HPR - Technical Report - Regional Tables 

Exclusions from Charge Analysis by DRG

Southeastern 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

9,595

2,633

87

0

500

122

3,342

34.8%

Heart Failure and Shock

127

24,401

848

186

6

2,151

509

3,700

15.2%

Major Vessel Operations Except Heart

110

2,549

94

9

4

190

52

349

13.7%

Vascular Operations Except Heart

478

4,991

67

16

8

412

70

573

11.5%

Vascular Disorders Except Heart

130

3,842

104

41

2

349

79

575

15.0%

Stroke (Brain Attack)

14

11,519

338

48

13

941

284

1,624

14.1%

Adult Pneumonia

89

13,700

140

143

6

1,120

215

1,624

11.9%

Adult Lung Infections

79

5,688

68

26

4

549

92

739

13.0%

Lung Cancer

82

2,930

67

13

1

230

46

357

12.2%

Adult Diabetes

294

3,973

30

56

3

405

88

582

14.6%

Kidney Failure

316

3,394

84

52

7

349

90

582

17.1%

Adult Septicemia

416

7,117

129

42

3

485

187

846

11.9%

GI Bleeding

174

7,632

102

77

3

656

157

995

13.0%

Major Intestinal Procedures

148

6,148

38

3

4

454

157

656

10.7%

Hip Operations Except Replacements

210

3,637

43

2

3

245

94

387

10.6%