Medicare Crosswalk Hospital Code Development Act of 2015

Bill: 114-hr-3291
Sponsor: full_name: Rep. Ryan, Paul D. [R-WI-1]
Introduced: 2015-07-29
Policy area: Health
Subjects: Hospital care

Medicare

Surgery and anesthesia
Latest action: action_date: 2015-08-12
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2015-07-29
action_desc: Introduced in House
text: <p><b>Medicare Crosswalk Hospital Code Development Act of 2015</b></p> <p>This bill amends Title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare &amp; Medicaid (CMS) to establish a crosswalk between Healthcare Common Procedure Coding System (HCPCS) codes and Medicaid Severity-Diagnosis Related Group (MS-DRG) codes for similar hospital services. (A crosswalk shows users where to put data from one scheme into a different scheme.)</p> <p>Specifically, CMS must develop HCPCS versions for MS-DRGs that is similar to the Internal Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) codes 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.</p> <p>CMS must develop and publish a freely available HCPCS/MS-DRG definitions manual and software.</p>

tv_txt: I 114th CONGRESS 1st Session H. R. 3291 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.

1. Short title This Act may be cited as the Medicare Crosswalk Hospital Code Development Act of 2015 . 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. .