April 2022 Update to the Medicare Severity - Diagnosis Related Group (MS-DRG) Grouper and MCE Version 39.1 for the ICD-10 Diagnosis Codes for 2019 COVID-19 Vaccination Status and ICD-10 PCS Codes for Introduction or Infusion of Therapeutics and Vaccines for COVID-19 Treatment - Revised

MLN Matters Number: MM12578 Revised
Related CR Release Date: February 4, 2022
Related CR Transmittal Number: R11255CP
Related Change Request (CR) Number:12578
Effective Date: April 1,2022
Implementation Date: April 4,2022

Note: CMS revised this Article to show changes to CR 12578. The CR revision added 2 additional ICD-10-PCS codes. CMS added that information in dark red font on page 3. CMS also revised the CR release date, transmittal number, and the web address of the CR. All other information is the same.

CR 12578 tells you about:

  • New International Classification of Diseases, Tenth Revision (ICD-10)-Clinical Modification (CM) codes for reporting Novel Coronavirus (COVID-19) vaccination status
  • Seven new ICD-10- Procedure Coding System (PCS) codes describing the introduction or infusion of therapeutics, including vaccines for COVID-19 treatments
  • Updates for a new Medicare Code Editor (MCE) Edit

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12578.


            Last Updated Thu, 17 Feb 2022 16:09:30 +0000