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CMS update: Keep a Sharp Eye on ICD-9, And Speak Your Mind Before Time Runs Out

CMS outlined the proposed ICD-9 changes for 2004 in the May 19 issue of the Federal Register and will close its doors for comments on July 18.

Among the changes:
 

 DRGs split because of complications or comorbidities (CCs): 4 (Spinal procedures), 5 (Extracranial vascular procedures), 231 (Local excision and removal of internal fixation devices except hip and femur) and 400 (Lymphoma and leukemia with major OR procedure).
 

 Addition of two new DRGs: 535 (Cardiac defibrillator implant with cardiac catheterization and with acute myocardial infarction, heart failure, or shock) and 536 (... without acute myocardial infarction, heart failure, or shock) to show details of patients' symptoms with DRG 514 (Cardiac defibrillator implant with cardiac catheterization). 
 

 Inclusion of patients who receive high-dose Interleukin-2 in DRG 492 (Chemotherapy with acute leukemia as secondary diagnosis).
 

 Different DRG assignments for certain congenital anomalies. Some diagnoses that afflict adult patients result in the assignment of newborn DRGs because there aren't yet appropriate codes. Along these lines, CMS would also expand the list of problems in newborns that affect DRGs.
 

 Expansion of the postacute transfer policy to 19 more DRGs.
 To submit your comments, send an original and three copies of your written opinion to CMS at this address:

Centers for Medicare
 & Medicaid Services
Department of Health and Human Services
Attention: CMS-1470-P
P.O. Box 8010
Baltimore, MD 21244-1850 

- Published on 2003-06-01