Health Information Management

Know how ICD-10 could affect your bottom line

HIM-HIPAA Insider, May 3, 2011

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Exactly how will ICD-10 affect MS-DRG assignment?

As coders began learning the intricacies of ICD-10, this question remained largely unanswered. That is, until CMS released its ICD-10-CM/PCS MS-DRG Version 28 Definitions Manual in February so hospitals could start learning how ICD-10 codes will translate to MS-DRGs.
 
Minimal impact . . . for now
 
The good news is that the draft ICD-10 MS-DRGs published by CMS are meant to replicate the ICD-9 MS-DRGs, says Richard Averill, MS. Averill is senior vice president of clinical and economic research at 3M Health Information Systems in Wallingford, CT. 3M, the company with which CMS contracted to convert MS-DRGs from ICD-9 to ICD-10, did not use ICD-10's additional specificity to alter MS-DRG assignment. This means that when coders correctly report the same record in both ICD-9 and ICD-10, MS-DRG assignment should be the same, explains Averill.
 
Editor’s note: To read more, access this article in the May issue of Briefings on Coding Compliance Strategies.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Most Popular