Health Information Management

News: MS-DRG changes in recent IPPS Final Rule

CDI Strategies, August 28, 2014

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The 2015 IPPS final rule, released August 4, focuses on quality initiatives and includes no ICD-9-CM diagnosis or procedure code changes. However, CMS did finalize some MS-DRG changes for Fiscal Year 2015. CMS finalized its proposal to create the following MS-DRGs for endovascular cardiac valve replacements:
  • MS-DRG 266 (endovascular cardiac valve replacement with MCC)
  • MS-DRG 267 (endovascular cardiac valve replacement without MCC)
CMS also will replace MS-DRG 490 and 491 with the following new MS-DRGs:
  • MS-DRG 518 (back and neck procedures except spinal fusion with MCC or disc device/neurostimulator)
  • MS-DRG 519 (back and neck procedures except spinal fusion with CC)
  • MS-DRG 520 (back and neck procedures except spinal fusion without CC/MCC)
CMS also finalized removing the following additional diagnosis codes to MS-DRG 794 (neonate with significant problems):
  • V17.0, family history of psychiatric condition
  • V17.2, family history of other neurological diseases
  • V17.49, family history of other cardiovascular diseases
  • V18.0, family history of diabetes mellitus
  • V18.19, family history of other endocrine and metabolic diseases
  • V18.8, family history of infectious and parasitic diseases
  • V50.3, ear piercing
To read more about the 2015 IPPS final rule, see HCPro.com.



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