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    Mailing Address
    THCIC
    Dept. of State Health Services
    Center for Health Statistics, MC 1898
    PO Box 149347
    Austin, Texas 78714-9347

    Location
    Moreton Building, M-660
    1100 West 49th Street
    Austin, TX 78756

    512-776-7261
    512-776-7740 (fax)
    Email: thcichelp@dshs.state.tx.us

All Patient Refined Diagnostic Related Groups (APR-DRGs)

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Texas Health Care Information Collection
Center for Health Statistics

Version 20.0
Published by 3M Health Information Systems
001 Liver transplant
002 Heart &/or lung transplant
003 Bone marrow transplant
004 Tracheostomy w long term mechanical ventilation w extensive procedure
005 Tracheostomy w long term mechanical ventilation w/o extensive procedure
006 Pancreas transplant
020 Craniotomy for trauma
021 Craniotomy except for trauma
022 Ventricular shunt procedures
023 Spinal procedures
024 Extracranial vascular procedures
025 Nervous system proc for peripheral nerve disorders
026 Other nervous system &related procedures
040 Spinal disorders & injuries
041 Nervous system malignancy
042 Degenerative nervous system disorders exc mult sclerosis
043 Multiple sclerosis & other demyelinating diseases
044 Intracranial hemorrhage
045 Cva & precerebral occlusion w infarct
046 Nonspecific cva & precerebral occlusion w/o infarct
047 Transient ischemia
048 Peripheral, cranial & autonomic nerve disorders
049 Bacterial & tuberculous infections of nervous system
050 Non-bacterial infections of nervous system exc viral meningitis
051 Viral meningitis
052 Nontraumatic stupor & coma
053 Seizure
054 Migraine & other headaches
055 Head trauma w coma >1 hr or hemorrhage
056 Brain contusion/laceration & complicated skull fx, coma <1 hr or no coma
057 Concussion,closed skull fx nos, uncomplicated intracranial injury, coma <1 hr or no coma
058 Other disorders of nervous system
070 Orbital procedures
073 Eye procedures except orbit
080 Acute major eye infections
082 Eye disorders except major infections
089 Major cranial/facial bone procedures
090 Major larynx & tracheal procedures
091 Other major head & neck procedures
092 Facial bone procedures except major cranial/facial bone procedures
093 Sinus & mastoid procedures
094 Mouth procedures
095 Cleft lip & palate repair
097 Tonsil & adenoid procedures
098 Other ear, nose, mouth & throat procedures
110 Ear, nose, mouth,throat, cranial/facial malignancies
111 Vertigo & other labyrinth disorders
113 Infections of upper respiratory tract
114 Dental & oral diseases & injuries
115 Other ear, nose, mouth, throat & cranial/facial diagnoses
120 Major respiratory & chest procedures
121 Other respiratory & chest procedures
130 Respiratory system diagnosis w ventilator support 96+ hours
131 Cystic fibrosis - pulmonary disease
132 Bpd & oth chronic respiratory diseases arising in perinatal period
133 Pulmonary edema & respiratory failure
134 Pulmonary embolism
135 Major chest & respiratory trauma
136 Respiratory malignancy
137 Major respiratory infections & inflammations
138 Bronchiolitis & rsv pneumonia
139 Other pneumonia
140 Chronic obstructive pulmonary disease
141 Asthma
142 Interstitial lung disease
143 Other respiratory diagnoses except signs, symptoms & minor diagnoses
144 Respiratory system signs, symptoms & minor diagnoses
160 Major cardiothoracic repair of heart anomaly
161 Cardiac defibrillator & heart assist implant
162 Cardiac valve procedures w cardiac catheterization
163 Cardiac valve procedures w/o cardiac catheterization
165 Coronary bypass w cardiac cath or percutaneous cardiac procedure
166 Coronary bypass w/o cardiac cath or percutaneous cardiac procedure
167 Other cardiothoracic procedures
169 Major thoracic & abdominal vascular procedures
170 Permanent cardiac pacemaker implant w AMI,heart failure or shock
171 Perm cardiac pacemaker implant w/o AMI, heart failure or shock
173 Other vascular procedures
174 Percutaneous cardiovascular procedures w AMI
175 Percutaneous cardiovascular procedures w/o AMI
176 Cardiac pacemaker & defibrillator device replacement
177 Cardiac pacemaker & defibrillator revision except device replacement
180 Other circulatory system procedures
190 Acute myocardial infraction
191 Cardiac catheterization w circ disord exc ischemic heart disease
192 Cardiac catheterization for ischemic heart disease
193 Acute & subacute endocarditis
194 Heart failure
196 Cardiac arrest
197 Peripheral & other vascular disorders
198 Angina pectoris & coronary atherosclerosis
199 Hypertension
200 Cardiac structural & valvular disorders
201 Cardiac arrhythmia & conduction disorders
203 Chest pain
204 Syncope & collapse
205 Cardiomyopathy
206 Malfunction,reaction, complication of cardiac/vasc device or procedure
207 Other circulatory system diagnoses
220 Major stomach, esophageal & duodenal procedures
221 Major small & large bowel procedures
222 Other stomach, esophageal & duodenal procedures
223 Other small & large bowel procedures
224 Peritoneal adhesiolysis
225 Appendectomy
226 Anal procedures
227 Hernia procedures except inguinal, femoral & umbilical
228 Inguinal, femoral & umbilical hernia procedures
229 Other digestive system & abdominal procedures
240 Digestive malignancy
241 Peptic ulcer & gastritis
242 Major esophageal disorders
243 Other esophageal disorders
244 Diverticulitis & diverticulosis
245 Inflammatory bowel disease
246 Gastrointestinal vascular insufficiency
247 Intestinal obstruction
248 Major gastrointestinal& peritoneal infections
249 Non-bacterial gastroenteritis, nausea & vomiting
251 Abdominal pain
252 Malfunction, reaction & complication of GI device or procedure
253 Other & unspecified gastrointestinal hemorrhage
254 Other digestive system diagnoses
260 Major pancreas, liver & shunt procedures
261 Major biliary tract procedures
262 Cholecystectomy except laparoscopic
263 Laparoscopic cholecystectomy
264 Other hepatobiliary, pancreas & abdominal procedures
279 Hepatic coma & other major acute liver disorders
280 Alcoholic liver disease
281 Malignancy of hepatobiliary system & pancreas
282 Disorders of pancreas except malignancy
283 Other disorders of the liver
284 Disorders of the gallbladder & biliary tract
301 Hip joint replacement
302 Knee joint replacement
303 Dorsal & lumbar fusion proc for curvature of back
304 Dorsal & lumbar fusion proc except for curvature of back
305 Amputation of lower limb except toes
308 Hip & femur procedures for trauma except joint replacement
309 Hip & femur procedures for non-trauma except joint replacement
310 Intervertebral disc excision & decompression
312 Skin graft except hand, for musculoskeletal & connective tissue diagnoses
313 Knee & lower leg procedures except foot
314 Foot & toe procedures
315 Shoulder, upper arm & forearm procedures
316 Hand & wrist procedures
317 Tendon, muscle & other soft tissue procedures
320 Other musculoskeletal system & connective tissue procedures
340 Fractures of femur
341 Fracture of pelvis or dislocation of hip
342 Fracture & dislocation except femur, pelvis & back
343 Musculoskeletal malignancy & pathol fracture d/t muscskel malig
344 Osteomyelitis, septic arthritis & other musculoskeletal infections
346 Connective tissue disorders
347 Other back & neck disorders, fractures & injuries
349 Malfunction, reaction, complic of orthopedic device or procedure
351 Other musculoskeletal system & connective tissue diagnoses
361 Skin graft for skin & subcutaneous tissue diagnoses
362 Mastectomy procedures
363 Breast procedures except mastectomy
364 Other skin, subcutaneous tissue & related procedures
380 Skin ulcers
381 Major skin disorders
382 Malignant breast disorders
383 Cellulitis & other bacterial disorders
384 Contusion, open wound & other trauma to skin & subcutaneous tissue
385 Other skin, subcutaneous tissue & breast procedures
401 Pituitary & adrenal procedures
403 Procedures for obesity
404 Thyroid, parathyroid & thyroglossal procedures
405 Other procedures for endocrine, nutritional & metabolic disorders
420 Diabetes
421 Malnutrition, failure to thrive & other nutritional disorders
422 Hypovolemia & related electrolyte disorders
423 Inborn errors of metabolism
424 Other endocrine disorders
425 Electrolyte disorders except hypovolemia related
440 Kidney transplant
441 Major bladder procedures
442 Kidney & urinary tract procedures for malignancy
443 Kidney & urinary tract procedures for nonmalignancy
444 Renal dialysis access device procedure only
445 Other bladder procedures
446 Urethral & transurethral procedures
447 Other kidney, urinary tract & related procedures
460 Renal failure
461 Kidney & urinary tract malignancy
462 Nephritis & nephrosis
463 Kidney & urinary tract infections
465 Urinary stones & acquired upper urinary tract obstruction
466 Malfunctions,reactions, complic of genitourinary device or proc
468 Other kidney & urinary tract diagnoses, signs & symptoms
480 Major male pelvic procedures
481 Penis procedures
482 Transurethral prostatectomy
483 Testes & scrotal procedures
484 Other male reproductive system & related procedures
500 Malignancy, male reproductive system
501 Male reproductive system diagnoses except malignancy
510 Pelvic evisceration, radical hysterectomy& other radical gyn procs
511 Uterine & adnexa procedures for ovarian & adnexal malignancy
512 Uterine & adnexa procedures for non-ovarian & non-adnexal malig
513 Uterine & adnexa procedures for non-malignancy except leiomyoma
514 Female reproductive system reconstructive procedures
517 Dilation & Curettage for non-obstetric diagnoses
518 Other female reproductive system & related procedures
519 Uterine & adnexa procedures foe leiomyoma
530 Female reproductive system malignancy
531 Female reproductive system infections
532 Menstrual & other female reproductive system disorders
540 Cesarean delivery
541 Vaginal delivery w sterilization &/or D&C
542 Vaginal delivery w complicating procedures exc sterilization &/or D&C
544 D&C, aspiration curettage or hysterotomy for obstetric diagnoses
545 Ectopic pregnancy procedure
546 Other O.R. proc for obstetric diagnoses except delivery diagnoses
560 Vaginal delivery
561 Postpartum & post abortion diagnoses w/o procedure
563 Threatened abortion
564 Abortion w/o D&C, aspiration curettage or hysterotomy
565 False labor
566 Other antepartum diagnoses
580 Neonate, transferred <5 days old, not born here
581 Neonate, transferred <5 days old, born here
583 Neonate w ecmo
588 Neonate birthwt <1500g w major procedure
589 Neonate birthwt <500g
591 Neonate birthwt <500-749g w/o major procedure
593 Neonate birthwt 750g-999g w/o major procedure
602 Neonate birthwt 1000-1249g w resp dist syndrome/oth maj resp or maj anom
603 Neonate birthwt 1000-1249g w or w/o other significant condition
607 Neonate birthwt 1250-1499g w resp dist synd/oth maj resp or maj anom
608 Neonate birthwt 1250-1499g w or w/o other significant condition
609 Neonate birthwt 1500-2499g w major procedure
611 Neonate birthwt 1500-1999g w major anomaly
612 Neonate birthwt 1500-1999g w resp dist synd/oth maj resp cond
613 Neonate, birthwt 1500-1999g w congenital or perinatal infections
613 Neonate birthwt 1500-1999g w congenital/perinatal infection
614 Neonate birthwt 1500-1999g w or w/o other significant condition
621 Neonate birthwt 2000-2499g w major anomaly
622 Neonate birthwt 2000-2499g w resp dist synd/oth maj resp cond
623 Neonate birthwt 2000-2499g w congenital/perinatal infection
625 Neonate birthwt 2000-2499g w other significant condition
626 Neonate birthwt 2000-2499g, normal newborn or neonate w other problem
630 Neonate birthwt >2499g w major cardiovascular procedure
631 Neonate birthwt >2499g w other major procedure
633 Neonate birthwt >2499g w major anomaly
634 Neonate birthwt >2499g w resp dist synd/oth maj resp cond
636 Neonate birthwt >2499g w congenital/perinatal infection
639 Neonate birthwt >2499g w other significant condition
640 Neonate birthwt >2499g, normal newborn or neonate w other problem
650 Splenectomy
651 Other procedures of blood & blood forming organs
660 Major hematologic/immunologic diag exc sickle cell crisis & coagul
661 Coagulation & platelet disorders
662 Sickle cell anemia crisis
663 Other anemia & disorders of blood & Red blood-forming organs
680 Major O.R. procedures for lymphatic/hematopoietic/other neoplasms
681 Other O.R. procedures for lymphatic/hematopoietic/other neoplasms
690 Acute leukemia
691 Lymphoma, myeloma & non-acute leukemia
692 Radiotherapy
693 Chemotherapy
694 Lymphatic& other malignancies & neoplasms of uncertain behavior
710 Infectious & parasitic diseases including hiv w O.R. procedure
711 Post-op, post-trauma, other device infections w O.R. procedure
720 Septicemia & disseminated infections
721 Post-operative, post-traumatic, other device infections
722 Fever
723 Viral illness
724 Other infectious & parasitic diseases
740 Mental illness diagnoses w O.R. procedure
750 Schizophrenia
751 Major depressive disorders & other/unspecified psychoses
752 Disorders of personality & impulse control
753 Bipolar disorders
754 Depression except major depressive disorder
755 Adjustment disorders & neuroses except depressive diagnoses
756 Acute anxiety & delirium states
757 Organic mental health disturbances
758 Childhood mental disorders
759 Eating disorders
760 Other mental health disorders
770 Drug & alcohol abuse or dependence, left against medical advice
772 Alcohol & drug dependence w rehab or rehab/detox therapy
773 Opioid abuse & dependence
774 Cocaine abuse & dependence
775 Alcohol abuse & dependence
776 Other drug abuse & dependence
791 O.R. procedure for other complications of treatment
811 Allergic reactions
812 Poisoning of medicinal agents
813 Other complications of treatment
815 Other injury, poisoning & toxic effect diagnoses
816 Toxic effect of non-medicinal substances
841 Extensive 3rd degree burns w skin graft
842 Full thickness burns w skin graft
843 Extensive 3rd degree or full thickness burns w/o skin graft
844 Partial thickness burns w or w/o skin graft
850 Procedure w diag of rehab, aftercare or oth contact w health service
860 Rehabilitation
861 Signs, symptoms & other factors influencing health status
862 Other aftercare & convalescence
863 Neonate aftercare
890 Hiv w multiple major hiv related infections
892 Hiv w major hiv related condition
893 Hiv w multiple significant hiv related conditions
894 Hiv w one signif hiv cond or w/o signif related cond
910 Craniotomy for multiple significant trauma
911 Extensive abdominal/thoracic procedures for mult significant trauma
912 Musculoskeletal & other procedures for multiple significant trauma
930 Multiple significant trauma w/o O.R. procedure
950 Extensive procedure unrelated to principal diagnosis
951 Moderately extensive procedure unrelated to principal diagnosis
952 Nonextensive procedure unrelated to principal diagnosis
955 Principal diagnosis invalid as discharge diagnosis
956 Ungroupable

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Last updated September 08, 2010