state fiscal year 2022 all patient refined diagnosis
TRANSCRIPT
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
001 1 0011 LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT 8.4410 9.3 19
001 2 0012 LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT 8.7703 10.9 24
001 3 0013 LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT 11.4183 12.6 28
001 4 0014 LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT 22.1618 32.7 79
002 1 0021 HEART AND/OR LUNG TRANSPLANT 9.4815 12.9 25
002 2 0022 HEART AND/OR LUNG TRANSPLANT 12.2410 13.5 36
002 3 0023 HEART AND/OR LUNG TRANSPLANT 15.2378 14.1 129
002 4 0024 HEART AND/OR LUNG TRANSPLANT 61.8669 71.0 223
004 1 0041 TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE 8.8351 17.9 42
004 2 0042 TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE 10.7665 24.1 61
004 3 0043 TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE 16.4669 41.4 92
004 4 0044 TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE 25.6116 56.1 127
005 1 0051 TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE 8.8521 16.8 38
005 2 0052 TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE 10.8365 30.5 54
005 3 0053 TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE 11.8662 31.8 71
005 4 0054 TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE 16.4725 44.5 101
006 1 0061 PANCREAS TRANSPLANT 11.7049 8.2 12
006 2 0062 PANCREAS TRANSPLANT 11.8580 9.3 14
006 3 0063 PANCREAS TRANSPLANT 13.1102 10.4 20
006 4 0064 PANCREAS TRANSPLANT 20.2869 26.7 74
007 1 0071 ALLOGENEIC BONE MARROW TRANSPLANT 11.5023 22.4 39
007 2 0072 ALLOGENEIC BONE MARROW TRANSPLANT 17.5170 32.7 56
007 3 0073 ALLOGENEIC BONE MARROW TRANSPLANT 26.0713 41.7 74
007 4 0074 ALLOGENEIC BONE MARROW TRANSPLANT 73.8853 84.9 223
008 1 0081 AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY 6.5049 12.9 31
008 2 0082 AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY 7.7665 14.3 34
008 3 0083 AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY 14.9197 15.8 39
008 4 0084 AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY 22.0730 24.7 44
009 1 0091 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 13.7055 5.8 21
009 2 0092 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 14.1323 8.6 22
009 3 0093 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 21.4876 11.3 37
009 4 0094 EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) 43.7364 35.8 108
020 1 0201 OPEN CRANIOTOMY FOR TRAUMA 2.6314 4.5 11
020 2 0202 OPEN CRANIOTOMY FOR TRAUMA 3.1437 6.4 15
020 3 0203 OPEN CRANIOTOMY FOR TRAUMA 5.6034 13.0 34
020 4 0204 OPEN CRANIOTOMY FOR TRAUMA 8.9127 18.7 49
021 1 0211 OPEN CRANIOTOMY EXCEPT TRAUMA 2.8405 4.9 13
021 2 0212 OPEN CRANIOTOMY EXCEPT TRAUMA 3.8593 6.8 17
021 3 0213 OPEN CRANIOTOMY EXCEPT TRAUMA 6.0724 14.2 38
021 4 0214 OPEN CRANIOTOMY EXCEPT TRAUMA 10.6101 24.0 61
022 1 0221 VENTRICULAR SHUNT PROCEDURES 1.5875 2.2 6
022 2 0222 VENTRICULAR SHUNT PROCEDURES 1.9519 3.2 8
022 3 0223 VENTRICULAR SHUNT PROCEDURES 2.9085 5.3 18
022 4 0224 VENTRICULAR SHUNT PROCEDURES 10.5301 23.4 69
023 1 0231 SPINAL PROCEDURES 2.0080 3.0 7
023 2 0232 SPINAL PROCEDURES 2.9197 6.2 20
023 3 0233 SPINAL PROCEDURES 5.9477 13.9 36
023 4 0234 SPINAL PROCEDURES 12.2171 18.8 53
024 1 0241 OPEN EXTRACRANIAL VASCULAR PROCEDURES 1.1476 1.3 2
024 2 0242 OPEN EXTRACRANIAL VASCULAR PROCEDURES 1.7477 3.2 9
024 3 0243 OPEN EXTRACRANIAL VASCULAR PROCEDURES 3.1285 8.6 18
024 4 0244 OPEN EXTRACRANIAL VASCULAR PROCEDURES 6.0195 13.6 34
026 1 0261 OTHER NERVOUS SYSTEM AND RELATED PROCEDURES 1.7480 2.5 6
026 2 0262 OTHER NERVOUS SYSTEM AND RELATED PROCEDURES 2.8280 5.6 16
026 3 0263 OTHER NERVOUS SYSTEM AND RELATED PROCEDURES 4.2835 8.8 25
026 4 0264 OTHER NERVOUS SYSTEM AND RELATED PROCEDURES 11.3979 21.8 78
027 1 0271 OTHER OPEN CRANIOTOMY 2.3813 3.0 7
027 2 0272 OTHER OPEN CRANIOTOMY 3.9612 3.0 8
027 3 0273 OTHER OPEN CRANIOTOMY 5.5411 12.5 37
027 4 0274 OTHER OPEN CRANIOTOMY 6.1104 19.3 42
029 1 0291 OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES 4.0806 5.4 14
029 2 0292 OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES 4.3200 6.8 20
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
Prepared by HHSC Hospital Provider Finance 1 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
029 3 0293 OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES 5.8467 9.0 22
029 4 0294 OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES 6.6344 14.7 40
030 1 0301 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES 2.6882 2.8 9
030 2 0302 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES 3.5422 5.6 16
030 3 0303 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES 4.8092 9.6 23
030 4 0304 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES 6.7365 10.9 29
040 1 0401 SPINAL DISORDERS AND INJURIES 1.3627 6.3 19
040 2 0402 SPINAL DISORDERS AND INJURIES 2.9387 15.0 30
040 3 0403 SPINAL DISORDERS AND INJURIES 3.8043 16.6 40
040 4 0404 SPINAL DISORDERS AND INJURIES 5.8683 21.8 54
041 1 0411 NERVOUS SYSTEM MALIGNANCY 1.0162 2.5 6
041 2 0412 NERVOUS SYSTEM MALIGNANCY 1.0926 4.5 12
041 3 0413 NERVOUS SYSTEM MALIGNANCY 1.5022 5.6 16
041 4 0414 NERVOUS SYSTEM MALIGNANCY 2.5785 9.4 26
042 1 0421 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS 0.9362 4.2 13
042 2 0422 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS 1.2956 6.7 21
042 3 0423 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS 2.0361 8.3 23
042 4 0424 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS 5.0444 16.0 42
043 1 0431 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES 1.2412 4.0 9
043 2 0432 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES 1.8461 6.3 18
043 3 0433 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES 5.8881 14.6 37
043 4 0434 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES 14.1482 43.6 190
044 1 0441 INTRACRANIAL HEMORRHAGE 1.0936 4.6 11
044 2 0442 INTRACRANIAL HEMORRHAGE 1.7633 6.4 15
044 3 0443 INTRACRANIAL HEMORRHAGE 2.1659 8.4 25
044 4 0444 INTRACRANIAL HEMORRHAGE 3.4013 9.5 30
045 1 0451 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION 1.0268 2.6 6
045 2 0452 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION 1.3596 4.3 11
045 3 0453 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION 2.0211 7.7 20
045 4 0454 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION 3.6098 11.9 30
046 1 0461 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION 1.1210 2.4 4
046 2 0462 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION 1.1302 4.8 12
046 3 0463 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION 1.7989 5.6 17
046 4 0464 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION 2.3910 5.8 24
047 1 0471 TRANSIENT ISCHEMIA 0.8169 2.1 4
047 2 0472 TRANSIENT ISCHEMIA 1.0273 2.8 7
047 3 0473 TRANSIENT ISCHEMIA 1.3287 3.9 9
047 4 0474 TRANSIENT ISCHEMIA 2.4357 7.7 21
048 1 0481 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS 0.7930 2.7 6
048 2 0482 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS 0.8247 3.4 7
048 3 0483 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS 1.1517 4.9 13
048 4 0484 PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS 4.9093 12.8 28
049 1 0491 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 1.4606 8.9 19
049 2 0492 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 2.9320 9.4 24
049 3 0493 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 3.0998 12.0 28
049 4 0494 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 6.3278 19.4 49
050 1 0501 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS 0.7829 3.4 8
050 2 0502 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS 2.6567 7.6 21
050 3 0503 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS 4.1223 13.0 34
050 4 0504 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS 8.1025 18.5 50
051 1 0511 VIRAL MENINGITIS 0.5371 2.2 5
051 2 0512 VIRAL MENINGITIS 0.8745 3.4 8
051 3 0513 VIRAL MENINGITIS 1.2617 5.1 12
051 4 0514 VIRAL MENINGITIS 3.7535 10.3 27
052 1 0521 ALTERATION IN CONSCIOUSNESS 0.7526 2.8 5
052 2 0522 ALTERATION IN CONSCIOUSNESS 0.9667 3.2 11
052 3 0523 ALTERATION IN CONSCIOUSNESS 1.2297 4.8 12
052 4 0524 ALTERATION IN CONSCIOUSNESS 3.3281 8.4 22
053 1 0531 SEIZURE 0.6287 2.1 4
053 2 0532 SEIZURE 0.8454 2.7 6
053 3 0533 SEIZURE 1.2236 3.3 8
053 4 0534 SEIZURE 2.8496 6.6 18
Prepared by HHSC Hospital Provider Finance 2 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
054 1 0541 MIGRAINE AND OTHER HEADACHES 0.7155 2.4 5
054 2 0542 MIGRAINE AND OTHER HEADACHES 0.8937 3.1 9
054 3 0543 MIGRAINE AND OTHER HEADACHES 1.1383 4.4 11
054 4 0544 MIGRAINE AND OTHER HEADACHES 2.5449 7.3 11
055 1 0551 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE 0.7703 1.9 4
055 2 0552 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE 1.3043 3.6 9
055 3 0553 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE 1.9618 6.2 17
055 4 0554 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE 3.5547 8.4 23
056 1 0561 BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA 0.9584 2.3 5
056 2 0562 BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA 1.3515 3.7 9
056 3 0563 BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA 2.0646 6.4 17
056 4 0564 BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA 3.9633 10.9 32
057 1 0571 CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA0.5794 1.4 3
057 2 0572 CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA1.0231 2.7 7
057 3 0573 CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA1.9543 4.7 12
057 4 0574 CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA4.8786 7.0 16
058 1 0581 OTHER DISORDERS OF NERVOUS SYSTEM 1.0560 3.8 11
058 2 0582 OTHER DISORDERS OF NERVOUS SYSTEM 1.4945 6.6 20
058 3 0583 OTHER DISORDERS OF NERVOUS SYSTEM 2.3947 10.5 30
058 4 0584 OTHER DISORDERS OF NERVOUS SYSTEM 4.8393 14.1 41
059 1 0591 ANOXIC AND OTHER SEVERE BRAIN DAMAGE 1.7155 3.1 5
059 2 0592 ANOXIC AND OTHER SEVERE BRAIN DAMAGE 2.1261 10.6 36
059 3 0593 ANOXIC AND OTHER SEVERE BRAIN DAMAGE 3.1973 12.4 46
059 4 0594 ANOXIC AND OTHER SEVERE BRAIN DAMAGE 5.5353 14.1 57
073 1 0731 ORBIT AND EYE PROCEDURES 1.3245 2.5 5
073 2 0732 ORBIT AND EYE PROCEDURES 1.8041 3.5 8
073 3 0733 ORBIT AND EYE PROCEDURES 2.5845 7.7 19
073 4 0734 ORBIT AND EYE PROCEDURES 6.6211 16.5 50
082 1 0821 EYE INFECTIONS AND OTHER EYE DISORDERS 0.5895 2.6 6
082 2 0822 EYE INFECTIONS AND OTHER EYE DISORDERS 1.1301 3.9 11
082 3 0823 EYE INFECTIONS AND OTHER EYE DISORDERS 2.0195 5.6 17
082 4 0824 EYE INFECTIONS AND OTHER EYE DISORDERS 3.5092 11.7 53
089 1 0891 MAJOR CRANIAL OR FACIAL BONE PROCEDURES 2.6732 2.5 5
089 2 0892 MAJOR CRANIAL OR FACIAL BONE PROCEDURES 2.8864 3.4 7
089 3 0893 MAJOR CRANIAL OR FACIAL BONE PROCEDURES 5.2721 6.7 19
089 4 0894 MAJOR CRANIAL OR FACIAL BONE PROCEDURES 9.9065 28.3 69
091 1 0911 OTHER MAJOR HEAD AND NECK PROCEDURES 1.3569 4.3 13
091 2 0912 OTHER MAJOR HEAD AND NECK PROCEDURES 2.9247 5.1 25
091 3 0913 OTHER MAJOR HEAD AND NECK PROCEDURES 6.4607 14.3 37
091 4 0914 OTHER MAJOR HEAD AND NECK PROCEDURES 9.0046 18.2 49
092 1 0921 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES 2.0336 2.0 4
092 2 0922 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES 2.3874 3.4 9
092 3 0923 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES 7.3586 14.0 28
092 4 0924 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES 7.6292 17.3 47
095 1 0951 CLEFT LIP AND PALATE REPAIR 1.1584 1.5 3
095 2 0952 CLEFT LIP AND PALATE REPAIR 1.6883 1.7 4
095 3 0953 CLEFT LIP AND PALATE REPAIR 2.3851 4.3 10
095 4 0954 CLEFT LIP AND PALATE REPAIR 4.7278 8.3 30
097 1 0971 TONSIL AND ADENOID PROCEDURES 0.9005 1.9 5
097 2 0972 TONSIL AND ADENOID PROCEDURES 1.2706 2.1 5
097 3 0973 TONSIL AND ADENOID PROCEDURES 1.6984 3.1 8
097 4 0974 TONSIL AND ADENOID PROCEDURES 3.9201 7.6 18
098 1 0981 OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES 1.4192 2.6 6
098 2 0982 OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES 2.0030 4.3 12
098 3 0983 OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES 3.4626 9.0 23
098 4 0984 OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES 6.4375 15.5 46
110 1 1101 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES 0.8574 3.5 8
110 2 1102 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES 1.3732 4.2 10
110 3 1103 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES 1.4770 6.3 14
110 4 1104 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES 2.7240 11.5 31
111 1 1111 VERTIGO AND OTHER LABYRINTH DISORDERS 0.6390 1.9 4
111 2 1112 VERTIGO AND OTHER LABYRINTH DISORDERS 0.8754 2.9 8
Prepared by HHSC Hospital Provider Finance 3 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
111 3 1113 VERTIGO AND OTHER LABYRINTH DISORDERS 1.0361 5.0 15
111 4 1114 VERTIGO AND OTHER LABYRINTH DISORDERS 1.7116 6.1 19
113 1 1131 INFECTIONS OF UPPER RESPIRATORY TRACT 0.3813 1.9 4
113 2 1132 INFECTIONS OF UPPER RESPIRATORY TRACT 0.5781 2.5 6
113 3 1133 INFECTIONS OF UPPER RESPIRATORY TRACT 1.7215 4.0 11
113 4 1134 INFECTIONS OF UPPER RESPIRATORY TRACT 2.7835 6.2 17
114 1 1141 DENTAL DISEASES AND DISORDERS 0.5950 2.4 5
114 2 1142 DENTAL DISEASES AND DISORDERS 0.7296 2.8 6
114 3 1143 DENTAL DISEASES AND DISORDERS 1.0674 3.8 8
114 4 1144 DENTAL DISEASES AND DISORDERS 3.5147 11.9 32
115 1 1151 OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES 0.5889 2.2 5
115 2 1152 OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES 1.0525 3.3 10
115 3 1153 OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES 2.0520 5.1 16
115 4 1154 OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES 3.7722 9.3 26
120 1 1201 MAJOR RESPIRATORY AND CHEST PROCEDURES 2.3629 3.7 8
120 2 1202 MAJOR RESPIRATORY AND CHEST PROCEDURES 2.4172 4.1 9
120 3 1203 MAJOR RESPIRATORY AND CHEST PROCEDURES 3.4084 10.1 23
120 4 1204 MAJOR RESPIRATORY AND CHEST PROCEDURES 10.0521 20.4 52
121 1 1211 OTHER RESPIRATORY AND CHEST PROCEDURES 1.7751 3.8 9
121 2 1212 OTHER RESPIRATORY AND CHEST PROCEDURES 2.4732 6.4 16
121 3 1213 OTHER RESPIRATORY AND CHEST PROCEDURES 5.0736 13.5 34
121 4 1214 OTHER RESPIRATORY AND CHEST PROCEDURES 9.3812 20.6 54
130 1 1301 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS 5.0269 13.7 25
130 2 1302 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS 5.8715 14.3 30
130 3 1303 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS 6.7160 15.0 35
130 4 1304 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS 9.8909 18.9 45
131 1 1311 CYSTIC FIBROSIS - PULMONARY DISEASE 1.6435 6.1 15
131 2 1312 CYSTIC FIBROSIS - PULMONARY DISEASE 2.8788 8.8 19
131 3 1313 CYSTIC FIBROSIS - PULMONARY DISEASE 3.8912 10.7 21
131 4 1314 CYSTIC FIBROSIS - PULMONARY DISEASE 5.2307 12.9 27
132 1 1321 BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 0.5956 2.6 4
132 2 1322 BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1.1231 4.1 11
132 3 1323 BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 1.9045 5.2 13
132 4 1324 BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD 3.1848 6.7 20
133 1 1331 RESPIRATORY FAILURE 0.6598 3.4 10
133 2 1332 RESPIRATORY FAILURE 1.0281 4.4 12
133 3 1333 RESPIRATORY FAILURE 1.9419 5.4 14
133 4 1334 RESPIRATORY FAILURE 2.8200 6.7 18
134 1 1341 PULMONARY EMBOLISM 0.8836 2.8 6
134 2 1342 PULMONARY EMBOLISM 1.0203 3.3 7
134 3 1343 PULMONARY EMBOLISM 1.5245 5.2 11
134 4 1344 PULMONARY EMBOLISM 3.0153 8.6 21
135 1 1351 MAJOR CHEST AND RESPIRATORY TRAUMA 0.9478 2.9 7
135 2 1352 MAJOR CHEST AND RESPIRATORY TRAUMA 1.2555 3.6 8
135 3 1353 MAJOR CHEST AND RESPIRATORY TRAUMA 1.5013 5.5 14
135 4 1354 MAJOR CHEST AND RESPIRATORY TRAUMA 2.4700 6.0 15
136 1 1361 RESPIRATORY MALIGNANCY 1.1302 3.9 8
136 2 1362 RESPIRATORY MALIGNANCY 1.5030 4.9 11
136 3 1363 RESPIRATORY MALIGNANCY 2.1258 7.8 19
136 4 1364 RESPIRATORY MALIGNANCY 3.0253 9.4 22
137 1 1371 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS 0.8046 3.6 8
137 2 1372 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS 1.1536 4.8 12
137 3 1373 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS 1.6843 6.1 14
137 4 1374 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS 3.1115 8.2 20
138 1 1381 BRONCHIOLITIS AND RSV PNEUMONIA 0.4130 2.5 5
138 2 1382 BRONCHIOLITIS AND RSV PNEUMONIA 0.5758 3.2 7
138 3 1383 BRONCHIOLITIS AND RSV PNEUMONIA 0.9835 4.2 10
138 4 1384 BRONCHIOLITIS AND RSV PNEUMONIA 2.1984 6.8 16
139 1 1391 OTHER PNEUMONIA 0.4935 2.5 5
139 2 1392 OTHER PNEUMONIA 0.7668 3.1 7
139 3 1393 OTHER PNEUMONIA 1.2124 4.9 12
139 4 1394 OTHER PNEUMONIA 2.0811 6.5 16
Prepared by HHSC Hospital Provider Finance 4 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
140 1 1401 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0.7562 2.7 6
140 2 1402 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0.8769 3.2 7
140 3 1403 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1.0283 4.0 9
140 4 1404 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1.5090 5.2 11
141 1 1411 ASTHMA 0.4785 1.9 4
141 2 1412 ASTHMA 0.6993 2.8 6
141 3 1413 ASTHMA 0.8861 3.1 7
141 4 1414 ASTHMA 1.8071 4.8 10
142 1 1421 INTERSTITIAL AND ALVEOLAR LUNG DISEASES 0.8445 2.6 5
142 2 1422 INTERSTITIAL AND ALVEOLAR LUNG DISEASES 1.3350 3.7 9
142 3 1423 INTERSTITIAL AND ALVEOLAR LUNG DISEASES 1.3556 4.9 11
142 4 1424 INTERSTITIAL AND ALVEOLAR LUNG DISEASES 1.7025 6.1 13
143 1 1431 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 0.6312 2.6 6
143 2 1432 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 0.9106 3.6 9
143 3 1433 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 1.4129 5.2 14
143 4 1434 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 2.2355 7.3 21
144 1 1441 RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 0.5572 2.2 5
144 2 1442 RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 0.8933 3.3 8
144 3 1443 RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 1.7674 5.9 9
144 4 1444 RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES 2.2313 8.5 10
145 1 1451 ACUTE BRONCHITIS AND RELATED SYMPTOMS 0.4028 2.2 4
145 2 1452 ACUTE BRONCHITIS AND RELATED SYMPTOMS 0.7466 3.0 6
145 3 1453 ACUTE BRONCHITIS AND RELATED SYMPTOMS 1.2480 3.7 8
145 4 1454 ACUTE BRONCHITIS AND RELATED SYMPTOMS 1.8723 4.4 11
160 1 1601 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY 4.9930 6.1 10
160 2 1602 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY 6.3625 7.4 15
160 3 1603 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY 9.1570 10.6 26
160 4 1604 MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY 21.6687 27.5 83
161 1 1611 IMPLANTABLE HEART ASSIST SYSTEMS 16.5891 8.0 19
161 2 1612 IMPLANTABLE HEART ASSIST SYSTEMS 17.4915 16.4 31
161 3 1613 IMPLANTABLE HEART ASSIST SYSTEMS 24.3328 29.2 64
161 4 1614 IMPLANTABLE HEART ASSIST SYSTEMS 46.6849 44.1 113
162 1 1621 CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS 7.0464 7.9 16
162 2 1622 CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS 7.9415 10.0 20
162 3 1623 CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS 10.6353 17.7 36
162 4 1624 CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS 18.9023 30.5 75
163 1 1631 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS 4.4956 5.3 10
163 2 1632 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS 5.5856 7.9 17
163 3 1633 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS 7.5449 11.2 26
163 4 1634 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS 11.2656 15.2 35
165 1 1651 CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS 4.5148 8.3 16
165 2 1652 CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS 5.2835 9.7 17
165 3 1653 CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS 6.4062 12.5 21
165 4 1654 CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS 9.7436 18.0 38
166 1 1661 CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS 3.7891 6.3 11
166 2 1662 CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS 4.1840 7.3 12
166 3 1663 CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS 5.3543 10.3 19
166 4 1664 CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS 7.5300 14.3 32
167 1 1671 OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES 4.0114 4.2 6
167 2 1672 OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES 4.8826 6.1 13
167 3 1673 OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES 6.2396 8.6 23
167 4 1674 OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES 14.3644 21.1 63
169 1 1691 MAJOR ABDOMINAL VASCULAR PROCEDURES 3.6636 3.5 8
169 2 1692 MAJOR ABDOMINAL VASCULAR PROCEDURES 3.6667 6.5 15
169 3 1693 MAJOR ABDOMINAL VASCULAR PROCEDURES 5.1995 8.6 19
169 4 1694 MAJOR ABDOMINAL VASCULAR PROCEDURES 10.0931 14.7 35
170 1 1701 PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK 2.9119 5.1 11
170 2 1702 PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK 3.3403 6.7 15
170 3 1703 PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK 4.0937 9.0 20
170 4 1704 PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK 6.2902 14.4 34
171 1 1711 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK 1.7070 2.2 4
171 2 1712 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK 2.0675 3.5 7
Prepared by HHSC Hospital Provider Finance 5 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
171 3 1713 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK 2.9583 6.7 15
171 4 1714 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK 7.1244 11.0 27
174 1 1741 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI 2.2053 2.4 4
174 2 1742 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI 2.5767 3.1 6
174 3 1743 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI 2.9939 4.9 11
174 4 1744 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI 4.8941 7.9 19
175 1 1751 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI 2.4581 2.3 5
175 2 1752 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI 2.8996 3.2 7
175 3 1753 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI 3.9289 5.9 15
175 4 1754 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI 6.4504 12.0 33
176 1 1761 INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES 1.4754 2.9 7
176 2 1762 INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES 1.7984 4.5 11
176 3 1763 INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES 4.0821 6.1 14
176 4 1764 INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES 7.3152 11.4 20
177 1 1771 CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 1.4361 3.5 8
177 2 1772 CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 2.4738 5.2 12
177 3 1773 CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 3.5114 6.9 17
177 4 1774 CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT 5.0075 10.8 28
178 1 1781 EXTERNAL HEART ASSIST SYSTEMS 7.3850 2.6 7
178 2 1782 EXTERNAL HEART ASSIST SYSTEMS 8.0562 5.1 13
178 3 1783 EXTERNAL HEART ASSIST SYSTEMS 9.3866 11.0 26
178 4 1784 EXTERNAL HEART ASSIST SYSTEMS 14.6678 16.2 39
179 1 1791 DEFIBRILLATOR IMPLANTS 3.4971 4.0 9
179 2 1792 DEFIBRILLATOR IMPLANTS 4.6812 5.2 11
179 3 1793 DEFIBRILLATOR IMPLANTS 5.5263 6.9 14
179 4 1794 DEFIBRILLATOR IMPLANTS 7.2071 13.5 27
180 1 1801 OTHER CIRCULATORY SYSTEM PROCEDURES 6.0151 3.2 7
180 2 1802 OTHER CIRCULATORY SYSTEM PROCEDURES 5.1561 5.3 13
180 3 1803 OTHER CIRCULATORY SYSTEM PROCEDURES 4.2971 9.2 21
180 4 1804 OTHER CIRCULATORY SYSTEM PROCEDURES 6.6394 15.6 37
181 1 1811 LOWER EXTREMITY ARTERIAL PROCEDURES 1.8398 3.2 7
181 2 1812 LOWER EXTREMITY ARTERIAL PROCEDURES 2.7921 6.4 15
181 3 1813 LOWER EXTREMITY ARTERIAL PROCEDURES 4.6001 11.4 25
181 4 1814 LOWER EXTREMITY ARTERIAL PROCEDURES 8.7667 19.5 41
182 1 1821 OTHER PERIPHERAL VASCULAR PROCEDURES 2.0628 2.8 7
182 2 1822 OTHER PERIPHERAL VASCULAR PROCEDURES 2.8866 5.0 12
182 3 1823 OTHER PERIPHERAL VASCULAR PROCEDURES 3.8245 7.9 21
182 4 1824 OTHER PERIPHERAL VASCULAR PROCEDURES 11.2723 20.5 69
183 1 1831 PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES 5.1071 2.4 5
183 2 1832 PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES 5.3687 3.9 11
183 3 1833 PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES 8.2696 11.2 26
183 4 1834 PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES 8.4778 17.7 46
190 1 1901 ACUTE MYOCARDIAL INFARCTION 0.9893 2.2 5
190 2 1902 ACUTE MYOCARDIAL INFARCTION 1.0640 3.0 6
190 3 1903 ACUTE MYOCARDIAL INFARCTION 1.4113 4.4 10
190 4 1904 ACUTE MYOCARDIAL INFARCTION 2.4904 6.6 17
191 1 1911 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 1.0854 2.3 5
191 2 1912 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 1.2942 3.0 6
191 3 1913 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 1.7957 4.6 9
191 4 1914 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE 2.2404 6.4 11
192 1 1921 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 1.5448 2.8 7
192 2 1922 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 1.6617 4.6 10
192 3 1923 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 2.8390 7.7 19
192 4 1924 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS 4.5920 11.7 28
193 1 1931 ACUTE AND SUBACUTE ENDOCARDITIS 2.1202 7.0 23
193 2 1932 ACUTE AND SUBACUTE ENDOCARDITIS 2.7164 18.8 43
193 3 1933 ACUTE AND SUBACUTE ENDOCARDITIS 4.5398 19.6 49
193 4 1934 ACUTE AND SUBACUTE ENDOCARDITIS 5.4126 20.3 53
194 1 1941 HEART FAILURE 0.6534 2.8 6
194 2 1942 HEART FAILURE 0.8619 3.7 8
194 3 1943 HEART FAILURE 1.3200 5.2 12
194 4 1944 HEART FAILURE 3.2683 9.0 23
Prepared by HHSC Hospital Provider Finance 6 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
196 1 1961 CARDIAC ARREST AND SHOCK 0.6548 2.2 5
196 2 1962 CARDIAC ARREST AND SHOCK 0.8648 2.9 7
196 3 1963 CARDIAC ARREST AND SHOCK 1.2561 3.3 9
196 4 1964 CARDIAC ARREST AND SHOCK 2.6928 4.5 13
197 1 1971 PERIPHERAL AND OTHER VASCULAR DISORDERS 0.7439 3.0 7
197 2 1972 PERIPHERAL AND OTHER VASCULAR DISORDERS 1.0550 3.9 9
197 3 1973 PERIPHERAL AND OTHER VASCULAR DISORDERS 1.3957 5.5 14
197 4 1974 PERIPHERAL AND OTHER VASCULAR DISORDERS 3.0420 8.8 23
198 1 1981 ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS 0.6209 1.8 4
198 2 1982 ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS 0.7920 2.4 5
198 3 1983 ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS 0.9689 3.4 8
198 4 1984 ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS 1.6426 5.2 18
199 1 1991 HYPERTENSION 0.7375 2.2 5
199 2 1992 HYPERTENSION 0.8010 2.8 6
199 3 1993 HYPERTENSION 1.1659 4.1 10
199 4 1994 HYPERTENSION 2.1487 7.0 21
200 1 2001 CARDIAC STRUCTURAL AND VALVULAR DISORDERS 1.5152 3.8 13
200 2 2002 CARDIAC STRUCTURAL AND VALVULAR DISORDERS 2.5317 5.8 19
200 3 2003 CARDIAC STRUCTURAL AND VALVULAR DISORDERS 3.5482 7.9 24
200 4 2004 CARDIAC STRUCTURAL AND VALVULAR DISORDERS 28.2772 44.7 160
201 1 2011 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 0.6063 2.2 5
201 2 2012 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 0.7700 2.8 6
201 3 2013 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 1.1876 4.6 11
201 4 2014 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS 1.9648 6.1 15
203 1 2031 CHEST PAIN 0.5957 1.8 4
203 2 2032 CHEST PAIN 0.7214 2.2 5
203 3 2033 CHEST PAIN 0.7934 2.9 7
203 4 2034 CHEST PAIN 1.6157 5.5 16
204 1 2041 SYNCOPE AND COLLAPSE 0.6443 2.1 5
204 2 2042 SYNCOPE AND COLLAPSE 0.8526 2.8 6
204 3 2043 SYNCOPE AND COLLAPSE 0.9375 3.0 19
204 4 2044 SYNCOPE AND COLLAPSE 3.1233 12.8 32
205 1 2051 CARDIOMYOPATHY 0.6996 2.9 7
205 2 2052 CARDIOMYOPATHY 0.9255 3.4 8
205 3 2053 CARDIOMYOPATHY 1.1786 4.4 9
205 4 2054 CARDIOMYOPATHY 11.0472 13.7 53
206 1 2061 MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE 0.8895 2.8 6
206 2 2062 MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE 1.0416 3.4 8
206 3 2063 MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE 2.1701 5.8 15
206 4 2064 MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE 4.7975 10.4 25
207 1 2071 OTHER CIRCULATORY SYSTEM DIAGNOSES 0.7967 2.3 5
207 2 2072 OTHER CIRCULATORY SYSTEM DIAGNOSES 1.0391 3.3 8
207 3 2073 OTHER CIRCULATORY SYSTEM DIAGNOSES 1.4837 4.6 12
207 4 2074 OTHER CIRCULATORY SYSTEM DIAGNOSES 5.4597 11.1 31
220 1 2201 MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 1.9159 3.3 8
220 2 2202 MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 2.3399 7.2 17
220 3 2203 MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 4.5998 11.7 29
220 4 2204 MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 12.4980 27.2 69
222 1 2221 OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 0.9638 2.3 5
222 2 2222 OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 1.9103 5.7 12
222 3 2223 OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 4.1887 8.9 25
222 4 2224 OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 5.9439 14.0 34
223 1 2231 OTHER SMALL AND LARGE BOWEL PROCEDURES 1.3628 4.3 10
223 2 2232 OTHER SMALL AND LARGE BOWEL PROCEDURES 1.7216 5.7 12
223 3 2233 OTHER SMALL AND LARGE BOWEL PROCEDURES 2.3681 7.5 16
223 4 2234 OTHER SMALL AND LARGE BOWEL PROCEDURES 7.8499 19.4 40
224 1 2241 PERITONEAL ADHESIOLYSIS 1.5034 4.1 8
224 2 2242 PERITONEAL ADHESIOLYSIS 2.1896 7.2 17
224 3 2243 PERITONEAL ADHESIOLYSIS 3.3309 10.6 19
224 4 2244 PERITONEAL ADHESIOLYSIS 9.1424 21.5 43
226 1 2261 ANAL PROCEDURES 1.1420 3.4 7
226 2 2262 ANAL PROCEDURES 1.6274 5.3 14
Prepared by HHSC Hospital Provider Finance 7 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
226 3 2263 ANAL PROCEDURES 1.8859 8.4 29
226 4 2264 ANAL PROCEDURES 5.5074 16.3 41
227 1 2271 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL 1.4574 3.1 7
227 2 2272 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL 1.8810 4.8 10
227 3 2273 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL 2.7718 7.6 19
227 4 2274 HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL 8.7399 23.2 67
228 1 2281 INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES 1.0234 2.2 5
228 2 2282 INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES 1.3816 3.4 8
228 3 2283 INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES 2.2903 6.0 14
228 4 2284 INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES 4.4040 12.1 43
229 1 2291 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES 1.3594 3.7 8
229 2 2292 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES 1.8857 4.9 11
229 3 2293 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES 3.8374 10.3 27
229 4 2294 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES 5.2594 12.3 35
230 1 2301 MAJOR SMALL BOWEL PROCEDURES 1.7808 4.6 10
230 2 2302 MAJOR SMALL BOWEL PROCEDURES 2.6105 7.1 16
230 3 2303 MAJOR SMALL BOWEL PROCEDURES 3.8870 11.5 27
230 4 2304 MAJOR SMALL BOWEL PROCEDURES 10.5718 29.8 82
231 1 2311 MAJOR LARGE BOWEL PROCEDURES 1.7300 4.2 9
231 2 2312 MAJOR LARGE BOWEL PROCEDURES 2.1961 6.0 13
231 3 2313 MAJOR LARGE BOWEL PROCEDURES 3.0816 10.3 22
231 4 2314 MAJOR LARGE BOWEL PROCEDURES 6.4130 16.6 36
232 1 2321 GASTRIC FUNDOPLICATION 1.0239 2.6 6
232 2 2322 GASTRIC FUNDOPLICATION 1.4046 6.5 19
232 3 2323 GASTRIC FUNDOPLICATION 2.0366 7.4 23
232 4 2324 GASTRIC FUNDOPLICATION 4.1377 14.0 32
233 1 2331 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 1.3672 4.1 8
233 2 2332 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 1.8911 5.3 11
233 3 2333 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 2.4303 6.9 16
233 4 2334 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS 6.8587 14.2 30
234 1 2341 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 0.9793 1.8 4
234 2 2342 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 1.2870 2.8 6
234 3 2343 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 1.6014 3.5 8
234 4 2344 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS 4.2760 11.2 32
240 1 2401 DIGESTIVE MALIGNANCY 1.0463 3.7 9
240 2 2402 DIGESTIVE MALIGNANCY 1.1987 4.4 10
240 3 2403 DIGESTIVE MALIGNANCY 1.6817 6.8 17
240 4 2404 DIGESTIVE MALIGNANCY 2.8294 10.6 28
241 1 2411 PEPTIC ULCER AND GASTRITIS 0.8476 2.6 5
241 2 2412 PEPTIC ULCER AND GASTRITIS 0.9921 3.5 8
241 3 2413 PEPTIC ULCER AND GASTRITIS 1.6235 4.6 10
241 4 2414 PEPTIC ULCER AND GASTRITIS 3.9447 9.8 23
242 1 2421 MAJOR ESOPHAGEAL DISORDERS 0.8672 2.5 4
242 2 2422 MAJOR ESOPHAGEAL DISORDERS 0.9336 3.3 7
242 3 2423 MAJOR ESOPHAGEAL DISORDERS 1.4962 4.7 11
242 4 2424 MAJOR ESOPHAGEAL DISORDERS 3.4548 8.8 23
243 1 2431 OTHER ESOPHAGEAL DISORDERS 0.6045 2.5 5
243 2 2432 OTHER ESOPHAGEAL DISORDERS 0.9143 3.4 8
243 3 2433 OTHER ESOPHAGEAL DISORDERS 1.4215 5.2 13
243 4 2434 OTHER ESOPHAGEAL DISORDERS 2.8700 9.1 21
244 1 2441 DIVERTICULITIS AND DIVERTICULOSIS 0.7124 2.9 6
244 2 2442 DIVERTICULITIS AND DIVERTICULOSIS 0.8989 3.6 8
244 3 2443 DIVERTICULITIS AND DIVERTICULOSIS 1.2004 4.6 9
244 4 2444 DIVERTICULITIS AND DIVERTICULOSIS 3.9911 18.2 58
245 1 2451 INFLAMMATORY BOWEL DISEASE 0.8837 3.2 6
245 2 2452 INFLAMMATORY BOWEL DISEASE 1.2456 4.3 10
245 3 2453 INFLAMMATORY BOWEL DISEASE 1.7344 5.6 14
245 4 2454 INFLAMMATORY BOWEL DISEASE 5.7080 21.5 62
246 1 2461 GASTROINTESTINAL VASCULAR INSUFFICIENCY 1.5580 3.5 9
246 2 2462 GASTROINTESTINAL VASCULAR INSUFFICIENCY 1.7484 4.8 11
246 3 2463 GASTROINTESTINAL VASCULAR INSUFFICIENCY 1.9387 8.7 22
246 4 2464 GASTROINTESTINAL VASCULAR INSUFFICIENCY 21.0126 37.1 168
Prepared by HHSC Hospital Provider Finance 8 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
247 1 2471 INTESTINAL OBSTRUCTION 0.5547 2.5 5
247 2 2472 INTESTINAL OBSTRUCTION 0.7779 3.3 7
247 3 2473 INTESTINAL OBSTRUCTION 1.2616 5.1 12
247 4 2474 INTESTINAL OBSTRUCTION 2.7082 10.2 23
248 1 2481 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS 0.4453 2.6 5
248 2 2482 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS 0.9691 4.1 9
248 3 2483 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS 1.3720 5.5 13
248 4 2484 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS 4.5807 14.5 43
249 1 2491 OTHER GASTROENTERITIS, NAUSEA AND VOMITING 0.4146 2.1 4
249 2 2492 OTHER GASTROENTERITIS, NAUSEA AND VOMITING 0.6503 2.7 6
249 3 2493 OTHER GASTROENTERITIS, NAUSEA AND VOMITING 1.1168 4.4 11
249 4 2494 OTHER GASTROENTERITIS, NAUSEA AND VOMITING 3.3401 8.5 24
251 1 2511 ABDOMINAL PAIN 0.5682 2.1 5
251 2 2512 ABDOMINAL PAIN 0.8177 2.7 6
251 3 2513 ABDOMINAL PAIN 1.1116 4.3 11
251 4 2514 ABDOMINAL PAIN 2.3226 8.5 23
252 1 2521 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE 0.7864 3.1 7
252 2 2522 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE 0.9262 3.5 9
252 3 2523 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE 1.3665 5.0 13
252 4 2524 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE 4.7922 12.0 36
253 1 2531 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 0.6900 2.5 6
253 2 2532 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 0.9370 3.2 7
253 3 2533 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 1.2842 4.5 10
253 4 2534 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE 2.1758 6.3 16
254 1 2541 OTHER DIGESTIVE SYSTEM DIAGNOSES 0.6446 2.5 6
254 2 2542 OTHER DIGESTIVE SYSTEM DIAGNOSES 1.0697 3.8 9
254 3 2543 OTHER DIGESTIVE SYSTEM DIAGNOSES 1.7414 5.9 16
254 4 2544 OTHER DIGESTIVE SYSTEM DIAGNOSES 3.8488 10.6 30
260 1 2601 MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES 2.6683 4.9 10
260 2 2602 MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES 2.9076 6.4 11
260 3 2603 MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES 4.3619 11.8 28
260 4 2604 MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES 9.4978 17.0 56
261 1 2611 MAJOR BILIARY TRACT PROCEDURES 1.8729 4.8 12
261 2 2612 MAJOR BILIARY TRACT PROCEDURES 2.7347 7.1 15
261 3 2613 MAJOR BILIARY TRACT PROCEDURES 5.5149 16.2 39
261 4 2614 MAJOR BILIARY TRACT PROCEDURES 8.3433 22.4 54
263 1 2631 CHOLECYSTECTOMY 1.2625 2.5 5
263 2 2632 CHOLECYSTECTOMY 1.5677 3.6 7
263 3 2633 CHOLECYSTECTOMY 1.9988 5.3 11
263 4 2634 CHOLECYSTECTOMY 5.5235 17.9 40
264 1 2641 OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES 2.3857 5.6 14
264 2 2642 OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES 3.0482 8.4 20
264 3 2643 OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES 3.7106 11.2 27
264 4 2644 OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES 7.0692 13.4 34
279 1 2791 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS 0.5960 2.6 6
279 2 2792 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS 0.8931 3.7 9
279 3 2793 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS 1.2188 4.8 12
279 4 2794 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS 3.5543 9.9 27
280 1 2801 ALCOHOLIC LIVER DISEASE 0.6191 2.5 5
280 2 2802 ALCOHOLIC LIVER DISEASE 0.8200 3.4 7
280 3 2803 ALCOHOLIC LIVER DISEASE 1.2773 5.1 13
280 4 2804 ALCOHOLIC LIVER DISEASE 3.2517 9.9 24
281 1 2811 MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS 1.0234 3.7 10
281 2 2812 MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS 1.1611 4.6 11
281 3 2813 MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS 1.5339 6.0 15
281 4 2814 MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS 2.2979 7.6 19
282 1 2821 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 0.6720 2.9 6
282 2 2822 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 0.9282 3.8 9
282 3 2823 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 1.5713 5.8 15
282 4 2824 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 5.5568 12.2 28
283 1 2831 OTHER DISORDERS OF THE LIVER 0.6266 2.7 6
283 2 2832 OTHER DISORDERS OF THE LIVER 0.8908 3.1 7
Prepared by HHSC Hospital Provider Finance 9 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
283 3 2833 OTHER DISORDERS OF THE LIVER 1.1926 4.6 10
283 4 2834 OTHER DISORDERS OF THE LIVER 4.8881 8.7 27
284 1 2841 DISORDERS OF GALLBLADDER AND BILIARY TRACT 0.8484 2.3 5
284 2 2842 DISORDERS OF GALLBLADDER AND BILIARY TRACT 1.1266 3.8 8
284 3 2843 DISORDERS OF GALLBLADDER AND BILIARY TRACT 1.6897 5.8 14
284 4 2844 DISORDERS OF GALLBLADDER AND BILIARY TRACT 3.1796 9.9 24
303 1 3031 DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK 6.0298 3.5 7
303 2 3032 DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK 8.1852 5.0 13
303 3 3033 DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK 11.2814 7.5 23
303 4 3034 DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK 13.3356 15.8 40
304 1 3041 DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK 3.5328 3.3 8
304 2 3042 DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK 4.2625 4.9 11
304 3 3043 DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK 6.9369 11.7 31
304 4 3044 DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK 11.0785 18.4 43
305 1 3051 AMPUTATION OF LOWER LIMB EXCEPT TOES 1.5004 4.3 11
305 2 3052 AMPUTATION OF LOWER LIMB EXCEPT TOES 1.9596 7.9 17
305 3 3053 AMPUTATION OF LOWER LIMB EXCEPT TOES 3.0402 11.2 25
305 4 3054 AMPUTATION OF LOWER LIMB EXCEPT TOES 5.4560 16.3 37
308 1 3081 HIP AND FEMUR FRACTURE REPAIR 1.6363 3.3 7
308 2 3082 HIP AND FEMUR FRACTURE REPAIR 2.0286 5.3 11
308 3 3083 HIP AND FEMUR FRACTURE REPAIR 2.8677 7.5 16
308 4 3084 HIP AND FEMUR FRACTURE REPAIR 5.9949 14.4 41
309 1 3091 OTHER SIGNIFICANT HIP AND FEMUR SURGERY 1.9321 2.3 6
309 2 3092 OTHER SIGNIFICANT HIP AND FEMUR SURGERY 2.7204 4.0 11
309 3 3093 OTHER SIGNIFICANT HIP AND FEMUR SURGERY 3.8329 8.7 25
309 4 3094 OTHER SIGNIFICANT HIP AND FEMUR SURGERY 5.0605 17.2 51
310 1 3101 INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION 1.5061 2.9 7
310 2 3102 INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION 2.3697 5.1 15
310 3 3103 INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION 3.6271 12.7 33
310 4 3104 INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION 6.8634 32.0 81
312 1 3121 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES 1.6441 3.4 10
312 2 3122 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES 2.4786 7.8 18
312 3 3123 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES 3.8378 14.9 28
312 4 3124 SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES 7.1973 27.3 58
313 1 3131 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT 1.6650 2.8 7
313 2 3132 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT 2.2811 5.1 14
313 3 3133 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT 3.8024 10.0 26
313 4 3134 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT 6.5692 20.0 48
314 1 3141 FOOT AND TOE PROCEDURES 1.3426 2.1 6
314 2 3142 FOOT AND TOE PROCEDURES 1.6320 5.6 12
314 3 3143 FOOT AND TOE PROCEDURES 2.1252 8.0 18
314 4 3144 FOOT AND TOE PROCEDURES 3.8110 13.1 29
315 1 3151 SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 1.0951 1.9 5
315 2 3152 SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 1.9243 3.5 10
315 3 3153 SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 3.0189 7.9 20
315 4 3154 SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT 10.1275 26.1 62
316 1 3161 HAND AND WRIST PROCEDURES 1.1788 1.9 4
316 2 3162 HAND AND WRIST PROCEDURES 1.7209 5.5 12
316 3 3163 HAND AND WRIST PROCEDURES 1.9570 7.9 15
316 4 3164 HAND AND WRIST PROCEDURES 5.3314 13.3 38
317 1 3171 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES 1.5493 4.1 11
317 2 3172 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES 1.8083 6.7 15
317 3 3173 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES 2.6628 9.2 22
317 4 3174 TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES 4.1356 16.3 39
320 1 3201 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES 1.5552 3.2 8
320 2 3202 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES 1.8795 4.6 12
320 3 3203 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES 2.9921 9.0 19
320 4 3204 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES 5.1777 17.1 40
321 1 3211 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION2.4018 2.8 7
321 2 3212 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION3.0409 4.7 12
321 3 3213 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION3.9597 8.3 19
321 4 3214 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION6.0318 16.3 34
Prepared by HHSC Hospital Provider Finance 10 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
322 1 3221 SHOULDER AND ELBOW JOINT REPLACEMENT 2.1667 1.5 3
322 2 3222 SHOULDER AND ELBOW JOINT REPLACEMENT 2.6131 2.2 5
322 3 3223 SHOULDER AND ELBOW JOINT REPLACEMENT 3.5167 5.3 14
322 4 3224 SHOULDER AND ELBOW JOINT REPLACEMENT 5.5895 10.5 26
323 1 3231 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT 2.0115 4.7 9
323 2 3232 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT 2.4959 6.2 15
323 3 3233 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT 3.1699 8.9 20
323 4 3234 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT 4.9014 12.4 25
324 1 3241 ELECTIVE HIP JOINT REPLACEMENT 1.9302 2.1 4
324 2 3242 ELECTIVE HIP JOINT REPLACEMENT 2.0289 2.8 7
324 3 3243 ELECTIVE HIP JOINT REPLACEMENT 3.5115 6.3 16
324 4 3244 ELECTIVE HIP JOINT REPLACEMENT 5.0330 10.5 26
325 1 3251 NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT 2.8441 2.4 5
325 2 3252 NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT 3.1039 4.4 11
325 3 3253 NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT 3.6101 7.8 17
325 4 3254 NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT 6.1909 8.6 18
326 1 3261 ELECTIVE KNEE JOINT REPLACEMENT 1.7717 2.3 5
326 2 3262 ELECTIVE KNEE JOINT REPLACEMENT 1.8770 2.9 6
326 3 3263 ELECTIVE KNEE JOINT REPLACEMENT 2.5997 3.5 7
326 4 3264 ELECTIVE KNEE JOINT REPLACEMENT 4.3575 9.3 23
340 1 3401 FRACTURE OF FEMUR 0.5035 1.9 4
340 2 3402 FRACTURE OF FEMUR 0.8132 3.0 8
340 3 3403 FRACTURE OF FEMUR 1.3589 5.7 15
340 4 3404 FRACTURE OF FEMUR 3.0036 9.8 28
341 1 3411 FRACTURE OF PELVIS OR DISLOCATION OF HIP 0.6805 2.2 4
341 2 3412 FRACTURE OF PELVIS OR DISLOCATION OF HIP 1.0518 3.7 13
341 3 3413 FRACTURE OF PELVIS OR DISLOCATION OF HIP 1.2475 3.8 17
341 4 3414 FRACTURE OF PELVIS OR DISLOCATION OF HIP 2.5240 8.8 21
342 1 3421 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK 0.7247 2.2 6
342 2 3422 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK 0.7956 3.2 8
342 3 3423 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK 1.6030 5.2 10
342 4 3424 FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK 2.1893 6.9 12
343 1 3431 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY1.4471 3.3 8
343 2 3432 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY1.7740 4.7 12
343 3 3433 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY2.1009 7.8 21
343 4 3434 MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY5.1817 16.5 40
344 1 3441 OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS 0.9370 4.5 11
344 2 3442 OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS 1.1837 5.2 12
344 3 3443 OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS 1.6502 7.7 18
344 4 3444 OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS 3.1594 13.4 31
346 1 3461 CONNECTIVE TISSUE DISORDERS 1.1098 3.0 6
346 2 3462 CONNECTIVE TISSUE DISORDERS 1.4634 4.5 11
346 3 3463 CONNECTIVE TISSUE DISORDERS 2.8675 7.6 19
346 4 3464 CONNECTIVE TISSUE DISORDERS 6.7143 18.9 53
347 1 3471 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES 0.8919 3.0 7
347 2 3472 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES 1.2868 4.3 11
347 3 3473 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES 1.6382 5.2 15
347 4 3474 OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES 3.8176 15.3 40
349 1 3491 MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE 0.6129 3.9 11
349 2 3492 MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE 1.0942 5.1 12
349 3 3493 MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE 1.4314 7.2 18
349 4 3494 MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE 3.0011 13.8 39
351 1 3511 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 0.8004 2.9 9
351 2 3512 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 0.9262 3.9 11
351 3 3513 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 1.6608 5.7 15
351 4 3514 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 4.8192 7.6 21
361 1 3611 SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES 1.8810 5.4 15
361 2 3612 SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES 3.5180 11.9 29
361 3 3613 SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES 3.9220 14.1 30
361 4 3614 SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES 9.0533 24.3 69
362 1 3621 MASTECTOMY PROCEDURES 1.7821 2.0 5
362 2 3622 MASTECTOMY PROCEDURES 2.8855 2.6 6
Prepared by HHSC Hospital Provider Finance 11 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
362 3 3623 MASTECTOMY PROCEDURES 2.9353 6.3 18
362 4 3624 MASTECTOMY PROCEDURES 4.6028 9.4 29
363 1 3631 BREAST PROCEDURES EXCEPT MASTECTOMY 1.1897 2.9 7
363 2 3632 BREAST PROCEDURES EXCEPT MASTECTOMY 2.3262 3.2 19
363 3 3633 BREAST PROCEDURES EXCEPT MASTECTOMY 3.3786 4.5 25
363 4 3634 BREAST PROCEDURES EXCEPT MASTECTOMY 4.5686 11.5 31
364 1 3641 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES 0.8603 2.9 6
364 2 3642 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES 1.3262 4.8 11
364 3 3643 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES 2.4619 9.6 22
364 4 3644 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES 4.9327 12.5 27
380 1 3801 SKIN ULCERS 0.6903 3.1 6
380 2 3802 SKIN ULCERS 0.8952 4.5 10
380 3 3803 SKIN ULCERS 1.2889 6.8 16
380 4 3804 SKIN ULCERS 3.8723 14.9 38
381 1 3811 MAJOR SKIN DISORDERS 0.4352 2.4 5
381 2 3812 MAJOR SKIN DISORDERS 0.7932 3.3 8
381 3 3813 MAJOR SKIN DISORDERS 1.4168 8.0 22
381 4 3814 MAJOR SKIN DISORDERS 5.3393 13.9 39
382 1 3821 MALIGNANT BREAST DISORDERS 0.8150 2.7 7
382 2 3822 MALIGNANT BREAST DISORDERS 1.0816 4.5 11
382 3 3823 MALIGNANT BREAST DISORDERS 1.6601 7.1 17
382 4 3824 MALIGNANT BREAST DISORDERS 3.1379 8.7 21
383 1 3831 CELLULITIS AND OTHER SKIN INFECTIONS 0.5142 2.5 5
383 2 3832 CELLULITIS AND OTHER SKIN INFECTIONS 0.7846 3.7 8
383 3 3833 CELLULITIS AND OTHER SKIN INFECTIONS 1.2343 5.8 14
383 4 3834 CELLULITIS AND OTHER SKIN INFECTIONS 3.4303 11.8 33
384 1 3841 CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE 0.6389 2.0 5
384 2 3842 CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE 1.0406 3.1 8
384 3 3843 CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE 1.5691 5.1 15
384 4 3844 CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE 4.8606 11.9 42
385 1 3851 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS 0.5249 2.5 5
385 2 3852 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS 0.8859 3.7 10
385 3 3853 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS 1.9314 5.0 14
385 4 3854 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS 3.6888 21.3 66
401 1 4011 ADRENAL PROCEDURES 1.9799 3.6 8
401 2 4012 ADRENAL PROCEDURES 5.9119 6.6 17
401 3 4013 ADRENAL PROCEDURES 6.9376 10.2 26
401 4 4014 ADRENAL PROCEDURES 6.2039 13.7 37
403 1 4031 PROCEDURES FOR OBESITY 1.3920 1.5 3
403 2 4032 PROCEDURES FOR OBESITY 1.5703 1.8 4
403 3 4033 PROCEDURES FOR OBESITY 2.6713 4.9 17
403 4 4034 PROCEDURES FOR OBESITY 3.3135 5.5 39
404 1 4041 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES 1.5967 2.9 9
404 2 4042 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES 2.1844 3.6 9
404 3 4043 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES 5.0878 10.6 27
404 4 4044 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES 6.6933 16.9 30
405 1 4051 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 2.5147 3.6 9
405 2 4052 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 2.9573 6.6 16
405 3 4053 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 3.3999 10.9 25
405 4 4054 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS 6.2263 14.0 32
420 1 4201 DIABETES 0.5717 2.4 5
420 2 4202 DIABETES 0.7225 2.5 5
420 3 4203 DIABETES 1.1204 4.0 9
420 4 4204 DIABETES 2.3316 6.9 17
421 1 4211 MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS 0.7794 3.6 9
421 2 4212 MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS 1.3871 6.9 21
421 3 4213 MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS 2.0079 7.6 23
421 4 4214 MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS 5.0574 12.9 40
422 1 4221 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS 0.3204 2.0 4
422 2 4222 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS 0.5387 2.6 6
422 3 4223 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS 0.9607 3.7 9
422 4 4224 HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS 2.3906 8.3 20
Prepared by HHSC Hospital Provider Finance 12 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
423 1 4231 INBORN ERRORS OF METABOLISM 2.0279 2.9 7
423 2 4232 INBORN ERRORS OF METABOLISM 2.7228 3.7 9
423 3 4233 INBORN ERRORS OF METABOLISM 3.4177 5.4 14
423 4 4234 INBORN ERRORS OF METABOLISM 4.2263 13.1 47
424 1 4241 OTHER ENDOCRINE DISORDERS 0.8575 2.6 7
424 2 4242 OTHER ENDOCRINE DISORDERS 1.0888 4.2 10
424 3 4243 OTHER ENDOCRINE DISORDERS 1.7443 5.5 15
424 4 4244 OTHER ENDOCRINE DISORDERS 4.5275 10.2 28
425 1 4251 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 0.5703 2.1 4
425 2 4252 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 0.5779 2.1 5
425 3 4253 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 0.9726 3.5 9
425 4 4254 OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS 2.2273 7.4 20
426 1 4261 NON-HYPOVOLEMIC SODIUM DISORDERS 0.6481 2.6 6
426 2 4262 NON-HYPOVOLEMIC SODIUM DISORDERS 0.7939 3.4 7
426 3 4263 NON-HYPOVOLEMIC SODIUM DISORDERS 1.2172 4.8 11
426 4 4264 NON-HYPOVOLEMIC SODIUM DISORDERS 2.9387 10.0 26
427 1 4271 THYROID DISORDERS 0.5010 2.1 5
427 2 4272 THYROID DISORDERS 0.7979 3.0 7
427 3 4273 THYROID DISORDERS 0.9325 4.5 9
427 4 4274 THYROID DISORDERS 3.1334 9.7 20
440 1 4401 KIDNEY TRANSPLANT 6.1064 4.9 9
440 2 4402 KIDNEY TRANSPLANT 6.5143 7.0 13
440 3 4403 KIDNEY TRANSPLANT 10.1282 12.8 27
440 4 4404 KIDNEY TRANSPLANT 16.5481 21.4 43
441 1 4411 MAJOR BLADDER PROCEDURES 1.9249 5.0 11
441 2 4412 MAJOR BLADDER PROCEDURES 2.9942 5.7 13
441 3 4413 MAJOR BLADDER PROCEDURES 3.7860 9.2 22
441 4 4414 MAJOR BLADDER PROCEDURES 15.6605 39.0 97
442 1 4421 KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY 1.8673 3.1 7
442 2 4422 KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY 2.2016 4.2 9
442 3 4423 KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY 3.5215 9.5 25
442 4 4424 KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY 10.4724 19.4 63
443 1 4431 KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY 1.3285 2.0 5
443 2 4432 KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY 1.8404 3.9 9
443 3 4433 KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY 2.8920 6.5 15
443 4 4434 KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY 6.6427 20.7 52
444 1 4441 RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR 1.1403 2.7 8
444 2 4442 RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR 1.6470 6.0 12
444 3 4443 RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR 2.9030 10.0 25
444 4 4444 RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR 5.7162 15.7 38
445 1 4451 OTHER BLADDER PROCEDURES 1.1192 2.6 6
445 2 4452 OTHER BLADDER PROCEDURES 1.7233 4.1 10
445 3 4453 OTHER BLADDER PROCEDURES 2.6407 9.2 24
445 4 4454 OTHER BLADDER PROCEDURES 5.3992 15.9 42
446 1 4461 URETHRAL AND TRANSURETHRAL PROCEDURES 1.1430 2.3 5
446 2 4462 URETHRAL AND TRANSURETHRAL PROCEDURES 1.3450 3.9 9
446 3 4463 URETHRAL AND TRANSURETHRAL PROCEDURES 2.4454 7.4 18
446 4 4464 URETHRAL AND TRANSURETHRAL PROCEDURES 4.3988 14.1 37
447 1 4471 OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES 1.0855 3.2 6
447 2 4472 OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES 1.7137 5.2 13
447 3 4473 OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES 2.7682 8.1 18
447 4 4474 OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES 12.4008 40.6 120
461 1 4611 KIDNEY AND URINARY TRACT MALIGNANCY 1.1124 2.7 7
461 2 4612 KIDNEY AND URINARY TRACT MALIGNANCY 1.2511 4.5 10
461 3 4613 KIDNEY AND URINARY TRACT MALIGNANCY 2.4114 8.7 16
461 4 4614 KIDNEY AND URINARY TRACT MALIGNANCY 5.1917 10.4 22
462 1 4621 NEPHRITIS AND NEPHROSIS 0.7663 2.7 6
462 2 4622 NEPHRITIS AND NEPHROSIS 1.1005 4.0 9
462 3 4623 NEPHRITIS AND NEPHROSIS 2.5006 7.5 18
462 4 4624 NEPHRITIS AND NEPHROSIS 5.5442 17.8 44
463 1 4631 KIDNEY AND URINARY TRACT INFECTIONS 0.5191 2.6 5
463 2 4632 KIDNEY AND URINARY TRACT INFECTIONS 0.7353 3.4 8
Prepared by HHSC Hospital Provider Finance 13 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
463 3 4633 KIDNEY AND URINARY TRACT INFECTIONS 1.1286 4.9 12
463 4 4634 KIDNEY AND URINARY TRACT INFECTIONS 2.1455 7.0 19
465 1 4651 URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION 0.6629 2.0 4
465 2 4652 URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION 0.9321 2.6 6
465 3 4653 URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION 1.5858 4.7 11
465 4 4654 URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION 2.8359 8.5 23
466 1 4661 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE 0.6866 1.8 4
466 2 4662 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE 0.8291 3.5 7
466 3 4663 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE 1.3251 5.5 12
466 4 4664 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE 2.1119 8.0 19
468 1 4681 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS 0.7623 2.4 5
468 2 4682 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS 0.8538 3.4 8
468 3 4683 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS 1.5540 6.2 15
468 4 4684 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS 6.5877 10.1 25
469 1 4691 ACUTE KIDNEY INJURY 0.6594 2.6 6
469 2 4692 ACUTE KIDNEY INJURY 0.8337 3.5 8
469 3 4693 ACUTE KIDNEY INJURY 1.4457 6.2 15
469 4 4694 ACUTE KIDNEY INJURY 3.5438 11.3 30
470 1 4701 CHRONIC KIDNEY DISEASE 0.9300 2.7 6
470 2 4702 CHRONIC KIDNEY DISEASE 1.1888 2.7 7
470 3 4703 CHRONIC KIDNEY DISEASE 1.4476 5.3 13
470 4 4704 CHRONIC KIDNEY DISEASE 2.2631 8.0 18
480 1 4801 MAJOR MALE PELVIC PROCEDURES 1.7081 3.3 8
480 2 4802 MAJOR MALE PELVIC PROCEDURES 3.1301 5.3 15
480 3 4803 MAJOR MALE PELVIC PROCEDURES 3.1583 7.3 20
480 4 4804 MAJOR MALE PELVIC PROCEDURES 6.7947 14.3 36
482 1 4821 TRANSURETHRAL PROSTATECTOMY 1.0577 2.2 5
482 2 4822 TRANSURETHRAL PROSTATECTOMY 1.2591 3.7 9
482 3 4823 TRANSURETHRAL PROSTATECTOMY 2.4554 7.7 13
482 4 4824 TRANSURETHRAL PROSTATECTOMY 4.6168 13.5 35
483 1 4831 PENIS, TESTES AND SCROTAL PROCEDURES 1.1388 2.2 5
483 2 4832 PENIS, TESTES AND SCROTAL PROCEDURES 1.6215 4.1 10
483 3 4833 PENIS, TESTES AND SCROTAL PROCEDURES 1.8782 5.7 15
483 4 4834 PENIS, TESTES AND SCROTAL PROCEDURES 10.0139 21.6 71
484 1 4841 OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 1.7874 1.7 5
484 2 4842 OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 1.9895 2.6 13
484 3 4843 OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 2.3810 3.5 27
484 4 4844 OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 6.3449 17.4 42
500 1 5001 MALIGNANCY, MALE REPRODUCTIVE SYSTEM 1.1321 2.7 7
500 2 5002 MALIGNANCY, MALE REPRODUCTIVE SYSTEM 1.3828 5.8 11
500 3 5003 MALIGNANCY, MALE REPRODUCTIVE SYSTEM 2.1042 9.4 27
500 4 5004 MALIGNANCY, MALE REPRODUCTIVE SYSTEM 2.9154 10.4 27
501 1 5011 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 0.4993 2.1 5
501 2 5012 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 0.8323 4.1 9
501 3 5013 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 1.2347 5.1 12
501 4 5014 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY 1.6384 8.0 18
510 1 5101 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES 1.2209 2.7 6
510 2 5102 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES 1.5322 2.9 14
510 3 5103 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES 3.7308 8.7 21
510 4 5104 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES 6.9706 17.0 42
511 1 5111 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY 1.4524 3.7 8
511 2 5112 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY 1.7845 4.7 11
511 3 5113 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY 3.3143 10.0 28
511 4 5114 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY 6.8488 16.3 37
512 1 5121 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY 1.7047 2.4 5
512 2 5122 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY 1.9105 3.9 8
512 3 5123 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY 3.4262 7.7 19
512 4 5124 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY 5.9369 14.6 38
513 1 5131 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 1.0712 2.1 4
513 2 5132 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 1.2533 2.7 6
513 3 5133 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 2.3047 5.7 15
513 4 5134 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA 7.2115 16.3 58
Prepared by HHSC Hospital Provider Finance 14 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
514 1 5141 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.4276 3.2 11
514 2 5142 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.9399 3.7 15
514 3 5143 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 3.3175 7.1 19
514 4 5144 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 5.9491 11.1 28
517 1 5171 DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 0.8063 2.3 5
517 2 5172 DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1.2076 3.4 8
517 3 5173 DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 1.8565 4.7 11
517 4 5174 DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES 5.0802 15.7 44
518 1 5181 OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 0.9919 2.5 6
518 2 5182 OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 1.4474 3.8 7
518 3 5183 OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 2.9576 6.7 13
518 4 5184 OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES 5.2632 14.9 36
519 1 5191 UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA 1.0551 2.1 3
519 2 5192 UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA 1.2937 2.6 5
519 3 5193 UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA 2.2230 7.6 20
519 4 5194 UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA 4.9931 13.3 35
530 1 5301 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 0.8413 3.4 8
530 2 5302 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 1.0698 3.9 10
530 3 5303 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 1.7333 6.4 16
530 4 5304 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY 2.5852 12.2 33
531 1 5311 FEMALE REPRODUCTIVE SYSTEM INFECTIONS 0.6011 2.5 5
531 2 5312 FEMALE REPRODUCTIVE SYSTEM INFECTIONS 0.8788 3.7 8
531 3 5313 FEMALE REPRODUCTIVE SYSTEM INFECTIONS 1.3355 4.6 10
531 4 5314 FEMALE REPRODUCTIVE SYSTEM INFECTIONS 2.5428 10.4 26
532 1 5321 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 0.5431 1.8 4
532 2 5322 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 0.6167 2.4 5
532 3 5323 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 1.7665 6.0 18
532 4 5324 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 2.8085 9.6 30
539 1 5391 CESAREAN SECTION WITH STERILIZATION 0.6108 2.5 4
539 2 5392 CESAREAN SECTION WITH STERILIZATION 0.7365 3.1 7
539 3 5393 CESAREAN SECTION WITH STERILIZATION 1.1622 5.4 15
539 4 5394 CESAREAN SECTION WITH STERILIZATION 2.9114 7.6 21
540 1 5401 CESAREAN SECTION WITHOUT STERILIZATION 0.5829 2.6 4
540 2 5402 CESAREAN SECTION WITHOUT STERILIZATION 0.7226 3.4 7
540 3 5403 CESAREAN SECTION WITHOUT STERILIZATION 0.9873 4.7 11
540 4 5404 CESAREAN SECTION WITHOUT STERILIZATION 1.9363 6.9 17
541 1 5411 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C 0.6089 2.0 3
541 2 5412 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C 0.6830 2.3 5
541 3 5413 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C 0.7571 3.4 9
541 4 5414 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C 2.0871 4.7 12
542 1 5421 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C 0.4666 2.2 4
542 2 5422 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C 0.5412 2.5 4
542 3 5423 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C 0.8545 3.5 8
542 4 5424 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C 2.0332 5.4 11
543 1 5431 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.5734 1.3 3
543 2 5432 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.7384 1.7 3
543 3 5433 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 1.1575 2.9 7
543 4 5434 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 3.2297 5.7 15
547 1 5471 ANTEPARTUM WITH O.R. PROCEDURE 0.7827 2.1 5
547 2 5472 ANTEPARTUM WITH O.R. PROCEDURE 1.0821 2.5 6
547 3 5473 ANTEPARTUM WITH O.R. PROCEDURE 1.8973 4.4 11
547 4 5474 ANTEPARTUM WITH O.R. PROCEDURE 4.2062 10.1 25
548 1 5481 POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE 0.6932 2.4 5
548 2 5482 POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE 1.3004 2.9 7
548 3 5483 POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE 1.8768 4.7 11
548 4 5484 POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE 4.8744 9.9 22
560 1 5601 VAGINAL DELIVERY 0.3746 2.0 3
560 2 5602 VAGINAL DELIVERY 0.4267 2.3 4
560 3 5603 VAGINAL DELIVERY 0.5862 3.1 7
560 4 5604 VAGINAL DELIVERY 0.9986 4.7 12
561 1 5611 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE 0.3313 2.0 4
561 2 5612 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE 0.5444 2.5 5
Prepared by HHSC Hospital Provider Finance 15 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
561 3 5613 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE 0.9028 3.6 8
561 4 5614 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE 1.7696 5.2 13
564 1 5641 ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.3657 1.2 2
564 2 5642 ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.5007 1.6 3
564 3 5643 ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.9615 3.2 9
564 4 5644 ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 3.6012 8.6 34
566 1 5661 ANTEPARTUM WITHOUT O.R. PROCEDURE 0.3319 2.0 4
566 2 5662 ANTEPARTUM WITHOUT O.R. PROCEDURE 0.4522 3.1 12
566 3 5663 ANTEPARTUM WITHOUT O.R. PROCEDURE 0.7150 4.3 13
566 4 5664 ANTEPARTUM WITHOUT O.R. PROCEDURE 1.3097 4.7 17
580 1 5801 NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE 0.3602 1.5 3
580 2 5802 NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE 0.5243 1.6 4
580 3 5803 NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE 0.8469 1.7 4
580 4 5804 NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE 1.5335 1.8 4
581 1 5811 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 0.1638 1.2 2
581 2 5812 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 0.2644 1.2 2
581 3 5813 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 0.3868 1.2 2
581 4 5814 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE 0.7487 1.2 2
583 1 5831 NEONATE WITH ECMO 28.2167 43.2 81
583 2 5832 NEONATE WITH ECMO 32.0455 54.1 133
583 3 5833 NEONATE WITH ECMO 64.3126 65.0 186
583 4 5834 NEONATE WITH ECMO 75.9511 99.9 327
588 1 5881 NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE 24.2042 6.8 21
588 2 5882 NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE 25.6780 86.7 262
588 3 5883 NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE 25.7959 97.4 221
588 4 5884 NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE 48.0758 99.9 286
589 1 5891 NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION20.2853 64.5 200
589 2 5892 NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION19.6606 58.4 197
589 3 5893 NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION18.4412 50.8 191
589 4 5894 NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION3.3958 4.7 39
591 1 5911 NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE 9.5499 3.0 20
591 2 5912 NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE 13.2452 64.3 148
591 3 5913 NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE 16.0420 68.1 177
591 4 5914 NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE 24.3615 88.7 189
593 1 5931 NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE 2.9633 4.3 23
593 2 5932 NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE 11.3487 60.7 122
593 3 5933 NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE 14.4448 71.8 131
593 4 5934 NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE 20.2246 79.1 158
602 1 6021 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY4.5962 19.4 64
602 2 6022 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY9.0787 51.7 90
602 3 6023 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY12.0160 62.3 108
602 4 6024 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY18.5921 75.7 138
603 1 6031 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION 3.3658 3.3 14
603 2 6032 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION 6.3856 43.0 80
603 3 6033 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION 7.9719 51.4 122
603 4 6034 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION 20.9042 81.3 147
607 1 6071 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY4.9025 30.6 55
607 2 6072 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY5.9812 39.3 66
607 3 6073 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY8.3135 47.5 85
607 4 6074 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY13.1156 59.7 115
608 1 6081 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION 3.0376 22.0 43
608 2 6082 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION 4.8405 31.6 50
608 3 6083 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION 6.3398 45.2 80
608 4 6084 NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION 15.9965 67.5 129
609 1 6091 NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE 2.8609 17.1 36
609 2 6092 NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE 2.9649 30.8 32
609 3 6093 NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE 11.4048 44.6 97
609 4 6094 NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE 35.4546 84.6 208
611 1 6111 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY 2.4745 14.9 33
611 2 6112 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY 3.3080 24.1 50
611 3 6113 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY 5.6509 32.6 67
611 4 6114 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY 14.4282 49.5 104
Prepared by HHSC Hospital Provider Finance 16 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
612 1 6121 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION2.7290 19.6 36
612 2 6122 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION3.8740 27.6 50
612 3 6123 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION5.4031 33.4 63
612 4 6124 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION9.2447 42.9 85
613 1 6131 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 2.0874 16.0 26
613 2 6132 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 3.0682 23.6 46
613 3 6133 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 5.2181 29.6 63
613 4 6134 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 12.4299 43.7 89
614 1 6141 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION 1.5296 12.5 26
614 2 6142 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION 2.4865 19.8 38
614 3 6143 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION 4.7121 31.0 59
614 4 6144 NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION 10.6534 44.2 92
621 1 6211 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY 1.0863 6.6 20
621 2 6212 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY 2.3092 15.2 35
621 3 6213 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY 5.2787 26.6 67
621 4 6214 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY 17.6553 44.6 130
622 1 6221 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION1.7363 11.8 23
622 2 6222 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION2.4462 15.7 30
622 3 6223 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION3.0115 18.0 39
622 4 6224 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION4.5259 19.9 48
623 1 6231 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 1.3957 10.4 21
623 2 6232 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 2.1121 13.7 29
623 3 6233 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 3.8367 24.8 47
623 4 6234 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 8.7094 34.8 76
625 1 6251 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 1.5322 11.7 26
625 2 6252 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 2.0790 15.8 33
625 3 6253 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 3.4364 23.5 48
625 4 6254 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 9.2714 44.0 101
626 1 6261 NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 0.2271 2.8 6
626 2 6262 NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 0.3095 3.2 8
626 3 6263 NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 0.8082 6.6 17
626 4 6264 NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 4.3054 17.1 41
630 1 6301 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE 3.5430 9.5 27
630 2 6302 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE 6.0858 13.9 30
630 3 6303 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE 16.8598 34.3 86
630 4 6304 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE 35.7716 61.9 166
631 1 6311 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE 2.4578 4.1 12
631 2 6312 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE 5.0374 17.4 38
631 3 6313 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE 9.3469 32.6 82
631 4 6314 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE 25.2468 64.2 170
633 1 6331 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY 0.3505 2.8 6
633 2 6332 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY 1.3666 7.1 21
633 3 6333 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY 3.7336 16.4 42
633 4 6334 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY 13.4174 30.8 86
634 1 6341 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION0.9671 5.4 12
634 2 6342 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION1.6602 9.2 22
634 3 6343 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION2.3108 11.4 30
634 4 6344 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION6.8236 20.4 56
636 1 6361 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 0.7394 5.7 13
636 2 6362 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 1.2417 8.2 19
636 3 6363 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 2.3452 14.2 38
636 4 6364 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION 4.0102 19.1 69
639 1 6391 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 0.7206 4.8 13
639 2 6392 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 1.4829 9.7 25
639 3 6393 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 2.4790 11.8 38
639 4 6394 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION 4.7010 14.0 41
640 1 6401 NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 0.0991 1.9 3
640 2 6402 NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 0.1685 2.3 4
640 3 6403 NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 0.4537 3.5 8
640 4 6404 NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM 4.8389 16.6 41
650 1 6501 SPLENECTOMY 1.6501 2.9 6
650 2 6502 SPLENECTOMY 2.3555 4.0 9
Prepared by HHSC Hospital Provider Finance 17 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
650 3 6503 SPLENECTOMY 3.6038 9.1 24
650 4 6504 SPLENECTOMY 5.5265 10.0 33
651 1 6511 OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS 1.4094 3.6 7
651 2 6512 OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS 1.9424 5.1 12
651 3 6513 OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS 2.3409 6.2 15
651 4 6514 OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS 10.8002 20.1 51
660 1 6601 MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION 1.2980 3.0 8
660 2 6602 MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION 1.3071 4.1 10
660 3 6603 MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION 2.1190 6.1 16
660 4 6604 MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION 8.7112 14.8 42
661 1 6611 COAGULATION AND PLATELET DISORDERS 1.2081 2.3 6
661 2 6612 COAGULATION AND PLATELET DISORDERS 1.3191 2.8 6
661 3 6613 COAGULATION AND PLATELET DISORDERS 6.1177 5.6 14
661 4 6614 COAGULATION AND PLATELET DISORDERS 7.4616 11.5 41
662 1 6621 SICKLE CELL ANEMIA CRISIS 0.6785 3.5 8
662 2 6622 SICKLE CELL ANEMIA CRISIS 0.9546 4.4 10
662 3 6623 SICKLE CELL ANEMIA CRISIS 1.5294 6.4 14
662 4 6624 SICKLE CELL ANEMIA CRISIS 3.9877 10.4 25
663 1 6631 OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS 0.6025 2.2 5
663 2 6632 OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS 0.8376 3.0 7
663 3 6633 OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS 1.3751 4.2 10
663 4 6634 OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS 2.3307 7.8 21
680 1 6801 MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 2.3285 4.0 10
680 2 6802 MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 2.6588 4.8 12
680 3 6803 MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 5.8684 13.7 28
680 4 6804 MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 16.0420 30.7 90
681 1 6811 OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 2.5508 5.9 15
681 2 6812 OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 2.6847 7.5 17
681 3 6813 OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 5.7560 14.5 35
681 4 6814 OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS 21.6808 27.1 61
690 1 6901 ACUTE LEUKEMIA 4.4419 6.6 19
690 2 6902 ACUTE LEUKEMIA 5.3538 10.6 29
690 3 6903 ACUTE LEUKEMIA 6.2656 16.4 42
690 4 6904 ACUTE LEUKEMIA 14.2354 32.9 80
691 1 6911 LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA 1.5378 3.9 10
691 2 6912 LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA 1.9307 6.4 15
691 3 6913 LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA 4.0296 11.0 27
691 4 6914 LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA 7.8016 14.5 35
692 1 6921 RADIOTHERAPY 1.3508 3.2 8
692 2 6922 RADIOTHERAPY 2.3507 6.0 15
692 3 6923 RADIOTHERAPY 3.4623 10.3 27
692 4 6924 RADIOTHERAPY 6.4459 15.7 39
694 1 6941 LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR 0.8366 3.1 8
694 2 6942 LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR 1.1382 5.0 12
694 3 6943 LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR 1.7262 6.7 16
694 4 6944 LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR 7.7226 15.2 37
695 1 6951 CHEMOTHERAPY FOR ACUTE LEUKEMIA 1.0695 4.7 9
695 2 6952 CHEMOTHERAPY FOR ACUTE LEUKEMIA 1.2596 7.7 22
695 3 6953 CHEMOTHERAPY FOR ACUTE LEUKEMIA 3.7693 10.7 34
695 4 6954 CHEMOTHERAPY FOR ACUTE LEUKEMIA 11.0330 25.7 55
696 1 6961 OTHER CHEMOTHERAPY 0.9903 3.2 7
696 2 6962 OTHER CHEMOTHERAPY 1.4071 3.5 7
696 3 6963 OTHER CHEMOTHERAPY 2.3951 4.2 10
696 4 6964 OTHER CHEMOTHERAPY 4.2470 7.7 21
710 1 7101 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE 1.3296 4.6 11
710 2 7102 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE 1.9149 6.7 15
710 3 7103 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE 3.3192 11.7 27
710 4 7104 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE 8.0425 21.0 55
711 1 7111 POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE 1.5812 4.7 10
711 2 7112 POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE 2.0279 6.7 15
711 3 7113 POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE 3.7466 11.8 26
711 4 7114 POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE 6.7541 18.4 46
Prepared by HHSC Hospital Provider Finance 18 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
720 1 7201 SEPTICEMIA AND DISSEMINATED INFECTIONS 0.6392 3.2 7
720 2 7202 SEPTICEMIA AND DISSEMINATED INFECTIONS 0.9219 4.0 9
720 3 7203 SEPTICEMIA AND DISSEMINATED INFECTIONS 1.5380 6.1 15
720 4 7204 SEPTICEMIA AND DISSEMINATED INFECTIONS 3.7476 9.8 25
721 1 7211 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 0.7691 3.6 8
721 2 7212 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 1.1000 4.7 11
721 3 7213 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 1.9290 7.6 17
721 4 7214 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS 3.8790 11.1 25
722 1 7221 FEVER AND INFLAMMATORY CONDITIONS 0.3900 2.2 4
722 2 7222 FEVER AND INFLAMMATORY CONDITIONS 0.5780 2.5 5
722 3 7223 FEVER AND INFLAMMATORY CONDITIONS 1.0160 3.4 8
722 4 7224 FEVER AND INFLAMMATORY CONDITIONS 1.2941 3.8 9
723 1 7231 VIRAL ILLNESS 0.4368 2.1 4
723 2 7232 VIRAL ILLNESS 0.6284 2.4 5
723 3 7233 VIRAL ILLNESS 1.3158 3.6 9
723 4 7234 VIRAL ILLNESS 7.7121 9.4 26
724 1 7241 OTHER INFECTIOUS AND PARASITIC DISEASES 0.6515 3.1 8
724 2 7242 OTHER INFECTIOUS AND PARASITIC DISEASES 0.7598 3.9 10
724 3 7243 OTHER INFECTIOUS AND PARASITIC DISEASES 1.6045 6.4 15
724 4 7244 OTHER INFECTIOUS AND PARASITIC DISEASES 4.2390 12.9 30
740 1 7401 MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE 1.9551 4.4 13
740 2 7402 MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE 2.0220 10.2 32
740 3 7403 MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE 3.9470 19.1 58
740 4 7404 MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE 6.9637 33.0 117
750 1 7501 SCHIZOPHRENIA 0.5531 6.8 16
750 2 7502 SCHIZOPHRENIA 0.6423 7.3 17
750 3 7503 SCHIZOPHRENIA 0.9836 8.4 22
750 4 7504 SCHIZOPHRENIA 3.4747 17.5 36
751 1 7511 MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES 0.3973 4.8 9
751 2 7512 MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES 0.4787 5.4 11
751 3 7513 MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES 0.7542 7.9 24
751 4 7514 MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES 1.0297 9.5 30
752 1 7521 DISORDERS OF PERSONALITY AND IMPULSE CONTROL 0.4601 4.4 12
752 2 7522 DISORDERS OF PERSONALITY AND IMPULSE CONTROL 0.5493 8.6 15
752 3 7523 DISORDERS OF PERSONALITY AND IMPULSE CONTROL 1.3546 10.6 30
752 4 7524 DISORDERS OF PERSONALITY AND IMPULSE CONTROL 3.6951 12.7 45
753 1 7531 BIPOLAR DISORDERS 0.4805 5.4 12
753 2 7532 BIPOLAR DISORDERS 0.5951 6.1 14
753 3 7533 BIPOLAR DISORDERS 1.1975 8.2 24
753 4 7534 BIPOLAR DISORDERS 2.7572 23.8 64
754 1 7541 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 0.3354 4.1 8
754 2 7542 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 0.4719 4.9 10
754 3 7543 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 0.8481 6.3 14
754 4 7544 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER 2.4484 20.0 59
755 1 7551 ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 0.3160 3.1 7
755 2 7552 ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 0.5234 4.0 9
755 3 7553 ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 1.1599 6.3 16
755 4 7554 ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES 2.2079 13.6 43
756 1 7561 ACUTE ANXIETY AND DELIRIUM STATES 0.5692 2.4 5
756 2 7562 ACUTE ANXIETY AND DELIRIUM STATES 0.7244 2.8 9
756 3 7563 ACUTE ANXIETY AND DELIRIUM STATES 1.0905 3.1 14
756 4 7564 ACUTE ANXIETY AND DELIRIUM STATES 1.2787 3.8 26
757 1 7571 ORGANIC MENTAL HEALTH DISTURBANCES 0.4385 3.0 8
757 2 7572 ORGANIC MENTAL HEALTH DISTURBANCES 1.2854 5.5 17
757 3 7573 ORGANIC MENTAL HEALTH DISTURBANCES 1.8218 12.1 37
757 4 7574 ORGANIC MENTAL HEALTH DISTURBANCES 4.1081 24.3 69
758 1 7581 BEHAVIORAL DISORDERS 0.3162 4.9 11
758 2 7582 BEHAVIORAL DISORDERS 0.4809 7.6 21
758 3 7583 BEHAVIORAL DISORDERS 0.5017 10.4 31
758 4 7584 BEHAVIORAL DISORDERS 2.0573 13.3 41
759 1 7591 EATING DISORDERS 1.5406 11.4 33
759 2 7592 EATING DISORDERS 1.9176 12.4 39
Prepared by HHSC Hospital Provider Finance 19 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
759 3 7593 EATING DISORDERS 3.7935 22.8 59
759 4 7594 EATING DISORDERS 5.5394 30.5 94
760 1 7601 OTHER MENTAL HEALTH DISORDERS 0.4853 3.4 8
760 2 7602 OTHER MENTAL HEALTH DISORDERS 1.1737 6.3 17
760 3 7603 OTHER MENTAL HEALTH DISORDERS 1.8264 7.4 24
760 4 7604 OTHER MENTAL HEALTH DISORDERS 2.4791 8.5 25
770 1 7701 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 0.3401 1.8 4
770 2 7702 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 0.4547 2.2 5
770 3 7703 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 0.7249 3.8 6
770 4 7704 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE 1.6841 5.4 15
772 1 7721 ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY 0.3764 5.2 9
772 2 7722 ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY 0.4461 5.2 9
772 3 7723 ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY 0.5700 9.5 9
772 4 7724 ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY 3.2620 13.8 34
773 1 7731 OPIOID ABUSE AND DEPENDENCE 0.3072 2.5 4
773 2 7732 OPIOID ABUSE AND DEPENDENCE 0.4990 3.9 8
773 3 7733 OPIOID ABUSE AND DEPENDENCE 0.8088 4.0 8
773 4 7734 OPIOID ABUSE AND DEPENDENCE 2.4385 9.6 33
774 1 7741 COCAINE ABUSE AND DEPENDENCE 0.3356 2.7 7
774 2 7742 COCAINE ABUSE AND DEPENDENCE 0.5594 3.7 9
774 3 7743 COCAINE ABUSE AND DEPENDENCE 0.8211 4.3 10
774 4 7744 COCAINE ABUSE AND DEPENDENCE 2.1446 6.1 14
775 1 7751 ALCOHOL ABUSE AND DEPENDENCE 0.5089 2.7 6
775 2 7752 ALCOHOL ABUSE AND DEPENDENCE 0.6879 3.6 9
775 3 7753 ALCOHOL ABUSE AND DEPENDENCE 1.2103 5.2 14
775 4 7754 ALCOHOL ABUSE AND DEPENDENCE 2.2095 8.9 23
776 1 7761 OTHER DRUG ABUSE AND DEPENDENCE 0.4011 3.4 9
776 2 7762 OTHER DRUG ABUSE AND DEPENDENCE 0.6098 4.0 10
776 3 7763 OTHER DRUG ABUSE AND DEPENDENCE 1.1533 4.0 10
776 4 7764 OTHER DRUG ABUSE AND DEPENDENCE 2.2400 7.0 20
792 1 7921 EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.7455 3.1 7
792 2 7922 EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 2.8035 7.3 19
792 3 7923 EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 5.7781 14.9 49
792 4 7924 EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 11.0812 22.9 62
793 1 7931 MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 0.9878 2.8 7
793 2 7932 MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.8397 5.0 13
793 3 7933 MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 4.6137 12.1 39
793 4 7934 MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 6.0338 17.9 57
794 1 7941 NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 0.7535 1.3 2
794 2 7942 NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.3737 5.4 6
794 3 7943 NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 1.9159 9.2 10
794 4 7944 NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT 3.7595 12.9 25
810 1 8101 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 0.4838 1.7 3
810 2 8102 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 0.9157 2.6 6
810 3 8103 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 1.3932 5.9 12
810 4 8104 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION 6.4037 13.3 33
811 1 8111 ALLERGIC REACTIONS 0.3853 1.9 4
811 2 8112 ALLERGIC REACTIONS 0.7127 2.4 5
811 3 8113 ALLERGIC REACTIONS 1.3059 3.6 9
811 4 8114 ALLERGIC REACTIONS 2.1965 6.9 18
812 1 8121 POISONING OF MEDICINAL AGENTS 0.4250 1.6 4
812 2 8122 POISONING OF MEDICINAL AGENTS 0.6335 2.4 5
812 3 8123 POISONING OF MEDICINAL AGENTS 0.9539 3.3 8
812 4 8124 POISONING OF MEDICINAL AGENTS 1.9697 5.4 15
813 1 8131 OTHER COMPLICATIONS OF TREATMENT 0.7732 2.7 6
813 2 8132 OTHER COMPLICATIONS OF TREATMENT 0.9620 3.7 9
813 3 8133 OTHER COMPLICATIONS OF TREATMENT 1.5383 5.7 14
813 4 8134 OTHER COMPLICATIONS OF TREATMENT 4.0528 12.4 35
815 1 8151 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 0.5589 2.2 6
815 2 8152 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 0.8513 3.2 8
815 3 8153 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 1.9844 6.6 21
815 4 8154 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES 6.5107 12.6 40
Prepared by HHSC Hospital Provider Finance 20 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
816 1 8161 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 0.9755 1.8 4
816 2 8162 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 1.5813 2.3 5
816 3 8163 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 1.7728 4.1 10
816 4 8164 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES 1.9643 5.3 14
817 1 8171 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE 0.4916 2.0 4
817 2 8172 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE 0.6163 2.6 6
817 3 8173 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE 0.9638 3.6 8
817 4 8174 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE 2.0929 5.1 12
841 1 8411 EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT 7.1066 15.9 17
841 2 8412 EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT 7.1623 21.3 41
841 3 8413 EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT 11.0217 26.6 65
841 4 8414 EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT 25.5015 38.2 106
842 1 8421 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS 1.4549 4.5 10
842 2 8422 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS 2.2049 8.0 17
842 3 8423 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS 4.2349 12.5 28
842 4 8424 BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS 8.6996 25.4 52
843 1 8431 EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT 0.7613 2.3 5
843 2 8432 EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT 1.4137 4.6 14
843 3 8433 EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT 1.7006 6.0 18
843 4 8434 EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT 4.7193 9.4 32
844 1 8441 PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT 0.5806 2.4 5
844 2 8442 PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT 0.8624 3.1 7
844 3 8443 PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT 1.4281 5.3 11
844 4 8444 PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT 4.1019 11.8 37
850 1 8501 PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES 1.9051 3.0 7
850 2 8502 PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES 3.3966 5.3 14
850 3 8503 PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES 5.1830 21.0 68
850 4 8504 PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES24.5817 82.4 226
860 1 8601 REHABILITATION 0.8545 6.2 15
860 2 8602 REHABILITATION 1.2305 10.9 24
860 3 8603 REHABILITATION 1.7935 11.3 24
860 4 8604 REHABILITATION 2.7961 19.3 42
861 1 8611 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS 0.5086 1.9 4
861 2 8612 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS 0.8194 3.6 9
861 3 8613 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS 1.5566 6.3 17
861 4 8614 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS 3.1717 12.4 39
862 1 8621 OTHER AFTERCARE AND CONVALESCENCE 1.4490 9.7 25
862 2 8622 OTHER AFTERCARE AND CONVALESCENCE 1.9577 11.9 31
862 3 8623 OTHER AFTERCARE AND CONVALESCENCE 2.9259 13.6 47
862 4 8624 OTHER AFTERCARE AND CONVALESCENCE 4.3535 15.3 49
863 1 8631 NEONATAL AFTERCARE 0.9724 5.6 16
863 2 8632 NEONATAL AFTERCARE 2.5884 16.2 47
863 3 8633 NEONATAL AFTERCARE 3.9492 29.7 59
863 4 8634 NEONATAL AFTERCARE 17.0233 67.3 129
890 1 8901 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS 1.1571 5.5 10
890 2 8902 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS 1.2521 6.9 15
890 3 8903 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS 2.1952 8.3 21
890 4 8904 HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS 4.6339 13.4 35
892 1 8921 HIV WITH MAJOR HIV RELATED CONDITION 0.8367 3.8 10
892 2 8922 HIV WITH MAJOR HIV RELATED CONDITION 1.0450 4.3 10
892 3 8923 HIV WITH MAJOR HIV RELATED CONDITION 1.6254 6.3 16
892 4 8924 HIV WITH MAJOR HIV RELATED CONDITION 2.4622 8.4 21
893 1 8931 HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 0.7258 4.0 11
893 2 8932 HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 1.0418 4.9 13
893 3 8933 HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 1.4531 5.8 14
893 4 8934 HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS 2.7326 14.8 41
894 1 8941 HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS 0.9009 2.6 6
894 2 8942 HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS 1.0496 4.5 11
894 3 8943 HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS 1.5314 5.0 12
894 4 8944 HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS 2.0133 8.6 28
910 1 9101 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 3.4134 8.7 9
910 2 9102 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 3.5354 9.8 20
Prepared by HHSC Hospital Provider Finance 21 of 22 September 16, 2021
APR DRG SOI DRG-SOI DRG DescriptionV38 APR - DRG
Relative Weight
Mean Length
of Stay
(MLOS)
Day Outlier
Threshold
State Fiscal Year 2022
All Patient Refined Diagnosis Related Group (APR DRG)
Grouper Version 38
Effective for Discharges on or After 10/01/2021
Universal Mean=10,161.08
910 3 9103 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 4.6281 10.9 38
910 4 9104 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 12.1729 20.7 56
911 1 9111 EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 1.8555 4.6 8
911 2 9112 EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2.0727 5.4 11
911 3 9113 EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 3.8612 7.2 17
911 4 9114 EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 10.3130 16.5 50
912 1 9121 MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2.8079 5.4 13
912 2 9122 MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 2.9313 6.7 16
912 3 9123 MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 4.4641 7.9 19
912 4 9124 MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 9.8934 19.8 49
930 1 9301 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE 1.1695 2.0 4
930 2 9302 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE 1.6379 2.9 7
930 3 9303 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE 2.1062 5.4 13
930 4 9304 MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE 5.0515 9.2 31
950 1 9501 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.7218 2.6 6
950 2 9502 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.5896 5.1 13
950 3 9503 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 4.1869 10.3 25
950 4 9504 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 11.8115 23.6 64
951 1 9511 MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.1518 2.7 6
951 2 9512 MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.7269 4.8 11
951 3 9513 MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3.4422 10.0 26
951 4 9514 MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 8.2372 18.0 52
952 1 9521 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.2819 3.6 10
952 2 9522 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.7207 5.6 13
952 3 9523 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 5.0183 11.8 33
952 4 9524 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 10.4081 19.8 52
955 0 9550 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS - - -
956 0 9560 UNGROUPABLE - - -
Prepared by HHSC Hospital Provider Finance 22 of 22 September 16, 2021