Spinal Neurostimulators

Proposed Titles:

• MS-DRG 490 Back & neck procedures except spinal fusion w CC/MCC or disc devices
• MS-DRG 491 Back & neck procedures except spinal fusion w/o CC/MCC

Final Titles:

• MS-DRG 490 Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim
• MS-DRG 491 Back & neck proc exc spinal fusion w/o CC/MCC

1.Reassign cases with procedure codes 84.59, Insertion of other spinal devices, or code 84.62, Insertion of total spinal disc prosthesis, cervical or code 84.65, Insertion of total spinal disc prosthesis, lumbosacral, or code 84.80, Insertion or replacement of interspinous process device(s) or code 84.82, Insertion or replacement of pedicle-based dynamic stabilization device(s) or code 84.84, Insertion or replacement of facet replacement devices, from MS-DRG 491 to MS –DRG 490.

2.Reassign full system spinal cord non-rechargeable and rechargeable neurostimulator cases in MS-DRG 491 to MS-DRG 490 in MDC 8. 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 490.

MDC 17 MYELOPROLIFERATIVE DISEASES AND DISORDERS, POORLY DIFFERENTIATED NEOPLASM

High-dose infusion interleukin-2 [IL-2]

Proposed DRG Titles:

• MS-DRG 837 Chemo w acute leukemia as sdx or w high dose chemo agent w MCC
• MS-DRG 838 Chemo w acute leukemia as sdx or w high dose chemo agent w CC
• MS-DRG 839 Chemo w acute leukemia as sdx or w high dose chemo agent w/o

CC/MCC

Final DRG Titles:

• MS-DRG 837 Chemo w acute leukemia as sdx or w high dose chemo agent w MCC
• MS-DRG 838 Chemo w acute leukemia as sdx w CC or high dose chemo agent
• MS-DRG 839 Chemo w acute leukemia as sdx w/o CC/MCC

1.Reassign cases with procedure code 00.15, High-dose infusion interleukin-2 [IL-2] from MS-DRG 839 to MS-DRG 838.

MDC 23 FACTORS INFLUENCING HEALTH STATUS AND OTHER CONTACTS WITH HEALTH STATUS

Pain codes

• MS-DRG 947 Signs & symptoms w MCC
• MS-DRG 948 Signs & symptoms w/o 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 in MDC 1

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