Look at additional diagnoses and procedures impacted by ICD-10 MS-DRG shifts

Why This Topic Matters

Understanding these ICD-10-driven shifts helps revenue cycle and coding teams anticipate changes in DRG assignment, monitor case mix impact, and identify documentation opportunities that may affect grouping under ICD-10-CM and ICD-10-PCS.

Article Sections

1. Not otherwise specified codes

   This section discusses the role of unspecified documentation and why it can affect diagnostic grouping under ICD-10. It also introduces the need to review cases that rely heavily on nonspecific coding.

2. Chronic obstructive pulmonary disease

   This section compares COPD-related grouping under ICD-9-CM and ICD-10-CM. It focuses on how diagnosis coding changes can alter MS-DRG assignment.

3. Psychoses

   This section covers inpatient psychiatric cases and how a selected diagnosis may move to a different DRG under ICD-10-CM. It highlights the broader effect of diagnosis code mapping on grouping.

4. Obstetrics cases

   This section examines an obstetric scenario and the way diagnostic specificity can change the resulting MS-DRG. It includes diagnosis and procedure considerations in a delivery case.

5. Identify ICD-10-PCS MS-DRG shifts

   This section shifts from diagnosis-related changes to procedure-related changes under ICD-10-PCS. It explains that procedure language and coding concepts can also affect MS-DRG assignment.

6. Broken hip prosthesis

   This section discusses procedure grouping differences tied to hip-related revision and replacement scenarios. It emphasizes the need to understand procedure terminology and operative documentation.

7. Takedown of ileostomy/ileostomy closure

   This section addresses a bowel/stoma closure scenario and how ICD-10-PCS can change coding structure compared with ICD-9-CM. It also notes the effect on MS-DRG grouping.