An important Medicare reimbursement change takes effect today, October 1.
13 MS-DRGs have been added to the list subject to the Medicare IPPS Post-Acute Care Transfer Policy for FY 2027:
210, 211, 361, 362, 400, 403, 404, 456, 457, 458, 523, 524 and 525.
The additions span several clinical areas, including cardiac pacemaker/device replacement, circulatory procedures, musculoskeletal procedures and spinal fusion.
MS-DRGs 523–525 are for extensive or complex spinal fusion procedures except cervical.
For hospitals, the October 1 changes are another reason to ensure that FY 2027 MS-DRG changes are considered from a coding and relative-weight perspective and also for their potential impact on reimbursement.
If you have questions, please contact Adam Blackwell at adamblackwell@govdataservices.com