Diagnosis Related Groups (MS-DRG) Coding Changes
Date: 05/31/19
CD-10-CM and Medicare Severity Diagnosis Related Groups (MS-DRG) are continuously monitored and revised by CMS. Because Inpatient Prospective Payment System (IPPS) hospitals are paid based on DRGs, additions, deletions, or alterations to MS DRGs can affect hospital claim submission protocols.
Recently, CMS announced changes to the Diagnosis Related Group (DRG) coding that impacts billing for C-Sections and vaginal deliveries. In order to remain compliant with CMS coding guidelines, we are updating our billing instructions for these procedures.
Please see the enclosed complete schedule of DRG codes impacted by this change, along with updated codes and titles. Please don't hesitate to reach out to Provider Services at 1-866-912-6285 with any questions you may have.