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[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3291 Introduced in House (IH)]

114th CONGRESS
  1st Session
                                H. R. 3291

To amend title XVIII of the Social Security Act to develop a crosswalk 
     between HCPCS and MS-DRG codes for similar hospital services.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             July 29, 2015

Mr. Ryan of Wisconsin introduced the following bill; which was referred 
to the Committee on Ways and Means, and in addition to the Committee on 
Energy and Commerce, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL

 
To amend title XVIII of the Social Security Act to develop a crosswalk 
     between HCPCS and MS-DRG codes for similar hospital services.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare Crosswalk Hospital Code 
Development Act of 2015''.

SEC. 2. 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.--
                    ``(A) In general.--Not later than January 1, 2018, 
                the Secretary shall develop HCPCS versions for MS-DRGs 
                that is 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 an ICD-10-PCS 
                code.
                    ``(B) Coverage of surgical ms-drgs.--In carrying 
                out subparagraph (A), the Secretary shall develop HCPCS 
                versions of MS-DRG codes for not fewer than 10 surgical 
                MS-DRGs.
                    ``(C) Publication and dissemination of the hcpcs 
                versions of ms-drgs.--
                            ``(i) In general.--The Secretary shall 
                        develop an 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.
                            ``(ii) Use of previous analysis done by 
                        medpac.--In developing the HCPCS MS-DRG 
                        definitions manual and software under clause 
                        (i), 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.
                    ``(D) Definition and reference.--In this paragraph:
                            ``(i) HCPCS.--The term `HCPCS' means, with 
                        respect to hospital services (other than 
                        inpatient hospital services) for which payment 
                        is made under this title, the code under the 
                        Healthcare Common Procedure Coding System 
                        (HCPCS) (or a successor code) for such 
                        services.
                            ``(ii) ICD-10-PCS.--A reference to an ICD-
                        10-PCS code includes a reference to a successor 
                        to such code.''.
                                 <all>
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