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

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

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

APR–DRG Codes Severity of Illness APR DRG Description APR–DRG SIW
042 1 Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI–1 0.9317
042 2 Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI–2 0.9317
042 3 Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI–3 0.9317
042 4 Degenerative Nervous System Disorders Exc Mult Sclerosis, SOI–4 0.9317
052 1 Nontraumatic Stupor & Coma, SOI–1 1.0034
052 2 Nontraumatic Stupor & Coma, SOI–2 1.0034
052 3 Nontraumatic Stupor & Coma, SOI–3 1.0034
052 4 Nontraumatic Stupor & Coma, SOI–4 1.0034
561 1 Postpartum & Post Abortion Diagnoses w/o Procedure, SOI–1 1.0105
561 2 Postpartum & Post Abortion Diagnoses w/o Procedure, SOI–2 1.0105
561 3 Postpartum & Post Abortion Diagnoses w/o Procedure, SOI–3 1.0105
561 4 Postpartum & Post Abortion Diagnoses w/o Procedure, SOI–4 1.0105
566 1 Other Antepartum Diagnoses, SOI–1 0.9559
566 2 Other Antepartum Diagnoses, SOI–2 0.9559
566 3 Other Antepartum Diagnoses, SOI–3 1.0875
566 4 Other Antepartum Diagnoses, SOI–4 1.0875
740 1 Mental Illness Diagnosis w O.R. Procedure, SOI–1 1.1418
740 2 Mental Illness Diagnosis w O.R. Procedure, SOI–2 1.1418
740 3 Mental Illness Diagnosis w O.R. Procedure, SOI–3 1.1418
740 4 Mental Illness Diagnosis w O.R. Procedure, SOI–4 1.1418
750 1 Schizophrenia, SOI–1 0.9444
750 2 Schizophrenia, SOI–2 0.9938
750 3 Schizophrenia, SOI–3 1.0527
750 4 Schizophrenia, SOI–4 1.0703
751 1 Major Depressive Disorders & Other/Unspecified Psychoses, SOI–1 0.9887
751 2 Major Depressive Disorders & Other/Unspecified Psychoses, SOI–2 1.0492
751 3 Major Depressive Disorders & Other/Unspecified Psychoses, SOI–3 1.0666
751 4 Major Depressive Disorders & Other/Unspecified Psychoses, SOI–4 1.1208
752 1 Disorders of Personality & Impulse Control, SOI–1 0.9847
752 2 Disorders of Personality & Impulse Control, SOI–2 1.0223
752 3 Disorders of Personality & Impulse Control, SOI–3 1.0223
752 4 Disorders of Personality & Impulse Control, SOI–4 1.0223
753 1 Bipolar Disorders, SOI–1 0.9714
753 2 Bipolar Disorders, SOI–2 1.0109
753 3 Bipolar Disorders, SOI–3 1.0576
753 4 Bipolar Disorders, SOI–4 1.1495
754 1 Depression Except Major Depressive Disorder, SOI–1 1.0225
754 2 Depression Except Major Depressive Disorder, SOI–2 1.0611
754 3 Depression Except Major Depressive Disorder, SOI–3 1.0864
754 4 Depression Except Major Depressive Disorder, SOI–4 1.0864
755 1 Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI–1 1.0464
755 2 Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI–2 1.0464
755 3 Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI–3 1.0464
755 4 Adjustment Disorders & Neuroses Except Depressive Diagnoses, SOI–4 1.0464
756 1 Acute Anxiety & Delirium States, SOI–1 1.1144
756 2 Acute Anxiety & Delirium States, SOI–2 1.1558
756 3 Acute Anxiety & Delirium States, SOI–3 1.1558
756 4 Acute Anxiety & Delirium States, SOI–4 1.1558
757 1 Organic Mental Health Disturbances, SOI–1 1.0142
757 2 Organic Mental Health Disturbances, SOI–2 1.0142
757 3 Organic Mental Health Disturbances, SOI–3 1.0451
757 4 Organic Mental Health Disturbances, SOI–4 1.0451
758 1 Childhood Behavioral Disorders, SOI–1 0.9635
758 2 Childhood Behavioral Disorders, SOI–2 1.0365
758 3 Childhood Behavioral Disorders, SOI–3 1.0365
758 4 Childhood Behavioral Disorders, SOI–4 1.0365
759 1 Eating Disorders, SOI–1 0.8626
759 2 Eating Disorders, SOI–2 0.9256
759 3 Eating Disorders, SOI–3 0.9256
759 4 Eating Disorders, SOI–4 0.9256
760 1 Other Mental Health Disorders, SOI–1 0.9918
760 2 Other Mental Health Disorders, SOI–2 0.9918
760 3 Other Mental Health Disorders, SOI–3 0.9918
760 4 Other Mental Health Disorders, SOI–4 0.9918
770 1 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI–1 0.9775
770 2 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI–2 0.9775
770 3 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI–3 0.9775
770 4 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice, SOI–4 0.9775
772 1 Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI–1 0.8373
772 2 Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI–2 0.8373
772 3 Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI–3 0.8373
772 4 Alcohol & Drug Dependence w Rehab or Rehab/Detox Therapy, SOI–4 0.8373
773 1 Opioid Abuse & Dependence, SOI–1 1.0204
773 2 Opioid Abuse & Dependence, SOI–2 1.0204
773 3 Opioid Abuse & Dependence, SOI–3 1.0361
773 4 Opioid Abuse & Dependence, SOI–4 1.0361
774 1 Cocaine Abuse & Dependence, SOI–1 0.9807
774 2 Cocaine Abuse & Dependence, SOI–2 1.0360
774 3 Cocaine Abuse & Dependence, SOI–3 1.0513
774 4 Cocaine Abuse & Dependence, SOI–4 1.0513
775 1 Alcohol Abuse & Dependence, SOI–1 1.0196
775 2 Alcohol Abuse & Dependence, SOI–2 1.0709
775 3 Alcohol Abuse & Dependence, SOI–3 1.0709
775 4 Alcohol Abuse & Dependence, SOI–4 1.0709
776 1 Other Drug Abuse & Dependence, SOI–1 0.9363
776 2 Other Drug Abuse & Dependence, SOI–2 1.0926
776 3 Other Drug Abuse & Dependence, SOI–3 1.0926
776 4 Other Drug Abuse & Dependence, SOI–4 1.0926