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Intestinal Transplant
Proposed titles:
MS-DRG 005 Liver transplant and/or intestinal transplant w MCC
MS-DRG 006 Liver transplant and/or intestinal transplant w/o MCC
Final Titles:
MS-DRG 005 Liver transplant w MCC or intestinal transplant
MS-DRG 006 Liver transplant w/o MCC
1. Reassign cases with procedure code 46.97, Transplant of intestine, from MSDRG
006 to MS-DRG 005.
MDC 1 DISEASES AND DISORDERS OF THE NERVOUS SYSTEM
Implantation of chemotherapeutic agent
Intracranial stents
Proposed titles:
- MS-DRG 23 Craniotomy w major device implant or acute complex central nervous system principal diagnosis w MCC
- MS-DRG 24 Craniotomy w major device implant or acute complex central nervous system principal diagnosis w/o MCC
Final titles:
- MS-DRG 023 Cranio w major dev impl/acute complex CNS PDX w MCC or chemo implant
- MS-DRG 024 Cranio w major dev impl/acute complex CNS PDX w/o MCC
1. Reassign cases with procedure code 00.10, Implantation of chemotherapeutic
agent, from MS-DRG 24 to MS-DRG 23.
2. Reassign cases with procedure code 00.62, Percutaneous angioplasty or
atherectomy of intracranial vessel(s), from MS-DRGs 37-39 to MS-DRGs 23-24.
Intracranial stents
- MS-DRG 025 Craniotomy & endovascular intracranial procedures w MCC
- MS-DRG 026 Craniotomy & endovascular intracranial procedures w CC
- MS-DRG 027 Craniotomy & endovascular intracranial procedures w/o CC/MCC
1. Reassign cases with procedure code 00.62, Percutaneous angioplasty or
atherectomy of intracranial vessel(s), from MS-DRGs 37-39 to MS-DRGs 25-27.
Spinal Neurostimulators
Proposed Titles:
- MS-DRG 028 Spinal procedures w MCC
- MS-DRG 029 Spinal procedures w CC
- MS-DRG 030 Spinal procedures w/o CC/MCC
Final Titles:
- MS-DRG 028 Spinal procedures w MCC
- MS-DRG 029 Spinal procedures w CC or spinal neurostimulators
- MS-DRG 030 Spinal procedures w/o CC/MCC
1.Reassign full system spinal cord non-rechargeable and rechargeable neurostimulator cases in MS-DRG 30 to MS-DRG 29 in MDC 1. ICD-9-CM procedure codes 03.93, Implantation or replacement of spinal neurostimulator lead(s) and 86.94, Insertion or replacement of single array neurostimulator pulse generator, not specified as rechargeable or 86.95, Insertion or replacement of dual array neurostimulator pulse generator, not specified as rechargeable, or 86.97, Insertion or replacement of single array rechargeable neurostimulator pulse generator or 86.98, Insertion or replacement of dual array rechargeable neurostimulator pulse generator, must be reported in order for the spinal neurostimulator cases to be assigned to MS-DRG 29.
Intracranial stents
- MS-DRG 037 Extracranial procedures w MCC
- MS-DRG 038 Extracranial procedures w CC
- MS-DRG 039 Extracranial procedures w/o CC/MCC
1.Reassign cases with procedure code 00.62, Percutaneous angioplasty or atherectomy of intracranial vessel(s), from MS-DRGs 037-039 to MS-DRG 023-027.
Peripheral Neurostimulators
Proposed Titles:
- MS-DRG 40 Periph & cranial nerve & other nerv syst proc w MCC
- MS-DRG 41 Periph/cranial nerve & other nerv syst proc w CC
- MS-DRG 42 Periph/cranial nerve & other nerv syst proc w/o CC/MCC
Final Titles:
- MS-DRG 40 Periph & cranial nerve & other nerv syst proc w MCC
- MS-DRG 41 Periph/cranial nerve & other nerv syst proc w CC or periph neurostim
- MS-DRG 42 Periph/cranial nerve & other nerv syst proc w/o CC/MCC
1.Reassign full system peripheral non-rechargeable and rechargeable neurostimulator cases in MS-DRG 42 to MS-DRG 41. ICD-9-CM procedure codes 04.92, Implantation or replacement of peripheral neurostimulator lead(s) and 86.94, Insertion or replacement of single array neurostimulator pulse generator, not specified as rechargeable or 86.95, Insertion or replacement of dual array neurostimulator pulse generator, not specified as rechargeable, or 86.97, Insertion or replacement of single array rechargeable neurostimulator pulse generator or 86.98, Insertion or replacement of dual array rechargeable neurostimulator pulse generator, must be reported in order for the peripheral neurostimulator cases to be assigned to MS-DRG 41.
Pain Codes
- MS-DRG 091 Other disorders of nervous system w MCC
- MS-DRG 092 Other disorders of nervous system w CC
- MS-DRG 093 Other disorders of nervous system w/o CC/MCC
1.Reassign cases with a principal diagnosis of code 338.0, Central pain syndrome, or 338.21, Chronic pain due to trauma, or code 338.22, Chronic post-thoracotomy pain, or code 338.28, Other chronic postoperative pain, or code 338.29, Other chronic pain, or code 338.4, Chronic pain syndrome from MDC 23, MS-DRGs 947-948 to MS-DRGs 091-093.
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