RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170...

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OHIO DEPARTMENT OF MEDICAID BUREAU OF HEALTH PLAN POLICY This spreadsheet version of the Relative Weight Tables is provided for use in calculations by providers. Great care has been taken to ensure accuracy. However, it is possible that typographical or other errors may occur. The copy of the Relative Weight Table that is stored in the payment system will be the determining factor in any discrepancy. RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1, 2020 Published on September 25, 2020

Transcript of RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170...

Page 1: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

OHIO DEPARTMENT OF MEDICAID BUREAU OF HEALTH PLAN POLICY

This spreadsheet version of the Relative Weight Tables is provided for use in calculations by providers. Great care has been taken to ensure accuracy. However, it is possible that typographical or other errors may occur. The copy of the Relative Weight Table that is stored in the payment system will be the determining factor in any discrepancy.

RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1, 2020 Published on September 25, 2020

Page 2: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

0001 1 0011 7.0000 14.40660001 2 0012 9.0000 14.40660001 3 0013 9.8220 14.40660001 4 0014 17.5000 18.15030002 1 0021 13.0000 22.12360002 2 0022 14.0000 22.12360002 3 0023 21.7270 22.12360002 4 0024 40.9410 22.12360004 1 0041 11.0000 9.30110004 2 0042 9.2000 9.30110004 3 0043 24.5770 9.30110004 4 0044 28.3580 12.29010005 1 0051 13.8570 5.47230005 2 0052 13.8570 5.47230005 3 0053 15.8430 5.47230005 4 0054 22.9100 8.50020006 1 0061 6.5000 12.83270006 2 0062 6.5000 12.83270006 3 0063 8.0000 12.83270006 4 0064 8.0000 12.83270007 1 0071 38.0000 13.87300007 2 0072 38.0000 13.87300007 3 0073 32.7000 13.87300007 4 0074 31.8330 13.87300008 1 0081 14.3000 7.35370008 2 0082 14.3000 7.35370008 3 0083 19.0230 7.35370008 4 0084 25.4290 7.35370009 1 0091 17.0000 10.41040009 2 0092 17.0000 10.41040009 3 0093 12.0000 10.41040009 4 0094 13.8650 10.41040020 1 0201 4.8510 2.01540020 2 0202 5.8100 2.45010020 3 0203 11.7010 3.86420020 4 0204 18.8690 7.56820021 1 0211 3.8580 2.11390021 2 0212 5.2600 2.68200021 3 0213 9.4440 4.18290021 4 0214 15.3550 6.73310022 1 0221 2.2930 1.41140022 2 0222 3.0860 1.69630022 3 0223 4.5070 3.13190022 4 0224 18.9130 3.13190023 1 0231 2.1720 1.57820023 2 0232 4.9950 2.19900023 3 0233 9.7170 3.89210023 4 0234 13.8080 4.92140024 1 0241 1.4650 1.43360024 2 0242 2.3710 1.6915

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

Page 3: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0024 3 0243 6.2800 3.00060024 4 0244 10.3020 5.02720026 1 0261 3.0940 1.24470026 2 0262 3.6030 1.68740026 3 0263 6.8060 2.45120026 4 0264 7.1430 2.45120027 1 0271 4.3214 2.06790027 2 0272 5.5167 2.57380027 3 0273 10.4973 4.03420027 4 0274 16.9949 7.12280029 1 0291 4.5086 2.04940029 2 0292 5.6203 2.53010029 3 0293 10.9227 3.97410029 4 0294 17.6573 7.28020030 1 0301 1.4650 1.43360030 2 0302 2.3710 1.69150030 3 0303 6.2800 3.00060030 4 0304 10.3020 5.02720040 1 0401 4.3330 1.01670040 2 0402 9.1920 1.83540040 3 0403 12.4920 2.56490040 4 0404 16.5000 3.85960041 1 0411 2.8640 0.74700041 2 0412 3.3310 0.79650041 3 0413 4.1960 0.91970041 4 0414 9.1640 2.52370042 1 0421 2.6170 0.67920042 2 0422 5.3810 0.95330042 3 0423 6.2020 1.75630042 4 0424 11.8240 1.75630043 1 0431 3.4440 0.69660043 2 0432 4.7140 0.99880043 3 0433 7.3160 1.76470043 4 0434 20.3750 1.76470044 1 0441 2.4110 0.68380044 2 0442 4.4650 1.16960044 3 0443 6.1980 1.69840044 4 0444 9.2460 2.73660045 1 0451 2.4510 0.60010045 2 0452 3.4410 0.87180045 3 0453 5.4540 1.29880045 4 0454 10.8280 2.80740046 1 0461 3.6000 0.69670046 2 0462 2.5770 0.69670046 3 0463 3.1600 0.81850046 4 0464 16.0000 0.81850047 1 0471 1.9630 0.51370047 2 0472 2.1650 0.54310047 3 0473 3.4160 0.79710047 4 0474 11.7500 0.7971

Page 4: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0048 1 0481 2.6760 0.59930048 2 0482 3.1970 0.66540048 3 0483 4.3870 0.92770048 4 0484 8.2330 1.99020049 1 0491 5.0590 1.53250049 2 0492 5.9920 1.53250049 3 0493 8.1230 1.99470049 4 0494 12.7350 3.43860050 1 0501 2.6350 0.59430050 2 0502 3.6390 1.06970050 3 0503 8.5250 2.96600050 4 0504 16.0910 2.96600051 1 0511 2.0370 0.51350051 2 0512 2.7550 0.67820051 3 0513 4.8330 1.32310051 4 0514 4.3330 1.32310052 1 0521 2.0900 0.55880052 2 0522 2.5220 0.61890052 3 0523 4.4170 0.96810052 4 0524 8.6670 2.31110053 1 0531 2.3710 0.59570053 2 0532 2.6660 0.65620053 3 0533 3.4120 0.89600053 4 0534 7.4890 2.30390054 1 0541 2.2620 0.52760054 2 0542 2.5560 0.60030054 3 0543 3.2610 0.80680054 4 0544 3.5000 0.80680055 1 0551 2.0790 0.59620055 2 0552 3.3430 0.79520055 3 0553 6.0450 1.52150055 4 0554 9.7810 3.08060056 1 0561 1.5000 0.73480056 2 0562 2.4290 0.73480056 3 0563 2.3750 0.73480056 4 0564 7.0000 0.73480057 1 0571 1.6760 0.55460057 2 0572 2.2160 0.59570057 3 0573 3.5000 1.21760057 4 0574 8.0430 1.21760058 1 0581 3.1660 0.75590058 2 0582 5.5670 1.12650058 3 0583 8.6990 1.73830058 4 0584 11.5560 2.48660059 1 0591 2.2500 1.10670059 2 0592 5.6920 1.10670059 3 0593 7.0000 2.32990059 4 0594 6.8890 2.32990073 1 0731 2.3510 1.00390073 2 0732 2.8410 1.6458

Page 5: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0073 3 0733 7.9630 1.64580073 4 0734 22.6670 1.64580082 1 0821 2.5240 0.60900082 2 0822 2.7720 0.64400082 3 0823 4.0680 1.17140082 4 0824 8.2500 1.17140089 1 0891 2.3400 1.83800089 2 0892 3.9830 2.20790089 3 0893 6.4850 3.46810089 4 0894 8.9410 4.20740091 1 0911 3.0830 1.25120091 2 0912 4.9350 2.27850091 3 0913 9.0400 4.37820091 4 0914 12.0710 4.37820092 1 0921 2.4140 1.17850092 2 0922 3.2550 1.45660092 3 0923 7.0340 3.66010092 4 0924 16.5880 3.66010095 1 0951 1.1820 0.69610095 2 0952 1.1670 0.99820095 3 0953 3.7500 0.99820095 4 0954 3.7500 0.99820097 1 0971 1.8900 0.75540097 2 0972 2.4860 0.94150097 3 0973 3.6900 1.38920097 4 0974 9.8000 1.38920098 1 0981 2.7620 0.96030098 2 0982 3.4850 1.17750098 3 0983 6.8610 2.11460098 4 0984 9.7200 3.37170110 1 1101 1.5000 1.17800110 2 1102 3.8710 1.17800110 3 1103 5.6380 1.17800110 4 1104 8.8460 2.08680111 1 1111 1.9330 0.42910111 2 1112 2.6060 0.57030111 3 1113 3.0950 0.69590111 4 1114 3.0950 0.69590113 1 1131 1.8190 0.47260113 2 1132 2.3750 0.60420113 3 1133 3.4500 0.93710113 4 1134 6.1540 2.20920114 1 1141 2.1120 0.56890114 2 1142 2.3260 0.60520114 3 1143 3.8750 1.10630114 4 1144 12.3330 1.10630115 1 1151 2.2870 0.60490115 2 1152 2.8840 0.74210115 3 1153 4.0390 1.10870115 4 1154 10.9060 3.3473

Page 6: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0120 1 1201 4.1920 2.19880120 2 1202 5.9140 2.55140120 3 1203 8.4020 3.35490120 4 1204 15.3330 6.98450121 1 1211 3.7720 1.53460121 2 1212 6.0670 2.02490121 3 1213 9.2330 2.77990121 4 1214 14.6790 4.98040130 1 1301 15.6670 4.19750130 2 1302 11.2920 4.19750130 3 1303 12.9840 4.80880130 4 1304 14.5180 5.58610131 1 1311 7.8790 2.76670131 2 1312 9.1790 3.28870131 3 1313 9.8370 3.58390131 4 1314 11.8320 4.28840132 1 1321 2.2140 0.67150132 2 1322 4.0870 1.29740132 3 1323 6.2070 2.13110132 4 1324 14.3820 5.82050133 1 1331 2.2310 0.60290133 2 1332 3.1570 0.76780133 3 1333 4.3890 1.09330133 4 1334 6.2990 1.92870134 1 1341 2.4180 0.55050134 2 1342 2.9860 0.68010134 3 1343 4.5890 1.08820134 4 1344 6.2160 1.85120135 1 1351 2.3110 0.53640135 2 1352 2.6710 0.61820135 3 1353 4.0590 0.93520135 4 1354 6.8870 1.95210136 1 1361 2.4290 0.81550136 2 1362 3.4000 0.86150136 3 1363 5.2510 1.20450136 4 1364 7.8010 1.97250137 1 1371 2.6600 0.62890137 2 1372 3.6080 0.82380137 3 1373 5.1090 1.19740137 4 1374 8.0520 2.07660138 1 1381 2.1770 0.57490138 2 1382 2.8990 0.84430138 3 1383 4.5190 1.33720138 4 1384 9.5420 3.83230139 1 1391 2.0590 0.48900139 2 1392 2.6910 0.64070139 3 1393 3.9650 0.94090139 4 1394 6.5040 1.79760140 1 1401 2.3650 0.51160140 2 1402 2.8880 0.6274

Page 7: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0140 3 1403 3.7620 0.81090140 4 1404 5.4400 1.29650141 1 1411 1.7870 0.54010141 2 1412 2.3630 0.64010141 3 1413 3.0510 0.81460141 4 1414 4.5470 1.32550142 1 1421 3.3210 0.70380142 2 1422 3.5590 0.84390142 3 1423 4.4000 1.02290142 4 1424 6.7140 1.93100143 1 1431 2.6740 0.59200143 2 1432 3.3180 0.79810143 3 1433 5.0550 1.10820143 4 1434 6.5410 1.82750144 1 1441 1.9260 0.53260144 2 1442 2.7660 0.70880144 3 1443 3.9220 1.24370144 4 1444 8.9520 1.24370145 1 1451 1.7140 0.44780145 2 1452 2.7070 0.61820145 3 1453 3.4590 0.92990145 4 1454 4.8100 2.03100160 1 1601 4.8440 3.73370160 2 1602 6.3940 4.05150160 3 1603 9.6250 5.58580160 4 1604 18.1470 9.45380161 1 1611 5.0000 4.31540161 2 1612 7.4880 5.22320161 3 1613 14.2800 8.92550161 4 1614 17.8000 16.83100162 1 1621 12.3330 4.44620162 2 1622 8.7370 4.44620162 3 1623 13.5370 6.34320162 4 1624 19.2560 7.93390163 1 1631 4.8180 3.77530163 2 1632 6.1360 3.88980163 3 1633 8.6640 4.92440163 4 1634 16.1250 7.90890165 1 1651 4.5000 4.05270165 2 1652 8.1600 4.05270165 3 1653 10.5590 4.75740165 4 1654 14.0000 6.54090166 1 1661 4.5600 2.84720166 2 1662 6.4400 3.38980166 3 1663 7.9740 3.81740166 4 1664 13.5160 5.69100167 1 1671 4.0230 2.57080167 2 1672 4.3520 2.72640167 3 1673 6.8670 3.35230167 4 1674 12.6300 5.1910

Page 8: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0169 1 1691 3.5310 2.12280169 2 1692 5.2440 2.68310169 3 1693 7.2840 3.53510169 4 1694 13.8570 7.03900170 1 1701 2.0000 3.65140170 2 1702 7.0000 3.65140170 3 1703 8.0000 3.65140170 4 1704 14.0000 3.65140171 1 1711 2.9790 1.90310171 2 1712 3.5110 2.07720171 3 1713 5.6250 2.53590171 4 1714 10.9230 3.79530174 1 1741 2.0270 1.59320174 2 1742 2.4460 1.74960174 3 1743 4.0930 2.14820174 4 1744 7.0470 3.55940175 1 1751 2.2150 1.71380175 2 1752 2.8370 1.79500175 3 1753 4.5550 2.34030175 4 1754 8.7740 4.72640176 1 1761 2.0000 4.67100176 2 1762 3.8330 4.67100176 3 1763 6.2220 4.67100176 4 1764 12.1180 4.67100177 1 1771 2.0000 2.63720177 2 1772 4.6920 2.63720177 3 1773 12.3750 2.63720177 4 1774 12.3750 2.63720178 1 1781 5.0000 4.31540178 2 1782 7.4880 5.22320178 3 1783 14.2800 8.92550178 4 1784 17.8000 16.83100179 1 1791 5.0000 4.31540179 2 1792 7.4880 5.22320179 3 1793 14.2800 8.92550179 4 1794 17.8000 16.83100180 1 1801 3.1110 1.15710180 2 1802 4.5890 1.46190180 3 1803 7.9910 2.16260180 4 1804 14.5000 4.81080181 1 1811 2.7520 1.67960181 2 1812 4.3040 2.28870181 3 1813 7.8290 3.28080181 4 1814 13.6590 5.20490182 1 1821 2.0800 2.47840182 2 1822 3.8790 2.47840182 3 1823 6.1880 2.56110182 4 1824 12.9430 5.62340183 1 1831 2.8991 2.03810183 2 1832 3.4102 2.1474

Page 9: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0183 3 1833 5.4298 2.72320183 4 1834 10.2330 4.90220190 1 1901 1.7000 0.61020190 2 1902 2.3830 0.77090190 3 1903 4.0330 1.09260190 4 1904 6.3950 1.97960191 1 1911 1.9890 0.78760191 2 1912 2.4740 0.88980191 3 1913 3.6200 1.28850191 4 1914 9.2860 1.28850192 1 1921 2.1300 0.80280192 2 1922 3.2590 0.99040192 3 1923 5.9840 1.57170192 4 1924 10.1420 2.83000193 1 1931 2.8000 0.69610193 2 1932 4.0710 0.93450193 3 1933 6.3640 1.25180193 4 1934 8.9800 2.09900194 1 1941 2.3790 0.48480194 2 1942 3.2060 0.66220194 3 1943 4.6430 0.98790194 4 1944 7.5510 1.84250196 1 1961 2.6670 0.64010196 2 1962 2.4230 0.64010196 3 1963 3.9380 1.10130196 4 1964 5.4720 2.28260197 1 1971 2.3200 0.49480197 2 1972 3.1360 0.66990197 3 1973 4.1570 0.93890197 4 1974 8.3290 2.20440198 1 1981 1.7230 0.44740198 2 1982 2.0460 0.50040198 3 1983 3.2380 0.76460198 4 1984 4.2310 0.76460199 1 1991 1.8270 0.44350199 2 1992 2.4770 0.57590199 3 1993 3.3730 0.79520199 4 1994 6.7810 1.55480200 1 2001 1.6000 1.09000200 2 2002 3.9150 1.09000200 3 2003 8.5970 2.47580200 4 2004 18.8950 7.09110201 1 2011 1.9580 0.46510201 2 2012 2.4390 0.55340201 3 2013 3.5270 0.79740201 4 2014 6.5180 1.70730203 1 2031 1.5130 0.41930203 2 2032 1.9960 0.52010203 3 2033 2.5270 0.61290203 4 2034 5.1670 0.6129

Page 10: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0204 1 2041 2.1690 0.50860204 2 2042 2.4050 0.56610204 3 2043 3.1060 0.71200204 4 2044 4.6150 1.29020205 1 2051 1.6360 0.51600205 2 2052 2.5480 0.56970205 3 2053 4.7040 1.34380205 4 2054 7.3750 1.34380206 1 2061 2.2920 0.66400206 2 2062 2.6060 0.62380206 3 2063 4.7220 1.19290206 4 2064 9.7590 2.62800207 1 2071 2.0510 0.50930207 2 2072 2.6270 0.63870207 3 2073 4.3230 1.00310207 4 2074 8.0000 2.30860220 1 2201 3.7180 1.55700220 2 2202 6.0690 2.13690220 3 2203 10.1240 3.24660220 4 2204 17.3860 6.09840222 1 2221 2.2490 0.94360222 2 2222 4.5390 1.45780222 3 2223 9.1520 2.52950222 4 2224 11.5230 3.97320223 1 2231 3.5040 1.06150223 2 2232 5.1480 1.61390223 3 2233 8.6450 2.34300223 4 2234 14.2310 4.75490224 1 2241 4.1090 1.27050224 2 2242 5.5420 1.56840224 3 2243 9.3250 2.45170224 4 2244 14.4780 4.82360226 1 2261 3.0490 0.86650226 2 2262 4.2000 1.47790226 3 2263 6.0000 1.47790226 4 2264 8.6670 1.47790227 1 2271 2.9400 1.14620227 2 2272 3.9350 1.37750227 3 2273 5.9300 1.92910227 4 2274 11.8890 4.18530228 1 2281 2.1320 0.86450228 2 2282 2.8090 1.02580228 3 2283 4.5160 1.72660228 4 2284 7.7500 1.72660229 1 2291 3.5420 1.15570229 2 2292 4.4310 1.32890229 3 2293 5.7220 1.64640229 4 2294 11.4160 3.84600230 1 2301 4.4110 1.44940230 2 2302 6.1950 1.9080

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APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0230 3 2303 10.0280 2.93940230 4 2304 17.6610 5.78740231 1 2311 4.5310 1.63530231 2 2312 6.0610 1.99750231 3 2313 9.1460 2.70010231 4 2314 14.3800 4.49050232 1 2321 2.0850 1.17710232 2 2322 3.0110 1.46160232 3 2323 5.4520 2.91120232 4 2324 13.2730 2.91120233 1 2331 3.4710 1.30580233 2 2332 4.9020 1.54240233 3 2333 6.9570 2.59500233 4 2334 29.0000 2.59500234 1 2341 1.6680 0.81730234 2 2342 2.3800 0.97100234 3 2343 4.0630 1.47930234 4 2344 7.0000 1.47930240 1 2401 3.1880 0.73050240 2 2402 4.1330 0.93240240 3 2403 5.1300 1.13740240 4 2404 11.0630 2.23380241 1 2411 2.5650 0.61120241 2 2412 2.9910 0.72230241 3 2413 3.9670 0.99450241 4 2414 8.2740 2.57960242 1 2421 2.2260 0.53390242 2 2422 2.7210 0.66200242 3 2423 4.1850 1.05110242 4 2424 8.2680 2.66450243 1 2431 1.8940 0.54810243 2 2432 3.2470 0.82050243 3 2433 4.4870 1.04430243 4 2434 7.1320 1.88890244 1 2441 2.7500 0.53080244 2 2442 3.3410 0.65240244 3 2443 4.3410 0.93490244 4 2444 8.3890 2.03880245 1 2451 3.0520 0.67630245 2 2452 3.8270 0.81160245 3 2453 5.0670 1.06830245 4 2454 8.5420 2.12660246 1 2461 2.9360 0.66770246 2 2462 3.7800 0.81080246 3 2463 4.8540 1.20010246 4 2464 12.2630 1.20010247 1 2471 2.4680 0.51670247 2 2472 3.2210 0.65560247 3 2473 4.6610 0.95470247 4 2474 9.0000 2.2150

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APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0248 1 2481 2.9470 0.63450248 2 2482 3.6150 0.78420248 3 2483 5.1490 1.08650248 4 2484 9.4800 2.43430249 1 2491 2.1850 0.51430249 2 2492 2.6350 0.60350249 3 2493 3.6370 0.84450249 4 2494 7.6870 2.34860251 1 2511 2.2040 0.52190251 2 2512 2.8850 0.65480251 3 2513 3.5560 0.79530251 4 2514 6.1000 0.79530252 1 2521 2.7120 0.69830252 2 2522 3.5230 0.82200252 3 2523 5.6050 1.34780252 4 2524 8.5970 2.09860253 1 2531 2.1070 0.55270253 2 2532 2.8470 0.70590253 3 2533 4.0740 1.04520253 4 2534 7.5000 2.11290254 1 2541 2.5110 0.63560254 2 2542 3.3550 0.79530254 3 2543 4.9140 1.18590254 4 2544 10.8370 3.18600260 1 2601 4.2400 1.62220260 2 2602 6.1470 2.32470260 3 2603 9.1600 3.21560260 4 2604 15.3040 5.69180261 1 2611 3.7500 1.90450261 2 2612 5.9440 1.90450261 3 2613 10.2500 3.73270261 4 2614 16.8570 3.73270263 1 2631 2.4240 0.96050263 2 2632 3.2560 1.19550263 3 2633 4.8200 1.51030263 4 2634 13.8240 4.13650264 1 2641 4.4090 1.21080264 2 2642 4.7140 1.62830264 3 2643 9.0770 2.32810264 4 2644 15.5560 4.64640279 1 2791 2.3020 0.47360279 2 2792 3.3050 0.68800279 3 2793 4.7910 1.01930279 4 2794 8.2120 2.31010280 1 2801 2.8450 0.60360280 2 2802 3.2500 0.69220280 3 2803 4.7130 1.01790280 4 2804 9.3340 2.40860281 1 2811 3.0480 0.75890281 2 2812 3.6480 0.8370

Page 13: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0281 3 2813 4.9760 1.10090281 4 2814 6.5500 1.51500282 1 2821 2.7390 0.54040282 2 2822 3.1370 0.63040282 3 2823 4.6020 0.96210282 4 2824 8.5600 2.18240283 1 2831 2.5940 0.54050283 2 2832 3.1170 0.65580283 3 2833 4.3410 0.97360283 4 2834 7.7250 2.00860284 1 2841 2.4060 0.66630284 2 2842 3.1120 0.78360284 3 2843 4.7630 1.13770284 4 2844 9.2040 2.44460303 1 3031 3.7980 5.42730303 2 3032 4.6000 5.50020303 3 3033 7.1000 7.76580303 4 3034 16.6000 13.07730304 1 3041 2.7320 3.10030304 2 3042 3.6860 3.37770304 3 3043 7.6960 4.81610304 4 3044 13.0860 6.94820305 1 3051 4.4000 1.19210305 2 3052 5.8340 1.44180305 3 3053 8.5340 2.12790305 4 3054 16.6330 4.83850308 1 3081 2.9110 1.40520308 2 3082 4.4700 1.80730308 3 3083 6.6840 2.43770308 4 3084 11.5080 4.05060309 1 3091 2.6940 1.59120309 2 3092 4.3380 1.98400309 3 3093 6.8280 2.70510309 4 3094 12.2570 4.74910310 1 3101 2.6420 1.41800310 2 3102 3.6200 1.78070310 3 3103 7.2350 2.65320310 4 3104 9.2730 2.65320312 1 3121 3.5770 1.27880312 2 3122 6.7420 2.04990312 3 3123 11.3090 3.16990312 4 3124 22.6880 6.85510313 1 3131 2.5540 1.35320313 2 3132 3.7920 1.69520313 3 3133 6.6430 2.43300313 4 3134 11.4410 4.02930314 1 3141 2.7760 1.24180314 2 3142 4.4950 1.27850314 3 3143 5.9660 1.54480314 4 3144 8.8500 2.5624

Page 14: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0315 1 3151 1.9670 0.90090315 2 3152 2.6700 1.65820315 3 3153 6.2400 2.20790315 4 3154 11.8180 3.90400316 1 3161 2.5980 0.83720316 2 3162 4.2130 1.18220316 3 3163 5.0680 1.60990316 4 3164 8.2500 1.60990317 1 3171 3.1410 0.98750317 2 3172 4.4750 1.31040317 3 3173 7.6400 2.10000317 4 3174 12.4740 3.95150320 1 3201 2.6400 1.22800320 2 3202 4.3170 1.74730320 3 3203 7.6640 2.43380320 4 3204 10.5560 2.43380321 1 3211 2.2900 1.93030321 2 3212 3.5120 2.29920321 3 3213 6.9040 3.26480321 4 3214 13.4290 4.79750322 1 3221 1.4440 1.77540322 2 3222 1.9120 1.86270322 3 3223 5.0480 2.57240322 4 3224 5.0480 2.57240323 1 3231 2.7010 1.83850323 2 3232 2.8540 1.95490323 3 3233 4.1050 2.33240323 4 3234 10.5330 4.47120324 1 3241 2.7010 1.83850324 2 3242 2.8540 1.95490324 3 3243 4.1050 2.33240324 4 3244 10.5330 4.47120325 1 3251 2.1850 1.77610325 2 3252 2.6300 1.89980325 3 3253 3.9290 2.32210325 4 3254 8.1670 3.92670326 1 3261 2.1850 1.77610326 2 3262 2.6300 1.89980326 3 3263 3.9290 2.32210326 4 3264 8.1670 3.92670340 1 3401 1.8790 0.48980340 2 3402 2.5470 0.64730340 3 3403 4.4710 1.02090340 4 3404 6.6670 1.02090341 1 3411 2.2780 0.54190341 2 3412 2.7380 0.61770341 3 3413 3.4570 0.78020341 4 3414 4.5000 0.78020342 1 3421 1.8820 0.55300342 2 3422 2.6640 0.6581

Page 15: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0342 3 3423 3.9050 1.02250342 4 3424 10.7140 1.02250343 1 3431 2.7690 0.82580343 2 3432 4.4810 0.99730343 3 3433 5.8880 1.34830343 4 3434 11.0400 2.64460344 1 3441 3.6320 0.80300344 2 3442 4.3080 0.98220344 3 3443 5.7120 1.25170344 4 3444 10.4380 2.34390346 1 3461 3.0420 0.96150346 2 3462 3.9020 1.17460346 3 3463 6.4400 1.62150346 4 3464 11.0300 3.31720347 1 3471 2.8580 0.73360347 2 3472 3.3210 0.78770347 3 3473 4.4530 1.00020347 4 3474 7.8370 1.81500349 1 3491 2.2860 0.79770349 2 3492 3.6630 0.82380349 3 3493 5.2390 1.12070349 4 3494 6.1430 1.55320351 1 3511 2.4560 0.67280351 2 3512 3.2690 0.70800351 3 3513 4.9580 1.36680351 4 3514 10.0750 1.36680361 1 3611 3.5780 1.14220361 2 3612 5.3460 1.34460361 3 3613 8.3510 2.52310361 4 3614 13.3330 2.52310362 1 3621 1.6900 1.15730362 2 3622 2.4680 1.93560362 3 3623 4.7780 1.93560362 4 3624 4.7780 1.93560363 1 3631 2.4210 0.77750363 2 3632 2.9710 1.80910363 3 3633 5.0000 3.01210363 4 3634 15.6670 3.01210364 1 3641 2.7840 0.76170364 2 3642 3.8200 0.99190364 3 3643 6.0540 1.56310364 4 3644 9.9140 2.64820380 1 3801 2.9380 0.67200380 2 3802 3.3910 0.68010380 3 3803 4.7200 0.99820380 4 3804 9.2960 2.11200381 1 3811 2.5850 0.62100381 2 3812 3.6760 0.79600381 3 3813 4.7100 1.15070381 4 3814 8.1670 1.1507

Page 16: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0382 1 3821 3.2000 1.10260382 2 3822 4.4000 1.10260382 3 3823 3.8210 1.10260382 4 3824 7.0000 1.10260383 1 3831 2.5680 0.56750383 2 3832 3.0600 0.64010383 3 3833 4.4410 0.93630383 4 3834 7.3330 1.72390384 1 3841 1.6170 0.49910384 2 3842 2.1570 0.57080384 3 3843 3.3780 0.94820384 4 3844 5.1330 0.94820385 1 3851 2.3630 0.53060385 2 3852 2.9730 0.65700385 3 3853 4.3210 1.09690385 4 3854 10.8460 1.09690401 1 4011 2.2560 1.52930401 2 4012 4.2000 1.52930401 3 4013 8.8570 1.52930401 4 4014 8.8570 1.52930403 1 4031 1.8640 1.47400403 2 4032 2.2360 1.55650403 3 4033 3.8720 2.25780403 4 4034 10.0000 2.25780404 1 4041 2.3270 1.18580404 2 4042 3.3220 1.40530404 3 4043 6.6500 2.68810404 4 4044 18.5000 2.68810405 1 4051 4.1250 1.69070405 2 4052 4.8970 1.69070405 3 4053 8.5610 2.53630405 4 4054 16.1000 4.63150420 1 4201 2.1740 0.51480420 2 4202 2.3590 0.59550420 3 4203 3.4350 0.82280420 4 4204 6.3380 1.67260421 1 4211 3.0130 0.70150421 2 4212 4.5020 1.07720421 3 4213 6.8540 1.72120421 4 4214 16.5370 3.87820422 1 4221 1.8630 0.46520422 2 4222 2.5380 0.58930422 3 4223 3.7750 0.87400422 4 4224 5.2200 1.40870423 1 4231 1.8670 1.51770423 2 4232 4.0140 1.51770423 3 4233 5.7450 1.51770423 4 4234 17.2000 1.51770424 1 4241 2.2060 0.55390424 2 4242 2.8150 0.6370

Page 17: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0424 3 4243 4.3520 1.40130424 4 4244 9.2350 1.40130425 1 4251 2.3410 0.50280425 2 4252 2.4850 0.56910425 3 4253 3.4100 0.83640425 4 4254 6.2970 1.62730426 1 4261 2.6000 0.53810426 2 4262 2.7970 0.58920426 3 4263 4.0990 0.92760426 4 4264 8.3160 2.16230427 1 4271 2.1280 0.46280427 2 4272 2.6150 0.57600427 3 4273 4.1400 1.03200427 4 4274 9.1110 1.03200440 1 4401 6.3330 3.28410440 2 4402 6.6190 3.28410440 3 4403 6.8330 3.53080440 4 4404 18.0000 3.53080441 1 4411 3.7500 2.69260441 2 4412 5.8860 2.69260441 3 4413 9.3700 3.96550441 4 4414 20.2310 3.96550442 1 4421 2.2930 1.46890442 2 4422 3.4800 1.74140442 3 4423 6.7420 2.81190442 4 4424 10.5710 2.81190443 1 4431 2.1520 1.24910443 2 4432 2.9690 1.41690443 3 4433 7.6240 2.26380443 4 4434 11.5950 3.53350444 1 4441 2.0000 1.47930444 2 4442 4.6670 1.47930444 3 4443 7.8440 2.13710444 4 4444 11.7860 3.59320445 1 4451 1.7330 0.93470445 2 4452 2.6900 1.07580445 3 4453 6.4290 2.07270445 4 4454 36.6670 2.07270446 1 4461 1.7780 0.70490446 2 4462 2.7170 0.89900446 3 4463 4.7970 1.42070446 4 4464 10.6880 2.95530447 1 4471 3.0000 1.47470447 2 4472 6.2670 1.47470447 3 4473 7.2350 2.43660447 4 4474 10.7500 2.43660461 1 4611 2.0000 0.73770461 2 4612 3.0420 0.73770461 3 4613 6.3750 1.31830461 4 4614 10.7500 1.3183

Page 18: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0462 1 4621 2.1500 0.67840462 2 4622 2.7050 0.76150462 3 4623 5.2800 1.34870462 4 4624 11.7140 1.34870463 1 4631 2.3250 0.51730463 2 4632 2.6960 0.59040463 3 4633 3.8170 0.84810463 4 4634 6.7630 1.74260465 1 4651 2.1510 0.58120465 2 4652 2.2560 0.63330465 3 4653 3.1960 0.99390465 4 4654 6.1430 0.99390466 1 4661 1.5560 0.61290466 2 4662 2.8340 0.61290466 3 4663 4.6220 1.01120466 4 4664 7.3130 1.74120468 1 4681 2.3570 0.61150468 2 4682 2.8440 0.68230468 3 4683 4.6490 1.20340468 4 4684 12.4740 1.20340469 1 4691 2.0390 0.42240469 2 4692 2.9850 0.61370469 3 4693 4.4170 0.95250469 4 4694 7.9210 2.05920470 1 4701 1.4620 0.66940470 2 4702 2.8420 0.66940470 3 4703 3.9020 0.94720470 4 4704 7.4520 1.96340480 1 4801 1.6270 1.37470480 2 4802 2.3200 1.74340480 3 4803 5.5000 1.74340480 4 4804 15.0000 1.74340482 1 4821 1.9330 0.95220482 2 4822 2.5880 1.04970482 3 4823 5.5000 1.04970482 4 4824 9.2500 1.04970483 1 4831 1.8860 0.83140483 2 4832 3.5000 1.07960483 3 4833 8.8330 2.14050483 4 4834 7.0000 2.14050484 1 4841 3.0000 1.51900484 2 4842 1.7020 1.51900484 3 4843 3.2500 1.98320484 4 4844 34.0000 1.98320500 1 5001 2.7500 1.02160500 2 5002 3.7500 1.02160500 3 5003 6.9380 1.02160500 4 5004 8.0000 1.02160501 1 5011 2.3470 0.56190501 2 5012 3.1200 0.6745

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APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0501 3 5013 4.3290 1.15370501 4 5014 9.8890 1.15370510 1 5101 2.5000 1.41990510 2 5102 3.6970 1.41990510 3 5103 8.3330 1.41990510 4 5104 4.0000 1.41990511 1 5111 2.5880 1.13960511 2 5112 4.4860 1.67270511 3 5113 5.3500 2.26480511 4 5114 5.8570 2.26480512 1 5121 2.2730 1.11610512 2 5122 2.9490 1.31680512 3 5123 5.4210 2.77760512 4 5124 9.4000 2.77760513 1 5131 2.0260 0.90950513 2 5132 2.4060 1.05190513 3 5133 4.4440 1.84400513 4 5134 11.0910 1.84400514 1 5141 2.1540 0.96030514 2 5142 2.1110 1.18120514 3 5143 2.5000 1.18120514 4 5144 2.5000 1.18120517 1 5171 1.9330 0.70610517 2 5172 2.3060 0.76440517 3 5173 5.4140 1.37580517 4 5174 12.0000 1.37580518 1 5181 2.1340 0.81810518 2 5182 3.4510 1.09270518 3 5183 8.4810 2.37070518 4 5184 15.5710 2.37070519 1 5191 2.1600 0.89650519 2 5192 2.6240 1.08020519 3 5193 5.0590 1.84240519 4 5194 24.5000 1.84240530 1 5301 2.2500 0.77960530 2 5302 3.3260 0.77960530 3 5303 4.9110 1.09130530 4 5304 12.4780 2.79100531 1 5311 2.3050 0.50550531 2 5312 3.1990 0.68570531 3 5313 4.0560 1.00560531 4 5314 8.2000 1.00560532 1 5321 2.0270 0.60960532 2 5322 2.3470 0.67040532 3 5323 3.3130 0.92220532 4 5324 9.6670 0.92220539 1 5391 2.8410 0.71070539 2 5392 3.4850 0.85130539 3 5393 4.5860 1.06560539 4 5394 8.8000 2.3568

Page 20: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0540 1 5401 2.8410 0.71070540 2 5402 3.4850 0.85130540 3 5403 4.5860 1.06560540 4 5404 8.8000 2.35680541 1 5411 2.1210 0.70750541 2 5412 2.5010 0.78300541 3 5413 3.2500 0.95030541 4 5414 5.2000 0.95030542 1 5421 2.3500 0.58140542 2 5422 2.4310 0.63310542 3 5423 3.0190 0.91520542 4 5424 4.0000 0.94450543 1 5431 1.5120 0.41510543 2 5432 1.8750 0.55680543 3 5433 3.0830 0.99990543 4 5434 5.8670 2.18410547 1 5471 2.6170 0.64400547 2 5472 3.4370 0.90330547 3 5473 4.3130 2.02000547 4 5474 9.2730 2.02000548 1 5481 2.6170 0.64400548 2 5482 3.4370 0.90330548 3 5483 4.3130 2.02000548 4 5484 9.2730 2.02000560 1 5601 2.0780 0.53610560 2 5602 2.2790 0.59230560 3 5603 3.1400 0.75790560 4 5604 5.5160 1.30520561 1 5611 1.8500 0.31980561 2 5612 2.2650 0.43620561 3 5613 2.8850 0.56680561 4 5614 5.1330 1.32430564 1 5641 1.4480 0.38920564 2 5642 2.0000 0.47980564 3 5643 2.2730 0.57700564 4 5644 9.0000 0.60620566 1 5661 1.9870 0.37310566 2 5662 2.6120 0.48560566 3 5663 3.5230 0.60230566 4 5664 7.2090 1.67940580 1 5801 1.3400 0.36720580 2 5802 1.5360 0.54450580 3 5803 1.7370 0.54450580 4 5804 1.9090 0.54450581 1 5811 1.5660 0.19810581 2 5812 1.7630 0.22300581 3 5813 1.4740 0.33160581 4 5814 1.2080 0.45850583 1 5831 13.0000 14.97280583 2 5832 38.6000 14.97280583 3 5833 38.6000 14.9728

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APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0583 4 5834 29.0000 14.97280588 1 5881 55.4000 14.71590588 2 5882 55.4000 14.71590588 3 5883 49.1670 14.71590588 4 5884 103.8060 29.61220589 1 5891 10.8860 5.12180589 2 5892 46.8420 5.12180589 3 5893 29.6470 5.12180589 4 5894 22.7030 5.12180591 1 5911 29.0000 8.07630591 2 5912 49.9170 8.07630591 3 5913 42.5760 8.07630591 4 5914 61.7010 13.95210593 1 5931 6.0000 8.82930593 2 5932 48.0260 8.82930593 3 5933 59.8190 13.27910593 4 5934 59.9300 13.98640602 1 6021 29.1110 7.75980602 2 6022 40.5290 7.75980602 3 6023 49.0870 10.64950602 4 6024 59.4510 12.85670603 1 6031 14.8240 5.75130603 2 6032 40.1530 5.75130603 3 6033 42.4140 6.58620603 4 6034 70.0000 6.58620607 1 6071 29.0000 4.87680607 2 6072 35.3760 6.67070607 3 6073 45.3480 9.41620607 4 6074 46.6170 10.59630608 1 6081 18.8490 2.72180608 2 6082 27.5710 4.72600608 3 6083 40.2700 6.75900608 4 6084 48.0000 6.75900609 1 6091 37.0000 9.33130609 2 6092 27.3330 9.33130609 3 6093 28.1180 9.33130609 4 6094 52.8980 16.73260611 1 6111 13.6040 2.55140611 2 6112 21.8590 3.79980611 3 6113 30.2380 6.21630611 4 6114 46.4190 12.76160612 1 6121 15.2060 2.65760612 2 6122 24.0000 3.96400612 3 6123 30.3490 5.40370612 4 6124 34.1070 6.96180613 1 6131 9.7140 3.68350613 2 6132 22.4810 3.68350613 3 6133 26.3750 3.68350613 4 6134 26.3750 3.68350614 1 6141 9.3820 1.3912

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APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0614 2 6142 17.2600 2.53590614 3 6143 26.1670 4.17620614 4 6144 34.3330 4.17620621 1 6211 6.7910 1.26890621 2 6212 12.0740 2.17580621 3 6213 21.3330 5.22200621 4 6214 33.9490 10.46890622 1 6221 10.6370 1.79630622 2 6222 16.5440 2.93530622 3 6223 15.6990 2.93530622 4 6224 22.9130 5.63320623 1 6231 8.0000 1.10190623 2 6232 11.8950 1.96970623 3 6233 17.6670 1.96970623 4 6234 38.0000 1.96970625 1 6251 10.8390 1.57190625 2 6252 14.3270 2.04240625 3 6253 21.1670 2.04240625 4 6254 21.1670 2.04240626 1 6261 2.4060 0.26500626 2 6262 2.8230 0.31610626 3 6263 5.3660 0.72590626 4 6264 17.0000 0.72590630 1 6301 3.7500 8.66390630 2 6302 12.6670 8.66390630 3 6303 20.3160 8.66390630 4 6304 23.1110 13.90690631 1 6311 7.0000 4.39710631 2 6312 12.5680 4.39710631 3 6313 25.5960 7.89570631 4 6314 33.2560 11.30430633 1 6331 2.7770 0.39950633 2 6332 7.7750 1.47110633 3 6333 15.8400 4.17270633 4 6334 25.9720 8.92470634 1 6341 4.9800 0.85160634 2 6342 8.3700 1.50240634 3 6343 10.1060 2.08870634 4 6344 19.3690 6.16670636 1 6361 4.7090 0.62800636 2 6362 8.5910 1.23140636 3 6363 13.9090 2.73320636 4 6364 29.0000 2.73320639 1 6391 7.8780 1.10090639 2 6392 10.9570 1.63920639 3 6393 12.9860 3.00680639 4 6394 12.7000 3.00680640 1 6401 1.9130 0.20930640 2 6402 2.2880 0.24950640 3 6403 3.1070 0.3908

Page 23: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0640 4 6404 3.1100 0.39080650 1 6501 3.5900 1.59640650 2 6502 4.1180 1.62630650 3 6503 6.6670 3.05270650 4 6504 13.5710 3.05270651 1 6511 3.6180 1.18170651 2 6512 4.0000 2.01920651 3 6513 12.2000 2.01920651 4 6514 16.5000 2.01920660 1 6601 2.8430 0.94720660 2 6602 3.9830 1.10310660 3 6603 5.6410 1.57360660 4 6604 11.2300 4.55230661 1 6611 2.2930 0.87320661 2 6612 3.0550 1.15630661 3 6613 5.2500 2.29120661 4 6614 11.0670 4.23070662 1 6621 3.5020 0.78030662 2 6622 4.3310 0.92230662 3 6623 5.9240 1.29640662 4 6624 8.5240 2.08290663 1 6631 2.2180 0.58470663 2 6632 2.6560 0.67520663 3 6633 3.9000 0.95220663 4 6634 7.6620 1.76250680 1 6801 4.5000 1.65180680 2 6802 6.6210 2.64070680 3 6803 13.4090 4.74390680 4 6804 11.0830 4.74390681 1 6811 3.0000 1.31620681 2 6812 4.6920 1.72030681 3 6813 8.6520 2.48710681 4 6814 24.7730 7.30140690 1 6901 4.3330 2.58610690 2 6902 6.5100 2.58610690 3 6903 17.3190 6.14080690 4 6904 22.7960 8.17910691 1 6911 3.8970 1.27470691 2 6912 4.9680 1.26980691 3 6913 7.6310 2.40290691 4 6914 14.4810 4.60770692 1 6921 11.0000 1.09490692 2 6922 7.2500 1.24960692 3 6923 8.6670 1.24960692 4 6924 12.0000 1.24960694 1 6941 2.6150 0.62350694 2 6942 3.0000 0.84470694 3 6943 5.6670 1.30380694 4 6944 7.5200 1.92530695 1 6951 4.1200 1.3326

Page 24: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0695 2 6952 4.1190 1.33260695 3 6953 8.5550 2.91960695 4 6954 20.7950 7.97300696 1 6961 2.6110 1.23450696 2 6962 3.6120 1.37870696 3 6963 4.8650 1.84090696 4 6964 14.5860 5.22690710 1 7101 3.6270 0.97610710 2 7102 5.3150 1.38130710 3 7103 8.5600 2.29590710 4 7104 14.4040 4.80250711 1 7111 4.3380 1.13520711 2 7112 5.5030 1.49110711 3 7113 8.4560 2.38080711 4 7114 15.4810 4.82440720 1 7201 2.6590 0.56770720 2 7202 3.2890 0.72040720 3 7203 4.8980 1.14060720 4 7204 8.3460 2.47010721 1 7211 2.9810 0.64700721 2 7212 3.6200 0.79800721 3 7213 6.3120 1.50110721 4 7214 9.4970 2.54380722 1 7221 2.0980 0.58120722 2 7222 2.4290 0.62160722 3 7223 3.3750 0.95250722 4 7224 4.7780 1.20930723 1 7231 1.9520 0.55310723 2 7232 2.5660 0.71420723 3 7233 3.8540 1.11910723 4 7234 5.8180 2.02100724 1 7241 2.6640 0.67120724 2 7242 3.6530 0.90720724 3 7243 6.4590 1.63540724 4 7244 13.4880 4.08240740 1 7401 4.0770 0.66840740 2 7402 5.4130 1.27510740 3 7403 8.3640 1.27510740 4 7404 22.0000 1.27510750 1 7501 6.4890 0.76770750 2 7502 7.3770 0.87110750 3 7503 9.4330 1.23980750 4 7504 20.8620 2.68620751 1 7511 4.3450 0.55190751 2 7512 5.2530 0.66440751 3 7513 7.1520 0.96160751 4 7514 12.6880 1.70380752 1 7521 3.3890 0.52670752 2 7522 4.2450 0.55160752 3 7523 4.4000 0.6596

Page 25: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0752 4 7524 4.4000 0.65960753 1 7531 4.6100 0.58350753 2 7532 5.5110 0.68540753 3 7533 7.1350 0.91110753 4 7534 13.2880 1.83150754 1 7541 3.6710 0.52830754 2 7542 4.5710 0.69790754 3 7543 4.9680 0.90020754 4 7544 9.6670 0.90020755 1 7551 3.0840 0.48270755 2 7552 4.5160 0.74830755 3 7553 6.8820 1.04440755 4 7554 6.8820 1.04440756 1 7561 3.3700 0.62530756 2 7562 3.5000 0.67630756 3 7563 4.1790 0.71650756 4 7564 6.0000 0.71650757 1 7571 5.1400 0.66320757 2 7572 6.7700 0.92510757 3 7573 13.5370 1.92670757 4 7574 9.0000 1.92670758 1 7581 5.2770 1.23180758 2 7582 6.0630 1.32460758 3 7583 6.9530 1.59330758 4 7584 6.9530 1.59330759 1 7591 3.6670 1.22570759 2 7592 4.8000 1.22570759 3 7593 8.1430 1.22570759 4 7594 5.4290 1.22570760 1 7601 4.5800 0.73320760 2 7602 5.6710 1.01490760 3 7603 7.0000 1.55680760 4 7604 9.0000 1.55680770 1 7701 2.0680 0.31000770 2 7702 2.1140 0.36430770 3 7703 2.5450 0.68970770 4 7704 5.5000 0.68970772 1 7721 Not Covered Not Covered0772 2 7722 Not Covered Not Covered0772 3 7723 Not Covered Not Covered0772 4 7724 Not Covered Not Covered0773 1 7731 3.1950 0.48000773 2 7732 3.4200 0.50930773 3 7733 4.4570 0.78390773 4 7734 8.2830 2.15670774 1 7741 2.9760 0.42100774 2 7742 3.4570 0.52200774 3 7743 3.6570 0.69160774 4 7744 5.7830 1.60270775 1 7751 3.1720 0.4932

Page 26: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0775 2 7752 3.3310 0.58240775 3 7753 4.6240 0.92750775 4 7754 9.1090 2.30030776 1 7761 3.9950 0.62440776 2 7762 3.9180 0.63080776 3 7763 4.1230 1.03460776 4 7764 7.5710 1.03460792 1 7921 4.0770 1.51000792 2 7922 4.6410 2.02090792 3 7923 8.8780 2.93600792 4 7924 15.7640 6.50670793 1 7931 2.7830 0.92830793 2 7932 4.4680 1.45580793 3 7933 5.7820 1.83020793 4 7934 10.9420 3.89670794 1 7941 2.7830 0.87160794 2 7942 4.1950 1.72280794 3 7943 5.8100 1.72280794 4 7944 13.5000 1.72280810 1 8101 2.5000 0.54830810 2 8102 2.6600 0.64770810 3 8103 4.0610 1.13370810 4 8104 11.0000 1.13370811 1 8111 1.4680 0.39730811 2 8112 1.8840 0.51320811 3 8113 3.1140 0.92100811 4 8114 5.7500 1.77280812 1 8121 1.6200 0.40920812 2 8122 2.1650 0.50420812 3 8123 2.9440 0.75390812 4 8124 4.5090 1.46980813 1 8131 2.6380 0.65660813 2 8132 3.2050 0.79050813 3 8133 4.3870 1.04430813 4 8134 8.1040 2.10690815 1 8151 2.0900 0.61430815 2 8152 2.5560 0.77510815 3 8153 4.2060 1.20830815 4 8154 8.5190 3.57380816 1 8161 1.8150 0.42920816 2 8162 2.3210 0.52840816 3 8163 2.5410 0.67560816 4 8164 4.1820 1.35830817 1 8171 1.8440 0.42770817 2 8172 2.2930 0.52160817 3 8173 2.8210 0.71310817 4 8174 5.1730 1.58050841 1 8411 15.1760 11.41410841 2 8412 15.1760 11.41410841 3 8413 15.1760 11.4141

Page 27: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0841 4 8414 31.7140 11.41410842 1 8421 6.7140 2.45050842 2 8422 8.8380 3.33290842 3 8423 16.7610 6.73500842 4 8424 19.6190 7.53950843 1 8431 1.0000 0.73750843 2 8432 1.0000 1.10790843 3 8433 5.0000 2.29390843 4 8434 24.0000 2.29390844 1 8441 2.1500 0.62290844 2 8442 3.5730 0.94930844 3 8443 6.4530 2.23790844 4 8444 11.3000 2.23790850 1 8501 3.2800 1.98930850 2 8502 3.6530 2.60040850 3 8503 7.9540 3.39200850 4 8504 24.8910 9.50120860 1 8601 8.8710 1.45680860 2 8602 11.5580 1.91500860 3 8603 17.1400 3.10030860 4 8604 33.3910 6.18720861 1 8611 2.0260 0.49530861 2 8612 3.1030 0.65980861 3 8613 4.4590 0.94050861 4 8614 7.4210 1.71450862 1 8621 6.6500 1.26280862 2 8622 7.8930 1.34910862 3 8623 10.1220 1.73310862 4 8624 12.7290 2.49460863 1 8631 8.8330 1.40630863 2 8632 18.3410 3.54200863 3 8633 27.7970 7.08840863 4 8634 27.6400 9.40750890 1 8901 6.7500 1.29390890 2 8902 6.7500 1.29390890 3 8903 5.8330 1.29390890 4 8904 10.1370 2.67740892 1 8921 2.5000 0.83660892 2 8922 4.0730 0.83660892 3 8923 5.3400 1.12560892 4 8924 6.7830 1.70320893 1 8931 4.5000 0.76170893 2 8932 3.6320 0.76170893 3 8933 5.2310 1.18480893 4 8934 37.0000 1.18480894 1 8941 2.8200 0.63480894 2 8942 3.0520 0.65900894 3 8943 5.1090 1.11640894 4 8944 5.1090 1.11640910 1 9101 3.0000 4.2993

Page 28: RELATIVE WEIGHTS FOR DISCHARGES ON OR AFTER OCTOBER 1… · 10/1/2020  · 0042 1 0421 2.6170 0.6792 0042 2 0422 5.3810 0.9533 0042 3 0423 6.2020 1.7563 0042 4 0424 11.8240 1.7563

APR DRGSeverity of Illness

Displays on Remittance

As

Average Length of

StayRelative Weight

Relative Weights Effective For Version 38 Discharges On or After October 1, 2020

0910 2 9102 3.0000 4.29930910 3 9103 10.6000 4.29930910 4 9104 15.0820 7.33580911 1 9111 5.6100 1.89050911 2 9112 5.6110 1.89050911 3 9113 7.8200 2.58520911 4 9114 13.9770 6.25860912 1 9121 4.9900 2.15260912 2 9122 4.9920 2.15260912 3 9123 8.2010 3.31650912 4 9124 14.8260 6.55880930 1 9301 1.3330 0.78870930 2 9302 3.0370 0.78870930 3 9303 5.4940 1.40170930 4 9304 14.7070 4.46090950 1 9501 2.8400 1.37410950 2 9502 4.9670 1.81730950 3 9503 6.6040 2.16310950 4 9504 14.4680 4.98510951 1 9511 2.8480 1.04310951 2 9512 4.3160 1.45360951 3 9513 7.4450 2.28700951 4 9514 15.2090 4.85700952 1 9521 2.9060 0.99340952 2 9522 4.3170 1.25800952 3 9523 7.5160 2.11650952 4 9524 12.8460 4.0726