4 Gastrointestinal Vascular Insufficiency 2.4301 7.2
247-1 Intestinal Obstruction 0.6049 2.5
247-2 Intestinal Obstruction 0.7601 3.2
247-3 Intestinal Obstruction 1.2260 4.6
247-4 Intestinal Obstruction 2.0508 7.6
248-1 Major Gastrointestinal & Peritoneal Infections 0.8231 3.3
248-2 Major Gastrointestinal & Peritoneal Infections 0.9211 3.7
248-3 Major Gastrointestinal & Peritoneal Infections 1.3874 5.0
248-4 Major Gastrointestinal & Peritoneal Infections 2.1462 9.2
249-1 Non-Bacterial Gastroenteritis, Nausea & Vomiting 0.4449 2.0
249-2 Non-Bacterial Gastroenteritis, Nausea & Vomiting 0.5538 2.3
249-3 Non-Bacterial Gastroenteritis, Nausea & Vomiting 0.9464 3.4
249-4 Non-Bacterial Gastroenteritis, Nausea & Vomiting 1.7118 6.5
251-1 Abdominal Pain 0.6210 2.5
251-2 Abdominal Pain 0.7314 2.7
251-3 Abdominal Pain 0.9992 3.6
251-4 Abdominal Pain 1.4600 5.5
252-1 Malfunction, Reaction & Complication Of Gi Device Or Procedure 0.5197 2.8
252-2 Malfunction, Reaction & Complication Of Gi Device Or Procedure 1.0742 3.8
252-3 Malfunction, Reaction & Complication Of Gi Device Or Procedure 1.0742 4.5
252-4 Malfunction, Reaction & Complication Of Gi Device Or Procedure 2.2207 8.0
253-1 Other & Unspecified Gastrointestinal Hemorrhage 0.5889 2.1
253-2 Other & Unspecified Gastrointestinal Hemorrhage 0.9036 3.2
253-3 Other & Unspecified Gastrointestinal Hemorrhage 1.3238 4.0
253-4 Other & Unspecified Gastrointestinal Hemorrhage 1.9939 6.3
254-1 Other Digestive System Diagnoses 0.6519 2.2
254-2 Other Digestive System Diagnoses 0.8152 2.9
254-3 Other Digestive System Diagnoses 1.3694 4.8
254-4 Other Digestive System Diagnoses 1.9928 6.8
260-1 Major Pancreas, Liver & Shunt Procedures 2.0324 4.1
260-2 Major Pancreas, Liver & Shunt Procedures 2.3898 4.6
260-3 Major Pancreas, Liver & Shunt Procedures 3.6464 8.8
260-4 Major Pancreas, Liver & Shunt Procedures 7.4300 18.3
261-1 Major Biliary Tract Procedures 1.2465 4.0
261-2 Major Biliary Tract Procedures 1.8619 5.9
261-3 Major Biliary Tract Procedures 2.7548 8.8
261-4 Major Biliary Tract Procedures 4.6991 15.3
262-1 Cholecystectomy Except Laparoscopic 1.0608 3.4
262-2 Cholecystectomy Except Laparoscopic 1.5958 4.5
262-3 Cholecystectomy Except Laparoscopic 2.0901 7.6
APR-DRG, version 30 relative weights and ALOS 12 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
262-4 Cholecystectomy Except Laparoscopic 4.8450 15.0
263-1 Laparoscopic Cholecystectomy 1.0267 2.3
263-2 Laparoscopic Cholecystectomy 1.3075 3.5
263-3 Laparoscopic Cholecystectomy 1.9450 5.3
263-4 Laparoscopic Cholecystectomy 5.5832 14.8
264-1 Other Hepatobiliary, Pancreas & Abdominal Procedures 1.3284 3.7
264-2 Other Hepatobiliary, Pancreas & Abdominal Procedures 1.4635 4.2
264-3 Other Hepatobiliary, Pancreas & Abdominal Procedures 2.3292 7.2
264-4 Other Hepatobiliary, Pancreas & Abdominal Procedures 5.2069 14.7
279-1 Hepatic Coma & Other Major Acute Liver Disorders 0.4575 2.3
279-2 Hepatic Coma & Other Major Acute Liver Disorders 0.7823 3.0
279-3 Hepatic Coma & Other Major Acute Liver Disorders 1.2880 4.7
279-4 Hepatic Coma & Other Major Acute Liver Disorders 3.4075 9.9
280-1 Alcoholic Liver Disease 0.4562 2.2
280-2 Alcoholic Liver Disease 0.7631 2.9
280-3 Alcoholic Liver Disease 1.3292 4.7
280-4 Alcoholic Liver Disease 3.1972 8.4
281-1 Malignancy Of Hepatobiliary System & Pancreas 0.5384 2.7
281-2 Malignancy Of Hepatobiliary System & Pancreas 1.0699 3.7
281-3 Malignancy Of Hepatobiliary System & Pancreas 1.3869 4.5
281-4 Malignancy Of Hepatobiliary System & Pancreas 1.6877 6.3
282-1 Disorders Of Pancreas Except Malignancy 0.6878 2.9
282-2 Disorders Of Pancreas Except Malignancy 0.8559 3.4
282-3 Disorders Of Pancreas Except Malignancy 1.4530 5.0
282-4 Disorders Of Pancreas Except Malignancy 3.1315 10.6
283-1 Other Disorders Of The Liver 0.4877 1.7
283-2 Other Disorders Of The Liver 0.7656 2.8
283-3 Other Disorders Of The Liver 1.0216 3.7
283-4 Other Disorders Of The Liver 2.3376 7.4
284-1 Disorders Of Gallbladder & Biliary Tract 0.7440 2.5
284-2 Disorders Of Gallbladder & Biliary Tract 0.9945 3.3
284-3 Disorders Of Gallbladder & Biliary Tract 1.2791 4.3
284-4 Disorders Of Gallbladder & Biliary Tract 2.3222 8.4
301-1 Hip Joint Replacement 2.4426 3.2
301-2 Hip Joint Replacement 2.5834 3.2
301-3 Hip Joint Replacement 3.2704 3.6
301-4 Hip Joint Replacement 3.5572 10.3
302-1 Knee Joint Replacement 2.3578 2.8
302-2 Knee Joint Replacement 2.6522 3.3
302-3 Knee Joint Replacement 3.2402 4.7
302-4 Knee Joint Replacement 4.0771 10.7
303-1 Dorsal & Lumbar Fusion Proc For Curvature Of Back 4.5572 4.0
303-2 Dorsal & Lumbar Fusion Proc For Curvature Of Back 8.6419 4.6
303-3 Dorsal & Lumbar Fusion Proc For Curvature Of Back 8.6419 7.2
303-4 Dorsal & Lumbar Fusion Proc For Curvature Of Back 11.6646 12.4
APR-DRG, version 30 relative weights and ALOS 13 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
304-1 Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4.4786 2.9
304-2 Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4.6918 3.5
304-3 Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 8.1115 7.5
304-4 Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 9.5061 14.1
305-1 Amputation Of Lower Limb Except Toes 0.8421 3.7
305-2 Amputation Of Lower Limb Except Toes 1.8874 6.4
305-3 Amputation Of Lower Limb Except Toes 2.6395 8.9
305-4 Amputation Of Lower Limb Except Toes 4.1842 14.3
308-1 Hip & Femur Procedures For Trauma Except Joint Replacement 1.5126 3.3
308-2 Hip & Femur Procedures For Trauma Except Joint Replacement 1.8623 4.1
308-3 Hip & Femur Procedures For Trauma Except Joint Replacement 2.5003 5.9
308-4 Hip & Femur Procedures For Trauma Except Joint Replacement 3.3837 9.7
309-1 Hip & Femur Procedures For Non-Trauma Except Joint Replacement 1.5395 2.8
309-2 Hip & Femur Procedures For Non-Trauma Except Joint Replacement 2.0339 3.7
309-3 Hip & Femur Procedures For Non-Trauma Except Joint Replacement 2.2412 6.4
309-4 Hip & Femur Procedures For Non-Trauma Except Joint Replacement 4.5287 12.8
310-1 Intervertebral Disc Excision & Decompression 1.0312 1.6
310-2 Intervertebral Disc Excision & Decompression 1.6571 3.3
310-3 Intervertebral Disc Excision & Decompression 2.1242 5.8
310-4 Intervertebral Disc Excision & Decompression 4.1021 11.9
312-1 Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnosis 1.4776 3.2
312-2 Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnosis 2.0841 6.5
312-3 Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnosis 3.7528 12.4
312-4 Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnosis 9.9758 43.0
313-1 Knee & Lower Leg Procedures Except Foot 1.3529 2.4
313-2 Knee & Lower Leg Procedures Except Foot 2.1026 4.0
313-3 Knee & Lower Leg Procedures Except Foot 3.3011 6.8
313-4 Knee & Lower Leg Procedures Except Foot 4.1812 11.2
314-1 Foot & Toe Procedures 0.9522 2.2
314-2 Foot & Toe Procedures 1.5054 4.6
314-3 Foot & Toe Procedures 2.2199 6.6
314-4 Foot & Toe Procedures 3.2321 11.5
315-1 Shoulder, Upper Arm & Forearm Procedures 0.8558 1.8
315-2 Shoulder, Upper Arm & Forearm Procedures 1.9112 2.6
315-3 Shoulder, Upper Arm & Forearm Procedures 2.9989 5.6
315-4 Shoulder, Upper Arm & Forearm Procedures 3.8569 9.9
316-1 Hand & Wrist Procedures 0.7403 1.8
316-2 Hand & Wrist Procedures 1.0556 2.8
316-3 Hand & Wrist Procedures 1.8317 5.1
316-4 Hand & Wrist Procedures 1.8317 20.0
317-1 Tendon, Muscle & Other Soft Tissue Procedures 1.2120 3.3
317-2 Tendon, Muscle & Other Soft Tissue Procedures 1.2120 4.0
317-3 Tendon, Muscle & Other Soft Tissue Procedures 2.2286 6.7
317-4 Tendon, Muscle & Other Soft Tissue Procedures 4.3804 16.4
320-1 Other Musculoskeletal System & Connective Tissue Procedures 0.9309 1.8
APR-DRG, version 30 relative weights and ALOS 14 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
320-2 Other Musculoskeletal System & Connective Tissue Procedures 1.6475 3.7
320-3 Other Musculoskeletal System & Connective Tissue Procedures 2.0782 6.3
320-4 Other Musculoskeletal System & Connective Tissue Procedures 4.4433 14.0
321-1 Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp 2.1926 1.5
321-2 Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp 2.9843 2.6
321-3 Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp 4.3188 5.6
321-4 Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp 6.3153 12.1
340-1 Fracture Of Femur 0.3814 2.1
340-2 Fracture Of Femur 0.6629 2.1
340-3 Fracture Of Femur 0.7332 3.6
340-4 Fracture Of Femur 1.1283 3.9
341-1 Fracture Of Pelvis Or Dislocation Of Hip 0.4117 2.6
341-2 Fracture Of Pelvis Or Dislocation Of Hip 0.7703 2.8
341-3 Fracture Of Pelvis Or Dislocation Of Hip 0.7703 4.0
341-4 Fracture Of Pelvis Or Dislocation Of Hip 1.8673 7.6
342-1 Fractures & Dislocations Except Femur, Pelvis & Back 0.4371 1.8
342-2 Fractures & Dislocations Except Femur, Pelvis & Back 0.5517 2.7
342-3 Fractures & Dislocations Except Femur, Pelvis & Back 1.1531 3.9
342-4 Fractures & Dislocations Except Femur, Pelvis & Back 2.1602 8.1
343-1 Musculoskeletal Malignancy & Pathol Fracture D/T Muscskel Malig 0.7647 3.0
343-2 Musculoskeletal Malignancy & Pathol Fracture D/T Muscskel Malig 0.8656 3.7
343-3 Musculoskeletal Malignancy & Pathol Fracture D/T Muscskel Malig 1.9547 6.6
343-4 Musculoskeletal Malignancy & Pathol Fracture D/T Muscskel Malig 2.2316 8.8
344-1 Osteomyelitis, Septic Arthritis & Other Musculoskeletal Infections 0.5565 2.9
344-2 Osteomyelitis, Septic Arthritis & Other Musculoskeletal Infections 1.2482 4.6
344-3 Osteomyelitis, Septic Arthritis & Other Musculoskeletal Infections 1.8982 6.9
344-4 Osteomyelitis, Septic Arthritis & Other Musculoskeletal Infections 2.3690 12.0
346-1 Connective Tissue Disorders 0.6881 2.7
346-2 Connective Tissue Disorders 1.3167 4.5
346-3 Connective Tissue Disorders 1.3468 5.1
346-4 Connective Tissue Disorders 3.2476 11.0
347-1 Other Back & Neck Disorders, Fractures & Injuries 0.7576 2.7
347-2 Other Back & Neck Disorders, Fractures & Injuries 1.0018 3.4
347-3 Other Back & Neck Disorders, Fractures & Injuries 1.2666 5.0
347-4 Other Back & Neck Disorders, Fractures & Injuries 2.3198 8.6
349-1 Malfunction, Reaction, Complic Of Orthopedic Device Or Procedure 0.4541 1.8
349-2 Malfunction, Reaction, Complic Of Orthopedic Device Or Procedure 0.6527 3.2
349-3 Malfunction, Reaction, Complic Of Orthopedic Device Or Procedure 1.0259 5.1
349-4 Malfunction, Reaction, Complic Of Orthopedic Device Or Procedure 2.3198 10.3
351-1 Other Musculoskeletal System & Connective Tissue Diagnoses 0.7019 2.3
351-2 Other Musculoskeletal System & Connective Tissue Diagnoses 0.8514 2.8
351-3 Other Musculoskeletal System & Connective Tissue Diagnoses 1.3023 3.7
351-4 Other Musculoskeletal System & Connective Tissue Diagnoses 1.9560 7.9
361-1 Skin Graft For Skin & Subcutaneous Tissue Diagnoses 1.2238 2.9
361-2 Skin Graft For Skin & Subcutaneous Tissue Diagnoses 1.4845 4.6
APR-DRG, version 30 relative weights and ALOS 15 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
361-3 Skin Graft For Skin & Subcutaneous Tissue Diagnoses 3.6888 11.3
361-4 Skin Graft For Skin & Subcutaneous Tissue Diagnoses 4.0904 18.3
362-1 Mastectomy Procedures 1.2223 1.8
362-2 Mastectomy Procedures 1.4770 2.0
362-3 Mastectomy Procedures 2.1720 4.6
362-4 Mastectomy Procedures 2.1720 6.0
363-1 Breast Procedures Except Mastectomy 0.9098 1.8
363-2 Breast Procedures Except Mastectomy 1.6583 2.9
363-3 Breast Procedures Except Mastectomy 2.0764 4.5
363-4 Breast Procedures Except Mastectomy 2.0764 11.0
364-1 Other Skin, Subcutaneous Tissue & Related Procedures 0.7318 2.5
364-2 Other Skin, Subcutaneous Tissue & Related Procedures 1.3437 4.3
364-3 Other Skin, Subcutaneous Tissue & Related Procedures 2.4048 8.6
364-4 Other Skin, Subcutaneous Tissue & Related Procedures 3.2662 12.0
380-1 Skin Ulcers 0.6438 3.2
380-2 Skin Ulcers 1.1509 4.4
380-3 Skin Ulcers 1.3517 5.0
380-4 Skin Ulcers 2.0672 10.7
381-1 Major Skin Disorders 0.4406 2.4
381-2 Major Skin Disorders 0.8016 4.2
381-3 Major Skin Disorders 1.0187 4.9
381-4 Major Skin Disorders 2.9038 15.0
382-1 Malignant Breast Disorders 0.3749 3.0
382-2 Malignant Breast Disorders 0.6470 3.1
382-3 Malignant Breast Disorders 0.9494 4.5
382-4 Malignant Breast Disorders 1.6307 5.9
383-1 Cellulitis & Other Bacterial Skin Infections 0.5648 2.5
383-2 Cellulitis & Other Bacterial Skin Infections 0.8487 3.5
383-3 Cellulitis & Other Bacterial Skin Infections 1.3867 5.2
383-4 Cellulitis & Other Bacterial Skin Infections 1.9289 8.1
384-1 Contusion, Open Wound & Other Trauma To Skin & Subcutaneous Tissue 0.5617 1.7
384-2 Contusion, Open Wound & Other Trauma To Skin & Subcutaneous Tissue 0.7204 2.6
384-3 Contusion, Open Wound & Other Trauma To Skin & Subcutaneous Tissue 0.9916 3.8
384-4 Contusion, Open Wound & Other Trauma To Skin & Subcutaneous Tissue 1.5057 6.3
385-1 Other Skin, Subcutaneous Tissue & Breast Disorders 0.5641 2.4
385-2 Other Skin, Subcutaneous Tissue & Breast Disorders 0.8109 3.3
385-3 Other Skin, Subcutaneous Tissue & Breast Disorders 1.4090 5.4
385-4 Other Skin, Subcutaneous Tissue & Breast Disorders 1.6926 7.3
401-1 Pituitary & Adrenal Procedures 1.4525 2.6
401-2 Pituitary & Adrenal Procedures 1.7983 2.7
401-3 Pituitary & Adrenal Procedures 3.2974 6.4
401-4 Pituitary & Adrenal Procedures 8.3501 24.0
403-1 Procedures For Obesity 1.8089 2.2
403-2 Procedures For Obesity 2.2438 2.7
403-3 Procedures For Obesity 2.2438 3.6
APR-DRG, version 30 relative weights and ALOS 16 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
403-4 Procedures For Obesity 5.0041 11.3
404-1 Thyroid, Parathyroid & Thyroglossal Procedures 0.7487 1.6
404-2 Thyroid, Parathyroid & Thyroglossal Procedures 1.0801 1.6
404-3 Thyroid, Parathyroid & Thyroglossal Procedures 2.1504 4.6
404-4 Thyroid, Parathyroid & Thyroglossal Procedures 2.1740 18.0
405-1 Other Procedures For Endocrine, Nutritional & Metabolic Disorders 1.3796 2.9
405-2 Other Procedures For Endocrine, Nutritional & Metabolic Disorders 1.7246 5.4
405-3 Other Procedures For Endocrine, Nutritional & Metabolic Disorders 2.0274 5.9
405-4 Other Procedures For Endocrine, Nutritional & Metabolic Disorders 4.5117 12.9
420-1 Diabetes 0.5394 2.4
420-2 Diabetes 0.6736 2.5
420-3 Diabetes 1.0920 3.7
420-4 Diabetes 3.1638 7.9
421-1 Malnutrition, Failure To Thrive & Other Nutritional Disorders 0.6686 2.7
421-2 Malnutrition, Failure To Thrive & Other Nutritional Disorders 0.7045 3.2
421-3 Malnutrition, Failure To Thrive & Other Nutritional Disorders 1.2013 5.0
421-4 Malnutrition, Failure To Thrive & Other Nutritional Disorders 1.9258 8.7
422-1 Hypovolemia & Related Electrolyte Disorders 0.3884 1.9
422-2 Hypovolemia & Related Electrolyte Disorders 0.5600 2.3
422-3 Hypovolemia & Related Electrolyte Disorders 1.1398 3.8
422-4 Hypovolemia & Related Electrolyte Disorders 1.6043 6.3
423-1 Inborn Errors Of Metabolism 0.7528 2.7
423-2 Inborn Errors Of Metabolism 0.7528 2.7
423-3 Inborn Errors Of Metabolism 0.7528 3.2
423-4 Inborn Errors Of Metabolism 2.9480 27.0
424-1 Other Endocrine Disorders 0.5384 2.1
424-2 Other Endocrine Disorders 0.8424 3.0
424-3 Other Endocrine Disorders 0.9968 4.7
424-4 Other Endocrine Disorders 2.5802 10.7
425-1 Electrolyte Disorders Except Hypovolemia Related 0.4495 2.0
425-2 Electrolyte Disorders Except Hypovolemia Related 0.6667 2.6
425-3 Electrolyte Disorders Except Hypovolemia Related 0.9506 3.4
425-4 Electrolyte Disorders Except Hypovolemia Related 1.7451 6.8
440-1 Kidney Transplant 3.4374 5.0
440-2 Kidney Transplant 3.4374 6.3
440-3 Kidney Transplant 7.2947 8.1
440-4 Kidney Transplant 11.3063 16.2
441-1 Major Bladder Procedures 1.6549 4.3
441-2 Major Bladder Procedures 2.4922 8.0
441-3 Major Bladder Procedures 3.7250 9.1
441-4 Major Bladder Procedures 6.2597 17.5
442-1 Kidney & Urinary Tract Procedures For Malignancy 1.0983 2.0
442-2 Kidney & Urinary Tract Procedures For Malignancy 1.7284 3.9
442-3 Kidney & Urinary Tract Procedures For Malignancy 2.3251 6.9
442-4 Kidney & Urinary Tract Procedures For Malignancy 5.1488 12.7
APR-DRG, version 30 relative weights and ALOS 17 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
443-1 Kidney & Urinary Tract Procedures For Nonmalignancy 0.9834 2.2
443-2 Kidney & Urinary Tract Procedures For Nonmalignancy 1.4154 2.6
443-3 Kidney & Urinary Tract Procedures For Nonmalignancy 2.0537 5.7
443-4 Kidney & Urinary Tract Procedures For Nonmalignancy 4.0480 11.4
444-1 Renal Dialysis Access Device Procedure Only 0.9836 1.8
444-2 Renal Dialysis Access Device Procedure Only 1.3003 3.0
444-3 Renal Dialysis Access Device Procedure Only 2.8604 8.5
444-4 Renal Dialysis Access Device Procedure Only 3.9340 13.0
445-1 Other Bladder Procedures 0.7856 1.7
445-2 Other Bladder Procedures 1.0904 2.5
445-3 Other Bladder Procedures 1.1982 6.1
445-4 Other Bladder Procedures 3.0093 11.1
446-1 Urethral & Transurethral Procedures 0.7776 1.9
446-2 Urethral & Transurethral Procedures 0.7843 1.9
446-3 Urethral & Transurethral Procedures 1.6616 4.3
446-4 Urethral & Transurethral Procedures 2.5245 9.5
447-1 Other Kidney, Urinary Tract & Related Procedures 1.2211 1.8
447-2 Other Kidney, Urinary Tract & Related Procedures 1.3832 2.5
447-3 Other Kidney, Urinary Tract & Related Procedures 2.2847 7.3
447-4 Other Kidney, Urinary Tract & Related Procedures 4.1628 11.3
460-1 Renal Failure 0.6502 2.8
460-2 Renal Failure 0.9804 3.3
460-3 Renal Failure 1.2246 4.3
460-4 Renal Failure 2.7524 7.7
461-1 Kidney & Urinary Tract Malignancy 0.4242 1.9
461-2 Kidney & Urinary Tract Malignancy 0.5879 2.6
461-3 Kidney & Urinary Tract Malignancy 0.9416 4.8
461-4 Kidney & Urinary Tract Malignancy 1.8235 7.6
462-1 Nephritis & Nephrosis 0.4113 1.6
462-2 Nephritis & Nephrosis 0.7591 3.3
462-3 Nephritis & Nephrosis 1.0267 4.5
462-4 Nephritis & Nephrosis 1.5475 13.0
463-1 Kidney & Urinary Tract Infections 0.4957 2.3
463-2 Kidney & Urinary Tract Infections 0.6632 2.8
463-3 Kidney & Urinary Tract Infections 0.9586 3.9
463-4 Kidney & Urinary Tract Infections 1.3494 6.5
465-1 Urinary Stones & Acquired Upper Urinary Tract Obstruction 0.5482 1.5
465-2 Urinary Stones & Acquired Upper Urinary Tract Obstruction 0.7042 2.2
465-3 Urinary Stones & Acquired Upper Urinary Tract Obstruction 1.1242 3.3
465-4 Urinary Stones & Acquired Upper Urinary Tract Obstruction 1.6819 6.5
466-1 Malfunction, Reaction, Complic Of Genitourinary Device Or Proc 0.4244 1.7
466-2 Malfunction, Reaction, Complic Of Genitourinary Device Or Proc 0.9607 3.5
466-3 Malfunction, Reaction, Complic Of Genitourinary Device Or Proc 1.2985 4.9
466-4 Malfunction, Reaction, Complic Of Genitourinary Device Or Proc 1.9262 7.4
468-1 Other Kidney & Urinary Tract Diagnoses, Signs & Symptoms 0.6070 2.2
APR-DRG, version 30 relative weights and ALOS 18 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
468-2 Other Kidney & Urinary Tract Diagnoses, Signs & Symptoms 0.8685 3.1
468-3 Other Kidney & Urinary Tract Diagnoses, Signs & Symptoms 1.3277 4.8
468-4 Other Kidney & Urinary Tract Diagnoses, Signs & Symptoms 2.1535 7.4
480-1 Major Male Pelvic Procedures 1.3338 2.6
480-2 Major Male Pelvic Procedures 1.4181 2.6
480-3 Major Male Pelvic Procedures 2.0760 4.4
480-4 Major Male Pelvic Procedures 2.6085 12.0
481-1 Penis Procedures 0.7001 1.7
481-2 Penis Procedures 1.3544 2.4
481-3 Penis Procedures 2.0481 6.0
481-4 Penis Procedures 3.4074 17.0
482-1 Transurethral Prostatectomy 0.6066 1.8
482-2 Transurethral Prostatectomy 0.7642 2.3
482-3 Transurethral Prostatectomy 1.4578 5.3
482-4 Transurethral Prostatectomy 3.0895 11.5
483-1 Testes & Scrotal Procedures 0.6722 1.6
483-2 Testes & Scrotal Procedures 0.9689 3.4
483-3 Testes & Scrotal Procedures 2.1715 11.0
483-4 Testes & Scrotal Procedures 3.1231 16.0
484-1 Other Male Reproductive System & Related Procedures 0.6862 2.0
484-2 Other Male Reproductive System & Related Procedures 1.5263 3.1
484-3 Other Male Reproductive System & Related Procedures 1.6284 3.4
484-4 Other Male Reproductive System & Related Procedures 2.0994 13.0
500-1 Malignancy, Male Reproductive System 0.4654 2.9
500-2 Malignancy, Male Reproductive System 0.6790 2.9
500-3 Malignancy, Male Reproductive System 0.9162 4.4
500-4 Malignancy, Male Reproductive System 1.5100 11.0
501-1 Male Reproductive System Diagnoses Except Malignancy 0.3965 2.1
501-2 Male Reproductive System Diagnoses Except Malignancy 0.8512 3.8
501-3 Male Reproductive System Diagnoses Except Malignancy 0.8512 4.0
501-4 Male Reproductive System Diagnoses Except Malignancy 1.5996 7.7
510-1 Pelvic Evisceration, Radical Hysterectomy & Other Radical Gyn Procs 1.3429 2.8
510-2 Pelvic Evisceration, Radical Hysterectomy & Other Radical Gyn Procs 1.9681 3.7
510-3 Pelvic Evisceration, Radical Hysterectomy & Other Radical Gyn Procs 2.1783 5.2
510-4 Pelvic Evisceration, Radical Hysterectomy & Other Radical Gyn Procs 7.8918 18.0
511-1 Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 1.4431 3.1
511-2 Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 2.0222 5.5
511-3 Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 2.4291 7.2
511-4 Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 5.6380 18.0
512-1 Uterine & Adnexa Procedures For Non-Ovarian & Non-Adnexal Malig 1.0786 2.6
512-2 Uterine & Adnexa Procedures For Non-Ovarian & Non-Adnexal Malig 1.7012 3.5
512-3 Uterine & Adnexa Procedures For Non-Ovarian & Non-Adnexal Malig 1.9911 5.3
512-4 Uterine & Adnexa Procedures For Non-Ovarian & Non-Adnexal Malig 3.6830 10.1
513-1 Uterine & Adnexa Procedures For Non-Malignancy Except Leiomyoma 0.8068 1.9
513-2 Uterine & Adnexa Procedures For Non-Malignancy Except Leiomyoma 1.1237 2.5
APR-DRG, version 30 relative weights and ALOS 19 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
513-3 Uterine & Adnexa Procedures For Non-Malignancy Except Leiomyoma 2.0398 4.0
513-4 Uterine & Adnexa Procedures For Non-Malignancy Except Leiomyoma 3.6819 15.0
514-1 Female Reproductive System Reconstructive Procedures 0.7770 1.1
514-2 Female Reproductive System Reconstructive Procedures 0.8689 1.4
514-3 Female Reproductive System Reconstructive Procedures 1.3048 2.9
514-4 Female Reproductive System Reconstructive Procedures 1.5480 12.0
517-1 Dilation & Curettage For Non-Obstetric Diagnoses 0.7175 1.9
517-2 Dilation & Curettage For Non-Obstetric Diagnoses 0.7983 2.1
517-3 Dilation & Curettage For Non-Obstetric Diagnoses 1.3050 4.7
517-4 Dilation & Curettage For Non-Obstetric Diagnoses 1.3050 6.0
518-1 Other Female Reproductive System & Related Procedures 0.7941 1.9
518-2 Other Female Reproductive System & Related Procedures 1.0394 3.0
518-3 Other Female Reproductive System & Related Procedures 2.0313 5.6
518-4 Other Female Reproductive System & Related Procedures 4.0830 12.0
519-1 Uterine & Adnexa Procedures For Leiomyoma 0.8855 2.1
519-2 Uterine & Adnexa Procedures For Leiomyoma 0.9726 2.7
519-3 Uterine & Adnexa Procedures For Leiomyoma 1.8936 5.2
519-4 Uterine & Adnexa Procedures For Leiomyoma 3.3742 14.0
530-1 Female Reproductive System Malignancy 0.5679 2.3
530-2 Female Reproductive System Malignancy 0.6685 3.1
530-3 Female Reproductive System Malignancy 1.0782 4.6
530-4 Female Reproductive System Malignancy 2.2347 8.8
531-1 Female Reproductive System Infections 0.6517 2.5
531-2 Female Reproductive System Infections 0.8574 2.9
531-3 Female Reproductive System Infections 0.8574 4.3
531-4 Female Reproductive System Infections 1.7690 8.9
532-1 Menstrual & Other Female Reproductive System Disorders 0.6995 2.4
532-2 Menstrual & Other Female Reproductive System Disorders 0.6995 2.4
532-3 Menstrual & Other Female Reproductive System Disorders 0.7736 3.2
532-4 Menstrual & Other Female Reproductive System Disorders 0.7909 7.0
540-1 Cesarean Delivery 0.7284 2.7
540-2 Cesarean Delivery 0.9249 3.4
540-3 Cesarean Delivery 1.2703 4.7
540-4 Cesarean Delivery 2.5022 8.1
541-1 Vaginal Delivery W Sterilization &/Or D&C 0.6858 2.1
541-2 Vaginal Delivery W Sterilization &/Or D&C 0.7584 2.4
541-3 Vaginal Delivery W Sterilization &/Or D&C 0.7609 2.4
541-4 Vaginal Delivery W Sterilization &/Or D&C 1.1542 11.0
542-1 Vaginal Delivery W Complicating Procedures Exc Sterilization &/Or D&C 0.5552 2.2
542-2 Vaginal Delivery W Complicating Procedures Exc Sterilization &/Or D&C 0.8527 2.7
542-3 Vaginal Delivery W Complicating Procedures Exc Sterilization &/Or D&C 0.9426 6.0
542-4 Vaginal Delivery W Complicating Procedures Exc Sterilization &/Or D&C 1.0903 6.0
544-1 D&C, Aspiration Curettage Or Hysterotomy For Obstetric Diagnoses 0.5992 1.4
544-2 D&C, Aspiration Curettage Or Hysterotomy For Obstetric Diagnoses 0.6204 1.7
544-3 D&C, Aspiration Curettage Or Hysterotomy For Obstetric Diagnoses 1.0671 3.7
APR-DRG, version 30 relative weights and ALOS 20 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
544-4 D&C, Aspiration Curettage Or Hysterotomy For Obstetric Diagnoses 3.6737 12.0
545-1 Ectopic Pregnancy Procedure 0.7559 1.7
545-2 Ectopic Pregnancy Procedure 0.8749 2.0
545-3 Ectopic Pregnancy Procedure 1.1697 2.7
545-4 Ectopic Pregnancy Procedure 1.2373 4.0
546-1 Other O.R. Proc For Obstetric Diagnoses Except Delivery Diagnoses 0.7662 2.4
546-2 Other O.R. Proc For Obstetric Diagnoses Except Delivery Diagnoses 0.8323 2.9
546-3 Other O.R. Proc For Obstetric Diagnoses Except Delivery Diagnoses 1.4286 5.0
546-4 Other O.R. Proc For Obstetric Diagnoses Except Delivery Diagnoses 1.8842 12.0
560-1 Vaginal Delivery 0.5184 2.1
560-2 Vaginal Delivery 0.5849 2.3
560-3 Vaginal Delivery 0.8051 3.1
560-4 Vaginal Delivery 1.7239 9.0
561-1 Postpartum & Post Abortion Diagnoses W/O Procedure 0.4206 2.1
561-2 Postpartum & Post Abortion Diagnoses W/O Procedure 0.5578 2.4
561-3 Postpartum & Post Abortion Diagnoses W/O Procedure 0.9088 3.5
561-4 Postpartum & Post Abortion Diagnoses W/O Procedure 1.3520 4.6
563-1 Preterm Labor 0.5605 2.6
563-2 Preterm Labor 0.9097 3.6
563-3 Preterm Labor 0.9097 3.6
563-4 Preterm Labor 1.0174 37.0
564-1 Abortion W/O D&C, Aspiration Curettage Or Hysterotomy 0.3826 1.3
564-2 Abortion W/O D&C, Aspiration Curettage Or Hysterotomy 0.3897 1.3
564-3 Abortion W/O D&C, Aspiration Curettage Or Hysterotomy 0.5739 2.0
564-4 Abortion W/O D&C, Aspiration Curettage Or Hysterotomy 0.6536 5.0
565-1 False Labor 0.1190 1.1
565-2 False Labor 0.2965 4.0
565-3 False Labor 0.2976 4.0
565-4 False Labor 0.2976 4.0
566-1 Other Antepartum Diagnoses 0.4722 2.0
566-2 Other Antepartum Diagnoses 0.6088 2.7
566-3 Other Antepartum Diagnoses 0.8267 3.5
566-4 Other Antepartum Diagnoses 1.3961 5.2
580-1 Neonate, Transferred <5 Days Old, Not Born Here 0.2677 0.0
580-2 Neonate, Transferred <5 Days Old, Not Born Here 0.3127 0.0
580-3 Neonate, Transferred <5 Days Old, Not Born Here 0.4146 0.0
580-4 Neonate, Transferred <5 Days Old, Not Born Here 1.0830 0.0
581-1 Neonate, Transferred < 5 Days Old, Born Here 0.2277 0.0
581-2 Neonate, Transferred < 5 Days Old, Born Here 0.3249 0.0
581-3 Neonate, Transferred < 5 Days Old, Born Here 0.3897 0.0
581-4 Neonate, Transferred < 5 Days Old, Born Here 0.4594 0.0
583-1 Neonate W Ecmo 13.2384 18.5
583-2 Neonate W Ecmo 13.2384 18.5
583-3 Neonate W Ecmo 13.2384 18.5
583-4 Neonate W Ecmo 35.5479 38.8
APR-DRG, version 30 relative weights and ALOS 21 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
588-1 Neonate Bwt <1500G W Major Procedure 13.9439 44.3
588-2 Neonate Bwt <1500G W Major Procedure 13.9439 44.3
588-3 Neonate Bwt <1500G W Major Procedure 13.9439 61.5
588-4 Neonate Bwt <1500G W Major Procedure 21.7558 61.5
589-1 Neonate Bwt <500G Or Ga <24 Weeks 9.4470 20.8
589-2 Neonate Bwt <500G Or Ga <24 Weeks 9.4470 20.8
589-3 Neonate Bwt <500G Or Ga <24 Weeks 2.7642 20.8
589-4 Neonate Bwt <500G Or Ga <24 Weeks 0.2201 3.0
591-1 Neonate Birthwt 500-749G W/O Major Procedure 4.3942 13.0
591-2 Neonate Birthwt 500-749G W/O Major Procedure 5.1769 34.2
591-3 Neonate Birthwt 500-749G W/O Major Procedure 12.7116 34.2
591-4 Neonate Birthwt 500-749G W/O Major Procedure 16.7559 73.6
593-1 Neonate Birthwt 750-999G W/O Major Procedure 0.3696 5.0
593-2 Neonate Birthwt 750-999G W/O Major Procedure 8.2282 50.4
593-3 Neonate Birthwt 750-999G W/O Major Procedure 13.0584 54.8
593-4 Neonate Birthwt 750-999G W/O Major Procedure 14.0898 55.4
602-1 Neonate Bwt 1000-1249G W Resp Dist Synd/Oth Maj Resp Or Maj Anom 4.7536 33.0
602-2 Neonate Bwt 1000-1249G W Resp Dist Synd/Oth Maj Resp Or Maj Anom 7.8458 46.1
602-3 Neonate Bwt 1000-1249G W Resp Dist Synd/Oth Maj Resp Or Maj Anom 11.4358 59.2
602-4 Neonate Bwt 1000-1249G W Resp Dist Synd/Oth Maj Resp Or Maj Anom 14.7444 69.5
603-1 Neonate Birthwt 1000-1249G W Or W/O Other Significant Condition 3.6279 24.5
603-2 Neonate Birthwt 1000-1249G W Or W/O Other Significant Condition 6.2931 32.7
603-3 Neonate Birthwt 1000-1249G W Or W/O Other Significant Condition 8.6622 40.5
603-4 Neonate Birthwt 1000-1249G W Or W/O Other Significant Condition 15.9843 50.0
607-1 Neonate Bwt 1250-1499G W Resp Dist Synd/Oth Maj Resp Or Maj Anom 3.3982 23.3
607-2 Neonate Bwt 1250-1499G W Resp Dist Synd/Oth Maj Resp Or Maj Anom 5.8023 34.9
607-3 Neonate Bwt 1250-1499G W Resp Dist Synd/Oth Maj Resp Or Maj Anom 8.9838 47.0
607-4 Neonate Bwt 1250-1499G W Resp Dist Synd/Oth Maj Resp Or Maj Anom 10.6918 47.0
608-1 Neonate Bwt 1250-1499G W Or W/O Other Significant Condition 3.6635 18.4
608-2 Neonate Bwt 1250-1499G W Or W/O Other Significant Condition 4.8283 29.6
608-3 Neonate Bwt 1250-1499G W Or W/O Other Significant Condition 5.6459 30.1
608-4 Neonate Bwt 1250-1499G W Or W/O Other Significant Condition 7.6884 39.0
609-1 Neonate Bwt 1500-2499G W Major Procedure 3.9128 17.0
609-2 Neonate Bwt 1500-2499G W Major Procedure 3.9985 22.0
609-3 Neonate Bwt 1500-2499G W Major Procedure 8.6866 34.3
609-4 Neonate Bwt 1500-2499G W Major Procedure 14.5608 49.1
611-1 Neonate Birthwt 1500-1999G W Major Anomaly 4.4756 23.7
611-2 Neonate Birthwt 1500-1999G W Major Anomaly 4.4756 24.0
611-3 Neonate Birthwt 1500-1999G W Major Anomaly 6.5933 28.8
611-4 Neonate Birthwt 1500-1999G W Major Anomaly 6.9497 28.8
612-1 Neonate Bwt 1500-1999G W Resp Dist Synd/Oth Maj Resp Cond 2.6175 16.6
612-2 Neonate Bwt 1500-1999G W Resp Dist Synd/Oth Maj Resp Cond 4.7518 26.4
612-3 Neonate Bwt 1500-1999G W Resp Dist Synd/Oth Maj Resp Cond 6.2011 33.0
612-4 Neonate Bwt 1500-1999G W Resp Dist Synd/Oth Maj Resp Cond 7.2620 33.0
613-1 Neonate Birthwt 1500-1999G W Congenital/Perinatal Infection 2.5367 15.4
APR-DRG, version 30 relative weights and ALOS 22 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
613-2 Neonate Birthwt 1500-1999G W Congenital/Perinatal Infection 5.2046 30.6
613-3 Neonate Birthwt 1500-1999G W Congenital/Perinatal Infection 5.4160 30.6
613-4 Neonate Birthwt 1500-1999G W Congenital/Perinatal Infection 5.5341 30.6
614-1 Neonate Bwt 1500-1999G W Or W/O Other Significant Condition 1.7028 8.3
614-2 Neonate Bwt 1500-1999G W Or W/O Other Significant Condition 3.3631 19.6
614-3 Neonate Bwt 1500-1999G W Or W/O Other Significant Condition 4.0511 23.2
614-4 Neonate Bwt 1500-1999G W Or W/O Other Significant Condition 4.6113 28.7
621-1 Neonate Bwt 2000-2499G W Major Anomaly 0.7950 8.0
621-2 Neonate Bwt 2000-2499G W Major Anomaly 2.5803 14.5
621-3 Neonate Bwt 2000-2499G W Major Anomaly 4.0996 18.7
621-4 Neonate Bwt 2000-2499G W Major Anomaly 6.1267 25.0
622-1 Neonate Bwt 2000-2499G W Resp Dist Synd/Oth Maj Resp Cond 1.6726 7.9
622-2 Neonate Bwt 2000-2499G W Resp Dist Synd/Oth Maj Resp Cond 2.9898 16.0
622-3 Neonate Bwt 2000-2499G W Resp Dist Synd/Oth Maj Resp Cond 4.1726 21.3
622-4 Neonate Bwt 2000-2499G W Resp Dist Synd/Oth Maj Resp Cond 5.2515 21.3
623-1 Neonate Bwt 2000-2499G W Congenital/Perinatal Infection 1.6389 10.0
623-2 Neonate Bwt 2000-2499G W Congenital/Perinatal Infection 1.7455 11.5
623-3 Neonate Bwt 2000-2499G W Congenital/Perinatal Infection 2.7904 17.2
623-4 Neonate Bwt 2000-2499G W Congenital/Perinatal Infection 3.8436 34.0
625-1 Neonate Bwt 2000-2499G W Other Significant Condition 1.9697 10.5
625-2 Neonate Bwt 2000-2499G W Other Significant Condition 2.8600 16.5
625-3 Neonate Bwt 2000-2499G W Other Significant Condition 2.8832 17.1
625-4 Neonate Bwt 2000-2499G W Other Significant Condition 3.1219 35.0
626-1 Neonate Bwt 2000-2499G, Normal Newborn Or Neonate W Other Problem 0.3661 2.6
626-2 Neonate Bwt 2000-2499G, Normal Newborn Or Neonate W Other Problem 0.7159 3.7
626-3 Neonate Bwt 2000-2499G, Normal Newborn Or Neonate W Other Problem 1.4804 7.8
626-4 Neonate Bwt 2000-2499G, Normal Newborn Or Neonate W Other Problem 1.4804 9.0
630-1 Neonate Birthwt >2499G W Major Cardiovascular Procedure 2.8710 4.1
630-2 Neonate Birthwt >2499G W Major Cardiovascular Procedure 2.9118 4.1
630-3 Neonate Birthwt >2499G W Major Cardiovascular Procedure 6.9255 19.4
630-4 Neonate Birthwt >2499G W Major Cardiovascular Procedure 16.7090 25.6
631-1 Neonate Birthwt >2499G W Other Major Procedure 1.2514 2.3
631-2 Neonate Birthwt >2499G W Other Major Procedure 3.1235 12.1
631-3 Neonate Birthwt >2499G W Other Major Procedure 4.2959 17.3
631-4 Neonate Birthwt >2499G W Other Major Procedure 13.7065 47.6
633-1 Neonate Birthwt >2499G W Major Anomaly 0.4574 2.6
633-2 Neonate Birthwt >2499G W Major Anomaly 1.6582 6.9
633-3 Neonate Birthwt >2499G W Major Anomaly 3.9229 15.2
633-4 Neonate Birthwt >2499G W Major Anomaly 5.5235 15.2
634-1 Neonate, Birthwt >2499G W Resp Dist Synd/Oth Maj Resp Cond 0.8636 4.5
634-2 Neonate, Birthwt >2499G W Resp Dist Synd/Oth Maj Resp Cond 2.1783 9.7
634-3 Neonate, Birthwt >2499G W Resp Dist Synd/Oth Maj Resp Cond 3.7565 14.5
634-4 Neonate, Birthwt >2499G W Resp Dist Synd/Oth Maj Resp Cond 6.7909 26.0
636-1 Neonate Birthwt >2499G W Congenital/Perinatal Infection 1.0277 5.7
636-2 Neonate Birthwt >2499G W Congenital/Perinatal Infection 1.4276 7.5
APR-DRG, version 30 relative weights and ALOS 23 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
636-3 Neonate Birthwt >2499G W Congenital/Perinatal Infection 1.9351 9.9
636-4 Neonate Birthwt >2499G W Congenital/Perinatal Infection 3.1753 24.0
639-1 Neonate Birthwt >2499G W Other Significant Condition 0.8892 4.1
639-2 Neonate Birthwt >2499G W Other Significant Condition 1.6161 7.5
639-3 Neonate Birthwt >2499G W Other Significant Condition 1.6161 7.5
639-4 Neonate Birthwt >2499G W Other Significant Condition 3.0888 8.7
640-1 Neonate Birthwt >2499G, Normal Newborn Or Neonate W Other Problem 0.2650 2.1
640-2 Neonate Birthwt >2499G, Normal Newborn Or Neonate W Other Problem 0.3356 2.3
640-3 Neonate Birthwt >2499G, Normal Newborn Or Neonate W Other Problem 0.6112 3.3
640-4 Neonate Birthwt >2499G, Normal Newborn Or Neonate W Other Problem 0.6112 23.0
650-1 Splenectomy 1.2017 2.6
650-2 Splenectomy 1.7021 4.0
650-3 Splenectomy 2.3684 6.7
650-4 Splenectomy 5.8211 11.6
651-1 Other Procedures Of Blood & Blood-Forming Organs 0.9768 2.3
651-2 Other Procedures Of Blood & Blood-Forming Organs 1.4411 3.9
651-3 Other Procedures Of Blood & Blood-Forming Organs 2.2982 6.5
651-4 Other Procedures Of Blood & Blood-Forming Organs 11.7957 34.0
660-1 Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagul 0.5612 2.3
660-2 Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagul 0.9068 3.5
660-3 Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagul 1.7304 6.0
660-4 Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagul 3.7469 10.1
661-1 Coagulation & Platelet Disorders 0.7941 2.1
661-2 Coagulation & Platelet Disorders 1.4609 3.6
661-3 Coagulation & Platelet Disorders 1.8392 3.8
661-4 Coagulation & Platelet Disorders 3.4060 13.0
662-1 Sickle Cell Anemia Crisis 0.7026 3.6
662-2 Sickle Cell Anemia Crisis 0.9259 4.5
662-3 Sickle Cell Anemia Crisis 1.4556 6.7
662-4 Sickle Cell Anemia Crisis 3.0460 11.1
663-1 Other Anemia & Disorders Of Blood & Blood-Forming Organs 0.5881 2.3
663-2 Other Anemia & Disorders Of Blood & Blood-Forming Organs 0.7250 2.7
663-3 Other Anemia & Disorders Of Blood & Blood-Forming Organs 0.9981 3.3
663-4 Other Anemia & Disorders Of Blood & Blood-Forming Organs 2.2110 6.8
680-1 Major O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 1.4682 3.1
680-2 Major O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 1.8798 4.6
680-3 Major O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 3.5223 9.5
680-4 Major O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 6.7235 18.2
681-1 Other O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 1.1281 3.1
681-2 Other O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 1.3527 3.7
681-3 Other O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 3.6467 9.5
681-4 Other O.R. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 5.9174 17.4
690-1 Acute Leukemia 0.8145 2.8
690-2 Acute Leukemia 1.5493 4.3
690-3 Acute Leukemia 4.5360 12.8
APR-DRG, version 30 relative weights and ALOS 24 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
690-4 Acute Leukemia 6.0345 14.1
691-1 Lymphoma, Myeloma & Non-Acute Leukemia 0.9304 2.8
691-2 Lymphoma, Myeloma & Non-Acute Leukemia 1.0261 3.7
691-3 Lymphoma, Myeloma & Non-Acute Leukemia 1.6969 6.3
691-4 Lymphoma, Myeloma & Non-Acute Leukemia 3.1483 9.2
692-1 Radiotherapy 0.6060 4.5
692-2 Radiotherapy 1.2261 4.5
692-3 Radiotherapy 2.9264 10.0
692-4 Radiotherapy 3.3476 24.0
693-1 Chemotherapy 0.6701 2.2
693-2 Chemotherapy 0.9711 3.4
693-3 Chemotherapy 2.0545 6.5
693-4 Chemotherapy 5.1198 18.4
694-1 Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior 0.4641 1.9
694-2 Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior 0.7054 3.0
694-3 Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior 1.1738 4.9
694-4 Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior 2.1986 7.5
710-1 Infectious & Parasitic Diseases Including Hiv W O.R. Procedure 1.4449 4.2
710-2 Infectious & Parasitic Diseases Including Hiv W O.R. Procedure 1.4449 5.2
710-3 Infectious & Parasitic Diseases Including Hiv W O.R. Procedure 3.2721 9.7
710-4 Infectious & Parasitic Diseases Including Hiv W O.R. Procedure 7.9176 19.2
711-1 Post-Op, Post-Trauma, Other Device Infections W O.R. Procedure 1.3902 3.7
711-2 Post-Op, Post-Trauma, Other Device Infections W O.R. Procedure 1.8513 5.4
711-3 Post-Op, Post-Trauma, Other Device Infections W O.R. Procedure 3.1466 8.8
711-4 Post-Op, Post-Trauma, Other Device Infections W O.R. Procedure 7.6409 18.9
720-1 Septicemia & Disseminated Infections 0.5856 2.7
720-2 Septicemia & Disseminated Infections 1.0287 3.9
720-3 Septicemia & Disseminated Infections 1.6903 5.5
720-4 Septicemia & Disseminated Infections 3.5502 8.5
721-1 Post-Operative, Post-Traumatic, Other Device Infections 0.7272 2.8
721-2 Post-Operative, Post-Traumatic, Other Device Infections 1.0972 4.1
721-3 Post-Operative, Post-Traumatic, Other Device Infections 1.5380 5.9
721-4 Post-Operative, Post-Traumatic, Other Device Infections 2.9290 10.0
722-1 Fever 0.4071 2.0
722-2 Fever 0.5873 2.6
722-3 Fever 0.9508 3.1
722-4 Fever 1.3024 4.6
723-1 Viral Illness 0.4261 2.1
723-2 Viral Illness 0.5475 2.4
723-3 Viral Illness 0.7995 3.6
723-4 Viral Illness 2.4119 8.2
724-1 Other Infectious & Parasitic Diseases 0.8103 3.8
724-2 Other Infectious & Parasitic Diseases 0.9994 3.9
724-3 Other Infectious & Parasitic Diseases 1.6596 6.3
724-4 Other Infectious & Parasitic Diseases 2.6911 9.8
APR-DRG, version 30 relative weights and ALOS 25 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
740-1 Mental Illness Diagnosis W O.R. Procedure LOC LOC
740-2 Mental Illness Diagnosis W O.R. Procedure LOC LOC
740-3 Mental Illness Diagnosis W O.R. Procedure LOC LOC
740-4 Mental Illness Diagnosis W O.R. Procedure LOC LOC
750-1 Schizophrenia LOC LOC
750-2 Schizophrenia LOC LOC
750-3 Schizophrenia LOC LOC
750-4 Schizophrenia LOC LOC
751-1 Major Depressive Disorders & Other/Unspecified Psychoses LOC LOC
751-2 Major Depressive Disorders & Other/Unspecified Psychoses LOC LOC
751-3 Major Depressive Disorders & Other/Unspecified Psychoses LOC LOC
751-4 Major Depressive Disorders & Other/Unspecified Psychoses LOC LOC
752-1 Disorders Of Personality & Impulse Control LOC LOC
752-2 Disorders Of Personality & Impulse Control LOC LOC
752-3 Disorders Of Personality & Impulse Control LOC LOC
752-4 Disorders Of Personality & Impulse Control LOC LOC
753-1 Bipolar Disorders LOC LOC
753-2 Bipolar Disorders LOC LOC
753-3 Bipolar Disorders LOC LOC
753-4 Bipolar Disorders LOC LOC
754-1 Depression Except Major Depressive Disorder LOC LOC
754-2 Depression Except Major Depressive Disorder LOC LOC
754-3 Depression Except Major Depressive Disorder LOC LOC
754-4 Depression Except Major Depressive Disorder LOC LOC
755-1 Adjustment Disorders & Neuroses Except Depressive Diagnos LOC LOC
755-2 Adjustment Disorders & Neuroses Except Depressive Diagnos LOC LOC
755-3 Adjustment Disorders & Neuroses Except Depressive Diagnos LOC LOC
755-4 Adjustment Disorders & Neuroses Except Depressive Diagnos LOC LOC
756-1 Acute Anxiety & Delirium States LOC LOC
756-2 Acute Anxiety & Delirium States LOC LOC
756-3 Acute Anxiety & Delirium States LOC LOC
756-4 Acute Anxiety & Delirium States LOC LOC
757-1 Organic Mental Health Disturbances 0.6570 6.7
757-2 Organic Mental Health Disturbances 0.6570 6.7
757-3 Organic Mental Health Disturbances 1.0600 10.0
757-4 Organic Mental Health Disturbances 1.3246 10.0
758-1 Childhood Behavioral Disorders LOC LOC
758-2 Childhood Behavioral Disorders LOC LOC
758-3 Childhood Behavioral Disorders LOC LOC
758-4 Childhood Behavioral Disorders LOC LOC
759-1 Eating Disorders LOC LOC
759-2 Eating Disorders LOC LOC
759-3 Eating Disorders LOC LOC
759-4 Eating Disorders LOC LOC
760-1 Other Mental Health Disorders LOC LOC
APR-DRG, version 30 relative weights and ALOS 26 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
760-2 Other Mental Health Disorders LOC LOC
760-3 Other Mental Health Disorders LOC LOC
760-4 Other Mental Health Disorders LOC LOC
770-1 Drug & Alcohol Abuse Or Dependence, Left Against Medical Advice 0.2836 2.0
770-2 Drug & Alcohol Abuse Or Dependence, Left Against Medical Advice 0.3654 2.0
770-3 Drug & Alcohol Abuse Or Dependence, Left Against Medical Advice 0.5340 2.0
770-4 Drug & Alcohol Abuse Or Dependence, Left Against Medical Advice 0.5340 10.0
772-1 Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy 0.3768 3.0
772-2 Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy 0.4320 8.5
772-3 Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy 0.5931 10.3
772-4 Alcohol & Drug Dependence W Rehab Or Rehab/Detox Therapy 2.9960 13.0
773-1 Opioid Abuse & Dependence 0.4488 3.2
773-2 Opioid Abuse & Dependence 0.5249 3.5
773-3 Opioid Abuse & Dependence 0.6879 3.5
773-4 Opioid Abuse & Dependence 0.8304 8.0
774-1 Cocaine Abuse & Dependence 0.3272 2.3
774-2 Cocaine Abuse & Dependence 0.4959 3.1
774-3 Cocaine Abuse & Dependence 0.7578 3.6
774-4 Cocaine Abuse & Dependence 0.7578 10.0
775-1 Alcohol Abuse & Dependence 0.4873 3.1
775-2 Alcohol Abuse & Dependence 0.5901 3.1
775-3 Alcohol Abuse & Dependence 1.1813 4.1
775-4 Alcohol Abuse & Dependence 2.3491 8.9
776-1 Other Drug Abuse & Dependence 0.4371 3.3
776-2 Other Drug Abuse & Dependence 0.4892 3.3
776-3 Other Drug Abuse & Dependence 0.7070 3.5
776-4 Other Drug Abuse & Dependence 1.4375 6.4
791-1 O.R. Procedure For Other Complications Of Treatment 1.4535 2.7
791-2 O.R. Procedure For Other Complications Of Treatment 2.0984 4.7
791-3 O.R. Procedure For Other Complications Of Treatment 2.5002 7.5
791-4 O.R. Procedure For Other Complications Of Treatment 5.9577 15.7
811-1 Allergic Reactions 0.2666 1.3
811-2 Allergic Reactions 0.4280 1.5
811-3 Allergic Reactions 0.7959 2.9
811-4 Allergic Reactions 2.0951 6.3
812-1 Poisoning Of Medicinal Agents 0.4702 1.6
812-2 Poisoning Of Medicinal Agents 0.5199 1.8
812-3 Poisoning Of Medicinal Agents 0.8380 2.6
812-4 Poisoning Of Medicinal Agents 1.9320 4.5
813-1 Other Complications Of Treatment 0.7007 2.5
813-2 Other Complications Of Treatment 0.8270 3.1
813-3 Other Complications Of Treatment 1.3023 4.2
813-4 Other Complications Of Treatment 2.3743 7.9
815-1 Other Injury, Poisoning & Toxic Effect Diagnoses 0.5043 1.5
815-2 Other Injury, Poisoning & Toxic Effect Diagnoses 0.5488 2.2
APR-DRG, version 30 relative weights and ALOS 27 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
815-3 Other Injury, Poisoning & Toxic Effect Diagnoses 0.8817 3.1
815-4 Other Injury, Poisoning & Toxic Effect Diagnoses 2.7134 6.0
816-1 Toxic Effects Of Non-Medicinal Substances 0.4724 1.7
816-2 Toxic Effects Of Non-Medicinal Substances 0.5702 2.1
816-3 Toxic Effects Of Non-Medicinal Substances 0.8999 2.7
816-4 Toxic Effects Of Non-Medicinal Substances 2.2436 5.9
841-1 Extensive 3Rd Degree Burns W Skin Graft LOC LOC
841-2 Extensive 3Rd Degree Burns W Skin Graft LOC LOC
841-3 Extensive 3Rd Degree Burns W Skin Graft LOC LOC
841-4 Extensive 3Rd Degree Burns W Skin Graft LOC LOC
842-1 Full Thickness Burns W Skin Graft LOC LOC
842-2 Full Thickness Burns W Skin Graft LOC LOC
842-3 Full Thickness Burns W Skin Graft LOC LOC
842-4 Full Thickness Burns W Skin Graft LOC LOC
843-1 Extensive 3Rd Degree Or Full Thickness Burns W/O Skin Graft LOC LOC
843-2 Extensive 3Rd Degree Or Full Thickness Burns W/O Skin Graft LOC LOC
843-3 Extensive 3Rd Degree Or Full Thickness Burns W/O Skin Graft LOC LOC
843-4 Extensive 3Rd Degree Or Full Thickness Burns W/O Skin Graft LOC LOC
844-1 Partial Thickness Burns W Or W/O Skin Graft LOC LOC
844-2 Partial Thickness Burns W Or W/O Skin Graft LOC LOC
844-3 Partial Thickness Burns W Or W/O Skin Graft LOC LOC
844-4 Partial Thickness Burns W Or W/O Skin Graft LOC LOC
850-1 Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 1.2924 2.0
850-2 Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 1.6123 3.3
850-3 Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 2.5006 9.3
850-4 Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 15.3272 58.0
860-1 Rehabilitation LOC LOC
860-2 Rehabilitation LOC LOC
860-3 Rehabilitation LOC LOC
860-4 Rehabilitation LOC LOC
861-1 Signs, Symptoms & Other Factors Influencing Health Status 0.5510 2.2
861-2 Signs, Symptoms & Other Factors Influencing Health Status 0.6841 2.5
861-3 Signs, Symptoms & Other Factors Influencing Health Status 1.0892 3.7
861-4 Signs, Symptoms & Other Factors Influencing Health Status 1.4686 5.5
862-1 Other Aftercare & Convalescence 0.3105 2.1
862-2 Other Aftercare & Convalescence 0.5229 4.9
862-3 Other Aftercare & Convalescence 0.8971 8.4
862-4 Other Aftercare & Convalescence 1.6229 12.6
863-1 Neonatal Aftercare 1.8708 11.0
863-2 Neonatal Aftercare 2.7549 19.0
863-3 Neonatal Aftercare 4.9000 28.0
863-4 Neonatal Aftercare 11.1197 45.0
890-1 Hiv W Multiple Major Hiv Related Conditions 1.4448 5.6
890-2 Hiv W Multiple Major Hiv Related Conditions 1.4448 5.6
890-3 Hiv W Multiple Major Hiv Related Conditions 1.4792 5.6
APR-DRG, version 30 relative weights and ALOS 28 of 28
All Patient Refined-Diagnosis-Related Grouper, version 30, relative weights and average length of stays (ALOS) effective October 1, 2015
DRG Description Relative Weight ALOS
890-4 Hiv W Multiple Major Hiv Related Conditions 4.3558 12.1
892-1 Hiv W Major Hiv Related Condition 0.3766 2.8
892-2 Hiv W Major Hiv Related Condition 1.0085 3.6
892-3 Hiv W Major Hiv Related Condition 1.4180 4.7
892-4 Hiv W Major Hiv Related Condition 2.2391 7.8
893-1 Hiv W Multiple Significant Hiv Related Conditions 0.9234 4.5
893-2 Hiv W Multiple Significant Hiv Related Conditions 0.9979 4.5
893-3 Hiv W Multiple Significant Hiv Related Conditions 1.2647 4.5
893-4 Hiv W Multiple Significant Hiv Related Conditions 1.5483 20.0
894-1 Hiv W One Signif Hiv Cond Or W/O Signif Related Cond 0.5336 2.4
894-2 Hiv W One Signif Hiv Cond Or W/O Signif Related Cond 0.7538 3.1
894-3 Hiv W One Signif Hiv Cond Or W/O Signif Related Cond 1.0366 4.3
894-4 Hiv W One Signif Hiv Cond Or W/O Signif Related Cond 1.0366 6.0
910-1 Craniotomy For Multiple Significant Trauma 3.4965 7.9
910-2 Craniotomy For Multiple Significant Trauma 3.4965 7.9
910-3 Craniotomy For Multiple Significant Trauma 4.5985 7.9
910-4 Craniotomy For Multiple Significant Trauma 6.3519 8.6
911-1 Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma 2.0349 5.8
911-2 Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma 2.0349 5.8
911-3 Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma 2.8338 6.1
911-4 Extensive Abdominal/Thoracic Procedures For Mult Significant Trauma 6.2590 9.9
912-1 Musculoskeletal & Other Procedures For Multiple Significant Trauma 2.6876 5.5
912-2 Musculoskeletal & Other Procedures For Multiple Significant Trauma 3.4056 5.5
912-3 Musculoskeletal & Other Procedures For Multiple Significant Trauma 5.7918 8.3
912-4 Musculoskeletal & Other Procedures For Multiple Significant Trauma 10.7564 15.8
930-1 Multiple Significant Trauma W/O O.R. Procedure 0.9518 3.7
930-2 Multiple Significant Trauma W/O O.R. Procedure 1.1503 3.7
930-3 Multiple Significant Trauma W/O O.R. Procedure 2.1349 5.8
930-4 Multiple Significant Trauma W/O O.R. Procedure 4.0683 10.3
950-1 Extensive Procedure Unrelated To Principal Diagnosis 1.5400 3.0
950-2 Extensive Procedure Unrelated To Principal Diagnosis 2.7285 4.6
950-3 Extensive Procedure Unrelated To Principal Diagnosis 4.0835 9.6
950-4 Extensive Procedure Unrelated To Principal Diagnosis 6.3437 18.4
951-1 Moderately Extensive Procedure Unrelated To Principal Diagnosis 0.9950 2.7
951-2 Moderately Extensive Procedure Unrelated To Principal Diagnosis 1.4793 3.7
951-3 Moderately Extensive Procedure Unrelated To Principal Diagnosis 3.0809 8.0
951-4 Moderately Extensive Procedure Unrelated To Principal Diagnosis 6.7749 17.2
952-1 Nonextensive Procedure Unrelated To Principal Diagnosis 1.0373 2.3
952-2 Nonextensive Procedure Unrelated To Principal Diagnosis 1.4409 4.2
952-3 Nonextensive Procedure Unrelated To Principal Diagnosis 2.4274 7.6
952-4 Nonextensive Procedure Unrelated To Principal Diagnosis 3.6692 12.5
