News: MS-DRG assignment changes included in IPPS proposed rule
CDI Strategies, April 28, 2016
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It shouldn’t come as a surprise that the fiscal year 2017 inpatient prospective payment system (IPPS) proposed rule included nearly 2,000 additions to ICD-10-CM code set and more than 3,500 additions to ICD-10-PCS. With it comes a number of recommendations regarding MS-DRG classifications, as well, including:
- Bypass procedures of the veins (MS-DRGs 405, 406, and 407)
- Endovascular embolization or occlusion of head and neck procedures (MS-DRGs 270, 271, and 272)
- Localized swelling, mass, and lump, trunk (ICD-10-CM code R22.2)
- Other cardiothoracic procedures without MCC (MS-DRGs 228, 229, and 230)
- Pacemaker procedures (for MS-DRGs 242, 243, and 244)
- Sequelae of stroke (ICD-10-CM category I69)
- Diagnostic or therapeutic paracentesis
- Incision and drainage procedures on subcutaneous tissues and deeper
- Wound procedures, such as non-excisional debridement
As CMS continues to refine the ICD-10 MS-DRGs for FY 2018, the agency is requesting providers contact them regarding ICD-10-PCS codes that capture procedures that would not reasonably be performed. Comments should be sent to MSDRGClassificationChanges@cms.hhs.gov by December 7.
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