2019-21: CMS Announces Changes to DRG Coding for OB/GYN Providers

Date: 03/29/19

ICD-10-CM and Medicare Severity Diagnosis Related Groups (MS-DRG) are continuously monitored and revised by CMS. Because Inpatient Prospective Payment System (IPPS) hospitals are paid based on DRGs, additions, deletions or alterations to MS DRGs can affect hospital claim submission protocols.

Recently, CMS announced changes to the Diagnosis Related Group (DRG) coding that impacts billing for C-Sections and vaginal deliveries. To remain compliant with CMS coding guidelines, we are updating our billing instructions for these procedures. 

Please see the enclosed complete schedule of DRG codes impacted by this change, along with updated codes and titles.