ICD-10 MS-DRGs Version 37.2 Effective August 01, 2020
September 01, 2020
In response to the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) is implementing 12 new procedure codes to describe the introduction or infusion of therapeutics, including remdesivir and convalescent plasma, into the International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS), effective August 01, 2020.
The ICD-10 MS-DRG Grouper assigns each case into an MS-DRG based on the reported diagnosis and procedure codes and demographic information (age, sex, and discharge status).
The ICD-10 Medicare code editor (MCE) Version 37.2 software uses edits to detect and report errors in the claims data for the ICD-10 codes reported to validate correct coding on claims for discharges on or after August 01, 2020.
The ICD-10 MS-DRG Grouper software package to accommodate these new codes, Version 37.2, is effective for discharges on or after August 01, 2020. As indicated in the table below, these codes will not affect the MS-DRG assignment.