Spinal Fusions
Proposed Titles:
- MS-DRG 456 Spinal fusion exc cerv w spinal curv, malig or 9+ fusions w MCC
- MS-DRG 457 Spinal fusion exc cerv w spinal curv, malig or 9+ fusions w CC
- MS-DRG 458 Spinal fusion exc cerv w spinal curv, malig or 9+ fusions w/o CC/MCC
Final Titles:
- MS-DRG 456 Spinal fusion exc cerv w spinal curv/malig/infec or 9+ fusions w MCC
- MS-DRG 457 Spinal fusion exc cerv w spinal curv/malig/infec or 9+ fusions w CC
- MS-DRG 458 Spinal fusion exc cerv w spinal curv/malign/infec or 9+ fusions w/o
CC/MCC
1. Add the following diagnoses to the principal diagnosis list for MS-DRGs 456-458:
- 015.02, Tuberculosis of bones and joints, vertebral column, bacteriological or histological examination unknown (at present)
- 015.04, Tuberculosis of bones and joints, vertebral column, tubercle bacilli not found (in sputum) by microscopy, but found by bacterial culture
- 015.05, Tuberculosis of bones and joints, vertebral column, tubercle bacilli not found by bacteriological examination, but tuberculosis confirmed histologically
- 730.08, Acute osteomyelitis of other specified sites
- 730.18, Chronic osteomyelitis of other specified sites
- 730.28, Unspecified osteomyelitis of other specified sites
- Add procedure code 81.64, Fusion or refusion of 9 or more vertebrae, to the list of procedures for MS-DRGs 456-458.
Hip and Knee Replacements
- MS-DRG 466 Revision of hip or knee replacement w MCC
- MS-DRG 467 Revision of hip or knee replacement w CC
- MS-DRG 468 Revision of hip or knee replacement w/o CC/MCC
- MS-DRG 485 Knee procedures w pdx of infection w MCC
- MS-DRG 486 Knee procedures w pdx of infection w CC
- MS-DRG 487 Knee procedures w pdx of infection w/o CC/MCC
- MS-DRG 488 Knee procedures w/o pdx of infection w CC/MCC
- MS-DRG 489 Knee procedures w/o pdx of infection w/o CC/MCC
1.Reassign cases with procedure code 00.83, Revision of knee replacement, patellar component, or code 00.84, Revision of total knee replacement, tibial insert (liner), from MS-DRGs 466-468 to MS-DRGs 485-489.
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