A comprehensive look at FY 2019 MS-DRGs changes

Why This Topic Matters

MS-DRG updates can affect inpatient claim grouping, reimbursement, and how cases are categorized in the final rule year. Understanding the scope of these changes helps coding and reimbursement staff recognize where classifications were revised and where CMS created, deleted, or retitled groupings.

Article Sections

1. Laryngectomy

   Discusses FY 2019 MS-DRG reordering and title revisions related to head and neck diagnoses and associated procedure groupings.

2. Chimeric antigen receptor t-cell therapy

   Covers a new technology assignment under MS-DRG 16, including related inpatient payment and add-on payment context.

3. Epilepsy with neurostimulator

   Describes MS-DRG reassignment activity for epilepsy cases involving neurostimulator-related procedure combinations and related diagnosis code additions.

4. Pacemaker insertions

   Summarizes changes involving pacemaker-related procedure code combinations and how they are grouped within the MS-DRG system.

5. Benign lipomatous neoplasm of kidney

   Reviews diagnosis code reassignments involving kidney and other genitourinary neoplasm classifications within MS-DRGs.

6. Admit for renal dialysis

   Explains the deletion of a dialysis-related MS-DRG and the reassignment of related diagnosis codes to other kidney and urinary tract groupings.

7. Pregnancy, childbirth, and the puerperium

   Covers deletions and replacements of obstetric MS-DRGs, including revised severity splits and procedure-based groupings.

8. SIRS of non-infectious origin

   Describes the reassignment of noninfectious systemic inflammatory response syndrome diagnosis codes and the related MS-DRG title revision.