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January 25, 2017

Reprocess of Some Inpatient Prospective Payment System (IPPS) Claims

Some Inpatient Prospective Payment System (IPPS) hospital and Long Term Care Hospital (LTCH) claims with discharge dates on or after October 1, 2016, may have been grouped to an incorrect Medicare Severity - Diagnosis Related Group (MS-DRG).

A revision to the ICD-10 MS-DRG version 34 software file was made and affected claims will be reprocessed by CGS by February 1, 2017. No action is required by IPPS and LTCH hospitals.

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