Sec. 15001. DEVELOPMENT OF MEDICARE HCPCS VERSION OF MS-DRG CODES FOR SIMILAR HOSPITAL SERVICES
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## SEC. 15001 DEVELOPMENT OF MEDICARE HCPCS VERSION OF MS-DRG CODES FOR SIMILAR HOSPITAL SERVICES Section 1886 of the Social Security Act (42 U.S.C. 1395ww) is amended by adding at the end the following new subsection: > > ### “(t) Relating Similar Inpatient and Outpatient Hospital Services > > > #### “(1) Development of hcpcs version of ms-drg codes > > Not later than January 1, 2018, the Secretary shall develop HCPCS versions for MS-DRGs that are similar to the ICD-10-PCS for such MS-DRGs such that, to the extent possible, the MS-DRG assignment shall be similar for a claim coded with the HCPCS version as an identical claim coded with a ICD-10-PCS code. > > > #### “(2) Coverage of surgical ms-drgs > > In carrying out paragraph (1), the Secretary shall develop HCPCS versions of MS-DRG codes for not fewer than 10 surgical MS-DRGs. > > > #### “(3) Publication and dissemination of the hcpcs versions of ms-drgs > > > ##### “(A) In general > > The Secretary shall develop a HCPCS MS-DRG definitions manual and software that is similar to the definitions manual and software for ICD-10-PCS codes for such MS-DRGs.
The Secretary shall post the HCPCS MS-DRG definitions manual and software on the Internet website of the Centers for Medicare & Medicaid Services. The HCPCS MS-DRG definitions manual and software shall be in the public domain and available for use and redistribution without charge. > > > ##### “(B) Use of previous analysis done by medpac > > In developing the HCPCS MS-DRG definitions manual and software under subparagraph (A), the Secretary shall consult with the Medicare Payment Advisory Commission and shall consider the analysis done by such Commission in translating outpatient surgical claims into inpatient surgical MS-DRGs in preparing chapter 7 (relating to hospital short-stay policy issues) of its ‘Medicare and the Health Care Delivery System’ report submitted to Congress in June 2015. > > > #### “(4) Definition and reference > > In this subsection: > > > ##### “(A) HCPCS > > The term ‘HCPCS’ means, with respect to hospital items and services, the code under the Healthcare Common Procedure Coding System (HCPCS) (or a successor code) for such items and services. > > > ##### “(B) ICD-10-PCS > > The term ‘ICD-10-PCS’ means the International Classification of Diseases, 10th Revision, Procedure Coding System, and includes any subsequent revision of such International Classification of Diseases, Procedure Coding System.” > .
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Sec. 15001
DEVELOPMENT OF MEDICARE HCPCS VERSION OF MS-DRG CODES FOR SIMILAR HOSPITAL SERVICES
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