Diagnosis-Related Group Grouper 40 Implemented

On Oct. 1, 2022 NCTracks implemented the Diagnosis-Related Group (DRG) Grouper 40 along with the associated rates for inpatient institutional claims with dates of discharge between Oct. 1, 2022, and Sept. 30, 2023.

A copy of the DRG Grouper Version 40 weights and thresholds in Excel format are posted to the N.C. Division of Medical Health Benefits (DHB) Fee Schedule web page (see header under “Hospitals”) and the Grouper 40 DRG Weight Table.