The IHCP Selects 3M™ APR-DRG for ICD-10

The IHCP Selects 3M™ APR-DRG for ICD-10

The Indiana Health Coverage Programs (IHCP) has selected the 3M All Patient Refined (APR) Diagnosis-Related Group (DRG) as the grouper for the International Classification of Diseases, Tenth Revision (ICD-10), DRG assignment. The IHCP will move forward with this APR-DRG methodology on the ICD-10 effective date of October 1, 2013.

This new grouper will be used for ICD-10 but will not replace the AP version 18 now used for dates of service (DOS) before the ICD-10 effective date of October 1, 2013. However, the IHCP will not update AP version 18 after October 1, 2013.

The 3M APR-DRG:

  • Uses 312 base categories and 1,256 DRG severity of illness (SOI) subcategories
  • Accurately captures Medicaid population and is used in other Medicaid programs
  • Is licensed by 60 of 99 hospitals in Indiana
  • Will be available in late third-quarter or early fourth-quarter 2012

3M has committed to working with providers for a smooth integration. Watch for up-to-date information about the new APR-DRG in future IHCP communications.