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New COVID-19 MS-DRG Assignment, Effective April 1

New COVID-19 MS-DRG Assignment, Effective April 1


ICD-10-CM code U07.1 COVID-19 will be in effect as of April 1 in the US, which was pushed up from the normal effective date of October 1 for new codes. The reasoning for this unprecedented change is for the urgent need for immediate data collection. CMS has released a new update on 3/23/2020: “The ICD-10 MCE Version 37.1 R1 uses edits for the ICD-10 codes reported to validate correct coding on claims for discharges on or after April 1, 2020″ (2020).

The ICD-10 MS-DRG Grouper software package to accommodate this new code, Version 37.1 R1, is effective for discharges on or after April 1, 2020.

COVID-19 Code Assignments

The ICD-10 MS-DRG V37.1 R1 Grouper Software, Definitions Manual Table of Contents, and the Definitions of Medicare Code Edits V37.1 R1 manual will be available here.

The Index and Tabular Addenda for new diagnosis code U07.1, COVID-19, will be made available via the CDC website.

More information on the CDC Update (3/18/2020) can be found in our previous article, “Update: New ICD-10 Code For COVID-19 Effective April 1.”

Find the full update released by CMS here:

YES HIM Consulting

COVID-19 MS-DRG Assignment

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