HPR - Technical Report - Regional Tables 

Exclusions from Charge Analysis by DRG

Central and Northeastern Pennsylvania

DRG Description

DRG

Total # of Cases

# Transfer to other GAC

# LAMA

# Invalid Charge

# Invalid ASG

# Outliers

Total Excluded

N

%

Medical Heart Attack

121- 123

8,213

2,003

41

1

487

111

2,643

32.2%

Heart Failure and Shock

127

12,988

440

49

0

1,084

248

1,821

14.0%

Major Vessel Operations Except Heart

110

1,453

39

0

0

115

26

180

12.4%

Vascular Operations Except Heart

478

2,126

34

4

0

150

34

222

10.4%

Vascular Disorders Except Heart

130

1,891

92

5

2

149

42

290

15.3%

Stroke (Brain Attack)

14

7,053

313

21

2

649

161

1,146

16.2%

Adult Pneumonia

89

9,087

133

25

1

805

125

1,089

12.0%

Adult Lung Infections

79

2,182

40

5

1

171

31

248

11.4%

Lung Cancer

82

1,293

38

8

0

95

12

153

11.8%

Adult Diabetes

294

1,802

18

22

0

194

45

279

15.5%

Kidney Failure

316

1,507

64

12

1

159

36

272

18.0%

Adult Septicemia

416

3,880

90

15

0

479

94

678

17.5%

GI Bleeding

174

4,736

66

27

1

445

84

623

13.2%

Major Intestinal Procedures

148

3,927

51

1

2

426

122

602

15.3%

Hip Operations Except Replacements

210

2,595

96

2

3

234

58

393

15.1%