Download - Crosswalk From CMS DRGs to MS-DRGs
Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 103 PR S 001 002 MS-DRG Descriptions Comments Heart transplant or implant of heart assist system w MCC Heart transplant or implant of heart assist system w/o MCC
541
PR
S
003
ECMO or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R.
542
PR
S
004
Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R.
480 PR
S
005
Liver transplant w MCC or intestinal Procedure 4697 (Transplant of intestine) is always transplant assigned to MS-DRG 005 regardless of severity level Liver transplant w/o MCC
006
495
PR
S
007
Lung transplant
512
PR
S
008
Simultaneous pancreas/kidney transplant
481
PR
S
009
Bone marrow transplant
513
PR
S
010
Pancreas transplant
482
PR
S
011 012 013
Tracheostomy for face,mouth & neck diagnoses w MCC Tracheostomy for face,mouth & neck diagnoses w CC Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC
Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 528 01 S 020 021 022 MS-DRG Descriptions Comments Intracranial vascular procedures w PDX hemorrhage w MCC Intracranial vascular procedures w PDX hemorrhage w CC Intracranial vascular procedures w PDX hemorrhage w/o CC/MCC Cranio w major dev impl/acute complex CNS PDX w MCC or chemo implant Cranio w major dev impl/acute complex CNS PDX w/o MCC Non-or procedure 0010(Implant chemothera agent) is always assigned to MS-DRG 023 regardless of severity level; Added procedure 0062 to MS-DRG 023-027
543
01
S
023
024
001
01
S
025
Craniotomy & endovascular intracranial procedures w MCC Craniotomy & endovascular intracranial procedures w CC Craniotomy & endovascular intracranial procedures w/o CC/MCC Spinal procedures w MCC Spinal procedures w CC or spinal neurostimulators Spinal procedures w/o CC/MCC Ventricular shunt procedures w MCC Ventricular shunt procedures w CC Ventricular shunt procedures w/o CC/MCC Carotid artery stent procedure w MCC Carotid artery stent procedure w CC Carotid artery stent procedure w/o CC/MCC Extracranial procedures w MCC
*CMS v24 DRG 003 procedures are split between MSDRGs 025,026,027,031,032,033; Added procedure 0062 to MS-DRG 023-027
002 003*
026 027
531 532
01
S
028 029
Combination of 0393 with (8694 or 8695 or 8697 or 8698) is always assigned to MS-DRG 029 regardless of severity level
030 529 530 01 S 031 032 033
577
01
S
034 035 036
533
01
S
037
Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 534 038 039 MS-DRG Descriptions Extracranial procedures w CC Extracranial procedures w/o CC/MCC Comments
006 007
01
S
040 041
Periph & cranial nerve & other nerv syst proc w MCC Periph/cranial nerve & other nerv Combination of 0492 with (8694 or 8695 or 8697 or syst proc w CC or periph neurostim 8698) is always assigned to MS-DRG 041 regardless of severity Periph & cranial nerve & other nerv syst proc w/o CC/MCC Spinal disorders & injuries w CC/MCC Spinal disorders & injuries w/o CC/MCC
008
042
009
01
M
052 053
010 011
01
M
054 055
Nervous system neoplasms w MCC Nervous system neoplasms w/o MCC
012
01
M
056 057
Degenerative nervous system disorders w MCC Degenerative nervous system disorders w/o MCC
013
01
M
058 059 060
Multiple sclerosis & cerebellar ataxia w MCC Multiple sclerosis & cerebellar ataxia w CC Multiple sclerosis & cerebellar ataxia w/o CC/MCC Acute ischemic stroke w use of thrombolytic agent w MCC Acute ischemic stroke w use of thrombolytic agent w CC Acute ischemic stroke w use of thrombolytic agent w/o CC/MCC
559
01
M
061 062 063
Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 014 01 M 064 065 066 MS-DRG Descriptions Comments Intracranial hemorrhage or cerebral infarction w MCC Intracranial hemorrhage or cerebral infarction w CC Intracranial hemorrhage or cerebral infarction w/o CC/MCC Nonspecific cva & precerebral occlusion w/o infarct w MCC Nonspecific cva & precerebral occlusion w/o infarct w/o MCC
015
01
M
067 068
524
01
M
069
Transient ischemia
016 017
01
M
070 071 072
Nonspecific cerebrovascular disorders w MCC Nonspecific cerebrovascular disorders w CC Nonspecific cerebrovascular disorders w/o CC/MCC Cranial & peripheral nerve disorders w MCC Cranial & peripheral nerve disorders w/o MCC
018 019
01
M
073 074
021
01
M
075 076
Viral meningitis w CC/MCC Viral meningitis w/o CC/MCC
022
01
M
077 078 079
Hypertensive encephalopathy w MCC Hypertensive encephalopathy w CC Hypertensive encephalopathy w/o CC/MCC Nontraumatic stupor & coma w MCC Nontraumatic stupor & coma w/o MCC
023
01
M
080 081
Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 MS-DRG Descriptions Comments
027
01
M
082 083 084
Traumatic stupor & coma, coma >1 hr w MCC Traumatic stupor & coma, coma >1 hr w CC Traumatic stupor & coma, coma >1 hr w/o CC/MCC Traumatic stupor & coma, coma