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

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

APR DRG Description

Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI-1

Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI-2

Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI-3

Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI-4

Nontraumatic Stupor & Coma, SOI-1

Nontraumatic Stupor & Coma, SOI-2

Nontraumatic Stupor & Coma, SOI-3

Nontraumatic Stupor & Coma, SOI-4

Postpartum & Post Abortion Diagnoses w/o Procedure, SOI-1

Postpartum & Post Abortion Diagnoses w/o Procedure, SOI-2

Postpartum & Post Abortion Diagnoses w/o Procedure, SOI-3

Postpartum & Post Abortion Diagnoses w/o Procedure, SOI-4

Other Antepartum Diagnoses, SOI-1

Other Antepartum Diagnoses, SOI-2

Other Antepartum Diagnoses, SOI-3

Other Antepartum Diagnoses, SOI-4

Mental Illness Diagnosis w O.R. Procedure, SOI-1

Mental Illness Diagnosis w O.R. Procedure, SOI-2

Mental Illness Diagnosis w O.R. Procedure, SOI-3

Mental Illness Diagnosis w O.R. Procedure, SOI-4

Schizophrenia, SOI-1

Schizophrenia, SOI-2

Schizophrenia, SOI-3

Schizophrenia, SOI-4

Major Depressive Disorders & Other/Unspecified Psychoses, SOI-1

Major Depressive Disorders & Other/Unspecified Psychoses, SOI-2

Major Depressive Disorders & Other/Unspecified Psychoses, SOI-3

Major Depressive Disorders & Other/Unspecified Psychoses, SOI-4

Disorders of Personality & Impulse Control, SOI-1

Disorders of Personality & Impulse Control, SOI-2

Disorders of Personality & Impulse Control, SOI-3

Disorders of Personality & Impulse Control, SOI-4

Bipolar Disorders, SOI-1

Bipolar Disorders, SOI-2

Bipolar Disorders, SOI-3

Bipolar Disorders, SOI-4

Depression Except Major Depressive Disorder, SOI-1

Depression Except Major Depressive Disorder, SOI-2

Depression Except Major Depressive Disorder, SOI-3

Depression Except Major Depressive Disorder, SOI-4

Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI-1

Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI-2

Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI-3

Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI-4

Acute Anxiety & Delirium States, SOI-1

Page 1 of 2

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

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

APR DRG Description

Acute Anxiety & Delirium States, SOI-2

Acute Anxiety & Delirium States, SOI-3

Acute Anxiety & Delirium States, SOI-4

Organic Mental Health Disturbances, SOI-1

Organic Mental Health Disturbances, SOI-2

Organic Mental Health Disturbances, SOI-3

Organic Mental Health Disturbances, SOI-4

Childhood Behavioral Disorders, SOI-1

Childhood Behavioral Disorders, SOI-2

Childhood Behavioral Disorders, SOI-3

Childhood Behavioral Disorders, SOI-4

Eating Disorders, SOI-1

Eating Disorders, SOI-2

Eating Disorders, SOI-3

Eating Disorders, SOI-4

Other Mental Health Disorders, SOI-1

Other Mental Health Disorders, SOI-2

Other Mental Health Disorders, SOI-3

Other Mental Health Disorders, SOI-4

Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI-1

Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI-2

Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI-3

Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI-4

Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI-1

Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI-2

Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI-3

Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI-4

Opioid Abuse & Dependence, SOI-1

Opioid Abuse & Dependence, SOI-2

Opioid Abuse & Dependence, SOI-3

Opioid Abuse & Dependence, SOI-4

Cocaine Abuse & Dependence, SOI-1

Cocaine Abuse & Dependence, SOI-2

Cocaine Abuse & Dependence, SOI-3

Cocaine Abuse & Dependence, SOI-4

Alcohol Abuse & Dependence, SOI-1

Alcohol Abuse & Dependence, SOI-2

Alcohol Abuse & Dependence, SOI-3

Alcohol Abuse & Dependence, SOI-4

Other Drug Abuse & Dependence, SOI-1

Other Drug Abuse & Dependence, SOI-2

Other Drug Abuse & Dependence, SOI-3

Other Drug Abuse & Dependence, SOI-4

Page 2 of 2

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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