$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Tuesday, 09/09/14 at 11:41 ============================================================================= Run Date: JAN 14, 2015 Designation: ICD*18*77 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #71 Status: Released Compliance Date: JAN 21, 2015 ============================================================================= Associated patches: (v)ICD*18*64 <<= must be installed BEFORE `ICD*18*77' (v)ICD*18*72 <<= must be installed BEFORE `ICD*18*77' (v)LEX*2*97 <<= must be installed BEFORE `ICD*18*77' Subject: FY2015 ANNUAL DRG GROUPER PATCH Category: - Routine - Other - Enhancement (Mandatory) Description: ============ This patch provides the annual update to the Medicare Severity Diagnosis Related Group (MS-DRG) Grouper v28.0. No code files are included in the patch, as all changes are handled programmatically by the pre-init routines ICD1877*. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ PLEASE NOTE: Please take note of the shortened compliance date. The changes included in this patch were effective as of 10/1/2014 per the Federal Register Vol. 79, No. 163, dated August 22, 2014. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ASSOCIATED REMEDY TICKETS: ========================== 1) INC000001042834 - FY2015 ANNUAL DRG GROUPER UPDATE ASSOCIATED NSRs: ================ N/A PARTICIPATING TEST SITES: ========================= Manchester VAMC Upstate New York HCS REMEDY OVERVIEW: ================ 1) INC000001042834 - FY2015 ANNUAL DRG GROUPER UPDATE The following changes were published in the Federal Register, Vol. 79, No. 163, dated August 22, 2014 with an effective date of October 1, 2014. All page references below are for this annual update and resource documents can be found at http://www.cms.hhs.gov/. Note: For FY2015 there are no new, revised or deleted diagnosis or procedure codes which are usually announced in Tables 6A (New Diagnosis Codes), 6B (New Procedure Codes), 6C (Invalid Diagnosis Codes), 6D (Invalid Procedure Codes), 6E (Revised Diagnosis Code Titles), and 6F (Revised Procedure Codes). Changes include: I. Revised DRGs. II. Revised DRG relative weights & average length of stay (ALOS) values for all DRGs. III. DRG reclassification changes to the Grouper. This is a summary of the additions/changes made: I. Routine ICD1877A was written to update the DRG file (#80.2). NEW DRGs for FY 2015 -------------------- MS-DRG 266 Endovascular Cardiac Valve Replacement with MCC MS-DRG 267 Endovascular Cardiac Valve Replacement without MCC MS-DRG 518 Back & Neck Procedure Except Spinal Fusion with MCC or Disc Device/Neurostimulator MS-DRG 519 Back & Neck Procedure Except Spinal Fusion with CC MS-DRG 520 Back & Neck Procedure Except Spinal Fusion without CC/MCC INACTIVATED DRGs for FY 2015 ---------------------------- MS-DRG 490 Back & Neck Procedures Except Spinal Fusion with CC/MCC or Disc Device/Neurostimulator MS-DRG 491 Back & Neck Procedures Except Spinal Fusion without CC/MCC or Disc Device/Neurostimulator II. Routine ICD1877A is also used to update the finalized values for DRG relative weights and average length of stay (ALOS). Note: Routines ICDDRG0 and ICDTBL0G-9G were added/modified to complete the proper grouping of the existing diagnosis codes and procedure codes. III. DRG RECLASSIFICATION. Changes to other DRGs: ---------------------- 1. MDC 5 (p.49890) a. Effective 10/1/2014 cases that have a procedure code of 35.05 through 35.09 will move from MS-DRGs 216-221 to the newly created MS-DRGs 266 or 267. 2. MDC 8 (p.49899) a. Effective 10/1/2014 cases that were previously assigned to MS-DRGs 490 or 491 will be reassigned to newly created MS-DRGs 518, 519 or 520. 3. MDC 15 (p.49901) a. Effective 10/1/2014 cases that have any of the following secondary diagnosis codes V17.0, V17.2, V17.49, V18.0, V18.19, V18.8 or V50.3 will be assigned to MS-DRG 795 instead of MS-DRG 794. 4. Surgical Hierarchies (P.49903) a. Ranking of surgical DRGs has changed as follows: MDC 5 - MS-DRGs 266 and 267 above MS-DRG 222 MDC 8 - remove MS-DRGs 490 and 491 - MS-DRGs 518, 519 and 520 above MS-DRG 492 INSTALLATION INSTRUCTIONS: ========================== NOTE: Please do not forget to do step 6. This is a very important step as it updates/recalculates the transfer DRGs for Patient Treatment File (PTF) records opened during the current fiscal year. This patch can be loaded with users on the system. However, it would be preferable if Medical Records coders were off the system. Install Time - 5 to 10 minutes. This patch does not involve global file restoration. Nonetheless, we suggest you create global saves on files #80 (^ICD9), #80.1 (^ICD0) and #80.2 (^ICD) in the event problems develop during the install. If it became necessary to use the saved files, you should first kill all the records (except the zero node) before applying the global restores. 1. From the Kernel Installation and Distribution System Menu, select the Installation menu. 2. From this menu, you may elect to use the following options: (when prompted for INSTALL NAME, enter ICD*18.0*77) a. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. b. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). c. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the transport global. d. Print Transport Global - this option will allow you to view the components of the KIDS build. 3. Use the Install Package(s) option and select the package ICD*18.0*77. 4. When prompted, 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO 5. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond YES. When prompted, 'Enter options you wish to mark as 'Out Of Order':', enter: PTF Menu [DG PTF MENU] When prompted, 'Enter protocols you wish to mark as 'Out Of Order':', press enter. 6. Following installation of this patch, it is necessary to run the Update Transfer DRGs for Current FY [DG PTF UPDATE TRANSFER DRGs] option in order to make the transfer DRGs correspond to the appropriate grouper. This option updates/recalculates the transfer DRGs for PTF records opened during the current fiscal year. The option is locked with the DG PTFSUP security key. The Menu path is PTF Menu/Update DRG Information Menu/Update Transfer DRGs for current FY. 7. All routines beginning with ICD1877* can be deleted after the patch has been successfully installed. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 20, 2000;Build 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1877A Before: n/a After: B66610687 **77** Routine Name: ICD1877F Before: n/a After: B57709083 **77** Routine Name: ICD1877G Before: n/a After: B58487221 **77** Routine Name: ICD1877H Before: n/a After: B59032246 **77** Routine Name: ICD1877I Before: n/a After: B57526258 **77** Routine Name: ICD1877J Before: n/a After: B59956681 **77** Routine Name: ICD1877K Before: n/a After: B62896396 **77** Routine Name: ICD1877L Before: n/a After: B8028776 **77** Routine Name: ICD1877O Before: n/a After: B2720490 **77** Routine Name: ICD1877P Before: n/a After: B817027 **77** Routine Name: ICDDRG0 Before: B61340814 After: B61340898 **1,2,7,10,14,17,20,24,27,30, 31,32,33,37,45,50,53,56,65,72, 77** Routine Name: ICDDRG5 Before: B35156082 After: B44288391 **2,5,7,10,20,22,31,37,64,77** Routine Name: ICDDRG8 Before: B23765373 After: B32166933 **1,2,10,20,24,31,77** Routine Name: ICDTBL0G Before: n/a After: B24417183 **77** Routine Name: ICDTBL1G Before: n/a After: B10223882 **77** Routine Name: ICDTBL2G Before: n/a After: B51747313 **77** Routine Name: ICDTBL3G Before: n/a After: B9932263 **77** Routine Name: ICDTBL4G Before: n/a After: B29278562 **77** Routine Name: ICDTBL5G Before: n/a After: B7448758 **77** Routine Name: ICDTBL6G Before: n/a After: B13348573 **77** Routine Name: ICDTBL7G Before: n/a After: B16745831 **77** Routine Name: ICDTBL8G Before: n/a After: B25476879 **77** Routine Name: ICDTBL9G Before: n/a After: B5060429 **77** Routine list of preceding patches: 64, 72 ============================================================================= User Information: Entered By : Date Entered : AUG 07, 2014 Completed By: Date Completed: JAN 09, 2015 Released By : Date Released : JAN 14, 2015 ============================================================================= Packman Mail Message: ===================== $END TXT