In the IPPS Proposed Rule released April 30, CMS announced the Cooperating Parties would not be adding any new ICD-9-CM codes for Fiscal Year 2015.
The ICD-9-CM Maintenance and Coordination Committee discussed no new diagnoses codes at either its September 18, 2013 or March 19, 2014 meetings. Committee members did hear proposals for new ICD-10-PCS procedure codes.
In addition, CMS did not add or delete any CCs or MCCs.
CMS did propose changes to some MS-DRGs.
CMS is proposing to create the two MS-DRGs for endovascular cardiac valve replacements:
- Proposed new MS-DRG 266 (endovascular cardiac valve replacement with MCC)
- Proposed new MS-DRG 267 (endovascular cardiac valve replacement without MCC)
CMS is also proposing to collapse MS-DRGs 483 (major joint/limb reattachment procedure of upper extremity with CC/MCC) and 484 (major joint/limb reattachment procedure of upper extremity without CC/MCC) into a single MS-DRG. CMS would delete MS-DRG 484 and revise the title of MS-DRG 483 to “major joint/limb reattachment procedure of upper extremities”.
CMS proposes deleting MS-DRG 490 and 491 and replaced them with the following MS-DRGs:
- Proposed new MS-DRG 518 (back & neck procedures except spinal fusion with MCC or disc device/neurostimulator)
- Proposed new MS-DRG 519 (back & neck procedures except spinal fusion with CC)
- Proposed new MS-DRG 520 (back & neck procedures except spinal fusion without CC/MCC)
CMS also proposes removing the following additional diagnosis codes to MS-DRG 794 (neonate with significant problems):
- V17.0, family history of psychiatric condition
- V17.2, family history of other neurological diseases
- V17.49, family history of other cardiovascular diseases
- V18.0, family history of diabetes mellitus
- V18.19, family history of other endocrine and metabolic diseases
- V18.8, family history of infectious and parasitic diseases
- V50.3, ear piercing