Healthcare News: CMS’ 2017 IPPS rule proposes changes to MS-DRG classification

Why This Topic Matters

The proposed MS-DRG change affects inpatient grouping logic for a small set of loop recorder procedures and highlights how CMS evaluates ICD-10-PCS translation issues against prior ICD-9-CM-based DRG logic. Readers tracking payment policy changes can use the article to understand the scope of the proposal and the timeline for CMS rulemaking.

Article Sections

1. Proposed MS-DRG change for loop recorder procedures

   Introduces the CMS proposal and the inpatient grouping issue involving loop recorder implantation and revision procedures. Summarizes the broader ICD-10-PCS to ICD-9-CM replication concern discussed in the rule.

2. Stakeholder request and CMS review

   Describes the stakeholder concern about procedure translation and how CMS evaluated the related ICD-10-PCS and ICD-9-CM classifications. Covers the context for the proposed Appendix E update in the ICD-10 MS-DRG manual.

3. CMS proposal and comment timeline

   Outlines the proposed manual change, the affected DRG grouping area, and the rulemaking schedule for comments and finalization. Also notes CMS’s request for feedback on procedures that may not be reasonably performed.