Files > DRG

name
DRG
number
80.2
location
^ICD(
description
This file contains all DRG's, their Trim Points, Affiliated and Non-affiliated weights, etc.
Fields
#NameLocationTypeDetailsIndexDescription
.001number11This is the DRG number
.01name(+)0;1FREE TEXTBThis is the DRG number with "DRG" affixed as a prefix.
.06surgery0;6BOOLEAN1:YES
This is a flag set =1 if this is a surgical DRG.
1description1;0MULTIPLE80.21This is the description of the DRG
2weight0;2NUMERICThis field contains the weighted work unit (WWU) value assigned to the DRG.
3low trim(days)0;3NUMERICLowest # days of stay for this DRG
4high trim(days)0;4NUMERICHighest # of days of stay for this DRG
5mdc#(+)0;5POINTER80.3MDC for this DRG.
7weight(nonaffil)0;7NUMERICThis field contains the weighted work unit (WWU) value assigned to the DRG.
7.5weight(intaffil)0;11NUMERICThis field contains the weighted work unit (WWU) value assigned to the DRG.
10avg length of stay(days)0;8NUMERICAverage Length of Stay for this DRG
11local low trim(days)0;9NUMERICLow # days of stay for this (local) facility
12local high trim(days)0;10NUMERICHigh # days of stay for this (local) facility
13local breakeven0;12NUMERICThe day on which the actual cost of care equals the estimated allocation for the assigned medical center.
14activation date0;13DATE-TIMEACTIVATION DATE FOR THE DRG CODE
15inactive0;14SET OF CODES1:INACTIVE
0:ACTIVE
INACTIVE FLAG FOR DRG CODE
16inactivation date0;15DATE-TIMEDATE THAT THE CODE BECAME INACTIVE
20fiscal year weights&trimsFY;0MULTIPLE80.22Weight and Trims by fiscal year
30breakeven fiscal year/quarterBE;0MULTIPLE80.23This field contains the breakeven FY quarter.
66effective date66;0MULTIPLE80.266
68description (versioned)68;0MULTIPLE80.268This is a history of the descriptive text to include the date the text was first used and the text used.
71drg grouper effecive date2;0MULTIPLE80.271
900referenceMC1;1FREE TEXTThis field contains the name of the routine that contains the grouper logic for this field.

Referenced by 11 types

  1. PTF CLOSE OUT (45.84) -- drg
  2. TEMPORARY DIAGNOSES (80.7) -- drga, drgb, drgc, drgd, drge, drgf
  3. DRG MDC CATEGORY DRG (83.1) -- drg
  4. FEE BASIS INVOICE (162.5) -- discharge drg
  5. TRANSFER PRICING TRANSACTIONS (351.61) -- drg
  6. CLAIMS TRACKING ALOS (356.5) -- drg
  7. INPATIENT INTERIM DRG (356.93) -- name
  8. CHARGE ITEM (363.2) -- name
  9. BILL/CLAIMS (399) -- pps
  10. ADMISSION EXTRACT (727.802) -- drg
  11. ADMISSION SETUP EXTRACT (727.82) -- drg