2017 IPPS proposed rule includes more MS-DRG reclassification requests

Why This Topic Matters

The article helps readers understand which inpatient payment and grouping issues were under review in the proposed rule and why ICD-10 transition effects continued to matter for hospital coding and reimbursement workflows.

Article Sections

1. Excision of ileum

   Discusses a proposed MS-DRG reassignment issue related to small intestine excision procedures and the ICD-9 to ICD-10 transition. It also notes the effective timing of the related MS-DRG version update.

2. Bypass procedures of the veins

   Covers a request involving venous bypass procedures, MDC placement, and related MS-DRG grouping consistency between ICD-9-CM and ICD-10-PCS. CMS response to the proposed classification change is summarized.

3. Removal and Replacement of knee joints

   Describes concerns about additional procedure-code combinations for knee joint revision groupings under the MS-DRG system. The section focuses on requested grouping inclusions and omissions in the ICD-10 MS-DRG logic.

4. Pacemaker procedure code combinations

   Summarizes CMS review of procedure-code combinations involving pacemaker-related cases and leads. It addresses proposed logic changes intended to simplify grouping under the affected MS-DRGs.

5. Denied requests

   Reviews several requests that CMS declined to adopt, including additional DRG changes for selected procedure and diagnosis areas. It also notes unresolved topics and a request for provider input during continued refinement of the MS-DRG system.