List of APR-DRGs That Were Assigned to Cases in ...

List of APR-DRGs That Were Assigned to Cases in Psychiatric Exempt Units

Medicaid FFS Patients Data source: Combined SPARCS & MMIS data 2005-2007

APR-DRG Codes 042 042 042 042 052 052 052 052 561 561 561 561 566 566 566 566 740 740 740 740 750 750 750 750 751 751 751 751 752 752 752 752 753 753 753 753 754 754 754 754 755 755 755 755 756

Severity of Illness APR DRG Description

1 Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI-1 2 Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI-2 3 Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI-3 4 Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI-4 1 Nontraumatic Stupor & Coma, SOI-1 2 Nontraumatic Stupor & Coma, SOI-2 3 Nontraumatic Stupor & Coma, SOI-3 4 Nontraumatic Stupor & Coma, SOI-4 1 Postpartum & Post Abortion Diagnoses w/o Procedure, SOI-1 2 Postpartum & Post Abortion Diagnoses w/o Procedure, SOI-2 3 Postpartum & Post Abortion Diagnoses w/o Procedure, SOI-3 4 Postpartum & Post Abortion Diagnoses w/o Procedure, SOI-4 1 Other Antepartum Diagnoses, SOI-1 2 Other Antepartum Diagnoses, SOI-2 3 Other Antepartum Diagnoses, SOI-3 4 Other Antepartum Diagnoses, SOI-4 1 Mental Illness Diagnosis w O.R. Procedure, SOI-1 2 Mental Illness Diagnosis w O.R. Procedure, SOI-2 3 Mental Illness Diagnosis w O.R. Procedure, SOI-3 4 Mental Illness Diagnosis w O.R. Procedure, SOI-4 1 Schizophrenia, SOI-1 2 Schizophrenia, SOI-2 3 Schizophrenia, SOI-3 4 Schizophrenia, SOI-4 1 Major Depressive Disorders & Other/Unspecified Psychoses, SOI-1 2 Major Depressive Disorders & Other/Unspecified Psychoses, SOI-2 3 Major Depressive Disorders & Other/Unspecified Psychoses, SOI-3 4 Major Depressive Disorders & Other/Unspecified Psychoses, SOI-4 1 Disorders of Personality & Impulse Control, SOI-1 2 Disorders of Personality & Impulse Control, SOI-2 3 Disorders of Personality & Impulse Control, SOI-3 4 Disorders of Personality & Impulse Control, SOI-4 1 Bipolar Disorders, SOI-1 2 Bipolar Disorders, SOI-2 3 Bipolar Disorders, SOI-3 4 Bipolar Disorders, SOI-4 1 Depression Except Major Depressive Disorder, SOI-1 2 Depression Except Major Depressive Disorder, SOI-2 3 Depression Except Major Depressive Disorder, SOI-3 4 Depression Except Major Depressive Disorder, SOI-4 1 Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI-1 2 Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI-2 3 Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI-3 4 Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI-4 1 Acute Anxiety & Delirium States, SOI-1

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APR-DRG SIW 0.9317 0.9317 0.9317 0.9317 1.0034 1.0034 1.0034 1.0034 1.0105 1.0105 1.0105 1.0105 0.9559 0.9559 1.0875 1.0875 1.1418 1.1418 1.1418 1.1418 0.9444 0.9938 1.0527 1.0703 0.9887 1.0492 1.0666 1.1208 0.9847 1.0223 1.0223 1.0223 0.9714 1.0109 1.0576 1.1495 1.0225 1.0611 1.0864 1.0864 1.0464 1.0464 1.0464 1.0464 1.1144

List of APR-DRGs That Were Assigned to Cases in Psychiatric Exempt Units

Medicaid FFS Patients Data source: Combined SPARCS & MMIS data 2005-2007

APR-DRG Codes 756 756 756 757 757 757 757 758 758 758 758 759 759 759 759 760 760 760 760 770 770 770 770 772 772 772 772 773 773 773 773 774 774 774 774 775 775 775 775 776 776 776 776

Severity of Illness APR DRG Description

2 Acute Anxiety & Delirium States, SOI-2 3 Acute Anxiety & Delirium States, SOI-3 4 Acute Anxiety & Delirium States, SOI-4 1 Organic Mental Health Disturbances, SOI-1 2 Organic Mental Health Disturbances, SOI-2 3 Organic Mental Health Disturbances, SOI-3 4 Organic Mental Health Disturbances, SOI-4 1 Childhood Behavioral Disorders, SOI-1 2 Childhood Behavioral Disorders, SOI-2 3 Childhood Behavioral Disorders, SOI-3 4 Childhood Behavioral Disorders, SOI-4 1 Eating Disorders, SOI-1 2 Eating Disorders, SOI-2 3 Eating Disorders, SOI-3 4 Eating Disorders, SOI-4 1 Other Mental Health Disorders, SOI-1 2 Other Mental Health Disorders, SOI-2 3 Other Mental Health Disorders, SOI-3 4 Other Mental Health Disorders, SOI-4 1 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI-1 2 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI-2 3 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI-3 4 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI-4 1 Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI-1 2 Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI-2 3 Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI-3 4 Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI-4 1 Opioid Abuse & Dependence, SOI-1 2 Opioid Abuse & Dependence, SOI-2 3 Opioid Abuse & Dependence, SOI-3 4 Opioid Abuse & Dependence, SOI-4 1 Cocaine Abuse & Dependence, SOI-1 2 Cocaine Abuse & Dependence, SOI-2 3 Cocaine Abuse & Dependence, SOI-3 4 Cocaine Abuse & Dependence, SOI-4 1 Alcohol Abuse & Dependence, SOI-1 2 Alcohol Abuse & Dependence, SOI-2 3 Alcohol Abuse & Dependence, SOI-3 4 Alcohol Abuse & Dependence, SOI-4 1 Other Drug Abuse & Dependence, SOI-1 2 Other Drug Abuse & Dependence, SOI-2 3 Other Drug Abuse & Dependence, SOI-3 4 Other Drug Abuse & Dependence, SOI-4

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APR-DRG SIW 1.1558 1.1558 1.1558 1.0142 1.0142 1.0451 1.0451 0.9635 1.0365 1.0365 1.0365 0.8626 0.9256 0.9256 0.9256 0.9918 0.9918 0.9918 0.9918 0.9775 0.9775 0.9775 0.9775 0.8373 0.8373 0.8373 0.8373 1.0204 1.0204 1.0361 1.0361 0.9807 1.0360 1.0513 1.0513 1.0196 1.0709 1.0709 1.0709 0.9363 1.0926 1.0926 1.0926

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