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H.R. 3291

Medicare Crosswalk Hospital Code Development Act of 2015

Medicare Crosswalk Hospital Code Development Act of 2015

This bill amends Title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & 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.)

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.

CMS must develop and publish a freely available HCPCS/MS-DRG definitions manual and software.

Referred to the Subcommittee on Health.

Rep. Ryan, Paul D. [R-WI-1](R-WI)Sponsor
2committees7actions2related bills3subjects
  1. Committee

    Referred to the Subcommittee on Health.

    Health Subcommittee
  2. Committee

    Referred to the Subcommittee on Health.

    Health Subcommittee
  3. IntroReferralH11100

    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.

    Energy and Commerce Committee
  4. IntroReferralH11100-A

    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.

  5. IntroReferralH11100

    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.

    Ways and Means Committee
  6. IntroReferralIntro-H

    Introduced in House

  7. IntroReferral1000

    Introduced in House

Medicare Crosswalk Hospital Code Development Act of 2015 — Informed