============================================================================= Run Date: DEC 08, 2021 Designation: ICD*18*108 Package : ICD - DRG GROUPER Priority: EMERGENCY Version : 18 SEQ #99 Status: Released Compliance Date: DEC 15, 2021 ============================================================================= Associated patches: (v)ICD*18*105 <<= must be installed BEFORE `ICD*18*108' Subject: FY2022 ANNUAL DRG GROUPER UPDATE Category: - Routine - Other Description: ============ DRG Grouper patch, ICD*18.0*108, provides the annual update to the Medicare Severity Diagnosis Related Group (MS-DRG) Grouper version 39. +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ PLEASE NOTE: Be aware of the shortened compliance date. The dates listed in the patch description are accurate as the FY2022 annual patch was delayed. The changes included in this patch were effective as of 10/1/2021 per the Federal Register Vol. 86, No. 154, dated August 13, 2021. +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Patch Components: ----------------- Files & Fields Associated: N/A Forms Associated: N/A Mail Groups Associated: N/A Options Associated: N/A Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: N/A Remote Procedures Associated: N/A Parameter Definitions Associated: N/A Additional Information: Blood Bank Team Coordination: ---------------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1) INC19047304 - Update National DRG Application with FY22 Content The following changes are published in the Federal Register, Vol. 86, No. 154, dated August 13, 2021 with an effective date of October 1, 2021. All page references below are for this annual update and resource documents can be found at https://www.cms.gov/. 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 ICD18108A was written to update the DRG file (#80.2). II. Routine ICD18108A is used to update the finalized values for DRG relative weights and average length of stay (ALOS). III. DRG RECLASSIFICATION. Changes to other DRGs: ---------------------- 1. MDC 3 (p.44808) Effective 10/1/2021 reassign procedure codes 0JB60ZZ, 0JB70ZZ and 0JB80ZZ describing excision of subcutaneous tissue of chest, back, or abdomen from MSDRGs 140, 141 and 142 to MSDRGs 143, 144 and 145. 2. MDC 5 (p.44831) Reassign procedure codes 02HA0RJ, 02HA3RJ, and 02HA4RJ from MSDRG 215 to MSDRGs 216, 217, 218, 219, 220 and 221 effective October 1, 2021. 3. MDC 5 (p.44833) Reassign diagnosis code B33.24 from DRGs 865 and 866 (Viral Illness with and without MCC) to MS DRGs 314, 315 and 316 (Other Circulatory System Diagnoses with MCC, with CC, and without CC/MCC), effective October 1, 2021. 4. MDC 16 (p.44881) Effective 10/1/2021 assign diagnosis code T80.82XA to MSDRGs 814, 815, and 816 (Diseases and Disorders of Blood, Blood Forming Organs, and Immunologic Disorders). 5. Surgical DRGs 987-989 (p.44889) Reassign procedure code 0T9D0ZZ from MSDRGs 981, 982 and 983 to MSDRGs 987, 988 and 989 for FY 2022. TEST SITES: ----------- VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) Software and Documentation Retrieval Instructions: -------------------------------------------------- Retrieve the KIDS distribution host file. This patch will be distributed in a host file due to the amount of data contained in the patch. Sites can obtain the file at location: /srv/vista/patches/SOFTWARE or by accessing the URL: https://download.vista.domain.ext/index.html/SOFTWARE. File Title File Name Format ------------------------------------------------------------------- ICD_18_108.KID ICD_18_108.KID ASCII Documentation describing the new functionality is not included in this release. Documentation Title File Name --------------------------------------------------------- N/A Pre-Installation Instructions: ------------------------------ It is recommended that this patch be installed during non-peak hours to minimize potential disruption to users. Additionally, installing during peak hours may lead to an unusually long install time. Do not interrupt the installation. Do not Queue this installation. If it is queued, it may hang and not finish installing. Installation can take 40 mins to one (1) hour. Create a backup of the following global file before continuing. When you are creating a backup of non-subscripted globals, you are saving the entire global. You should use the utility ^%GO for non-subscripted globals, and when prompted for a global, enter the global root (global name only, no open parenthesis, no file number and no commas, as shown below). Examples: Enter To create a Backup copy of: ------ -------------------------- ^ICDD entire ICDD global Installation Instructions: ========================== 1. Load the KIDS distribution that is contained in file ICD_18_108.KID using the Load a Distribution option on the Installation menu. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may elect to use the following options (When prompted for the INSTALL NAME, enter ICD*18.0*108): a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, templates, etc.). d. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. For each patch you can specify what to backup; the entire Build or just Routines. When asked to specify what to backup, select Routines. It is NOT recommended to use this backup to restore the system as it will NOT restore your system to pre-patch condition. When prompted for a response, select Build: Select one of the following: B Build R Routines Enter response: Routines 4. Use the Install Package(s) option and select the package ICD*18.0*108: a. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. b. When prompted 'Want to DISABLE Scheduled Options and Menu Options and Protocols? YES//', answer YES. When prompted, 'Enter options you wish to mark as 'Out Of Order':', enter: DRG Grouper [ICD DRG GROUPER] DRG Calculation [DG DRG CALCULATION] Load/Edit PTF Data [DG PTF SCREEN] Claims Tracking Edit [IBT EDIT TRACKING ENTRY] Enter/Edit Billing Information [IB EDIT BILLING INFO] DRG Information Report [DG PTF DRG INFORMATION OUTPUT] When prompted, 'Enter protocols you wish to mark as 'Out of Order':', enter: Post-Installation Instructions: ------------------------------- Please be aware that routine ICD18108P is deleted by design during the install process. Therefore, the ICD18108P post-install checksum is not applicable. Back-Out Plan: -------------- Due to the complexity of this patch, it is not recommended for back-out, and a restore from a backup of the Transport Global should not be attempted. In the event that a site decides to back out this patch, the site should contact the National Service Desk (NSD) to submit a help desk ticket. The development team will need to issue a follow-on patch in order to comprehensively back-out this patch. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;October 20, 2000;Build 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD18108A Before: n/a After: B65707727 **108** Routine Name: ICD18108F Before: n/a After: B72071738 **108** Routine Name: ICD18108G Before: n/a After: B79978055 **108** Routine Name: ICD18108H Before: n/a After: B74509185 **108** Routine Name: ICD18108I Before: n/a After: B75037180 **108** Routine Name: ICD18108J Before: n/a After: B72371400 **108** Routine Name: ICD18108K Before: n/a After: B77156756 **108** Routine Name: ICD18108P Before: n/a After: B2752994 **108** ============================================================================= User Information: Entered By : Date Entered : AUG 17, 2021 Completed By: Date Completed: DEC 08, 2021 Released By : Date Released : DEC 08, 2021 ============================================================================= Packman Mail Message: ===================== No routines included