We’ve updated Stratasan MSDRG, ICD-10 diagnosis, ICD-10 procedure, and CPT/HCPCS code product lines. These updates are based on input we’ve received from customers, the need for more consistent logic around product lines, and the addition of new codes that need to be assigned to the appropriate product lines. These changes will affect all customers using Stratasan product lines and will allow users to gain a more accurate understanding of their market.
We standardized the naming of main product lines and sub-product lines across code groups. For example, if the main product line is cardiovascular/thoracic surgery in one code group, it maintains the same name throughout code groups. Additionally, we added more specificity to many sub-product lines. We also used the primary physician specialty associated with the code to assist in product line assignment.
There is an ICD-10 dx sub-product line for a diagnosis of COVID and for a non-diagnosis of COVID. There are several CPT codes in a COVID sub-product line as well as a sub-product line for telehealth. These will help track the impact of COVID.
Click below for a video tutorial summarizing these updates.
A partial list of the updates to main product lines can be found below. Please feel free to reach out to your Customer Success Manager or to support@stratasan.com directly with questions or for additional information.
MS DRG Changes
- A new product line was added: Endocrinology from 9 General Medicine DRGs
- 3 (34, 35, 36) Neurosurgery DRGs moved to Vascular Services
- 3 (34, 35, 36) Neurosurgery DRGs moved to Vascular Services
- 1 Cardiovasc/Thor Surgery (003) DRG and 1 Nephrology (008) DRG moved to General Surgery
ICD10-CM (diagnosis)
- 4 new product lines added: Dental, Oral & Maxillofacial Surgery, Podiatry, Rheumatology
- Rheumatology – 1,842 general medicine codes, 124 ortho codes, and 8 new codes
- General medicine – 141 general surgery, 136 oncology/hematology, 41 ophthalmology, 39 behavioral health, 16 rehab & aftercare, and 14 orthopedic
- Oral & maxillofacial surgery – 587 from ENT & 52 new codes
- Podiatry – 237 ortho codes, 88 gen med, 63 rehab & aftercare, 17 neuro, 12 vascular, 9 gen surg, and 4 neurosurgery
- Orthopedic – 181 new codes, 89 gen med, 46 neurosurg, 15 cardiovasc/thor surgery, 4 neuro
- External causes – 302 new codes
- Dental – 209 otolaryngology
- Neurology – 154 new codes, 7 neurosurg, 2 GI, 1 each cardiology, rehab & aftercare and ortho
- Ophthalmology – 127 new codes, 2 GI and 1 gen med
- Oncology/hematology – 96 new codes, 9 gen med, 4 ophthalmology
- General surgery – 65 new codes, 22 nephrology, 7 onc/hem, 7 gen med, 5 rehab & aftercare, 1 cardiology
- Neonatology – 30 new, 25 OB, 1 gen med
- Urology – 25 new, 4 gen med, 2 nephrology
- Cardiology – 49 cardiovasc/thor surgery, 4 new
- Behavioral health – 42 new, 2 gen med
- Neurosurgery – 24 gen surg, 15 new and 4 neurology
- OB – 40 new codes
- Vascular services – 24 new codes
- Nephrology- 11 new codes
- GI – 14 new and 1 gen med
- Nephrology – 11 new codes codes
- Otolaryngology – 7 GI, 2 rehab & aftercare, and 1 ortho
- Pulmonary – 9 new codes
- Gyn – 4 new, 2 gen surg, 1 gen med
- Rehab & aftercare – 2 new and 2 endocrinology
ICD10-PCS (procedure)
- 4 new product lines: Complementary medicine, Dental, Oral & Maxillofacial Surg, Plastic Surgery
- Deleted 2 product lines – Endocrinology and Neonatology
- Cardiovascular/Thoracic Surgery – 204 new codes, 54 cardiology, 26 general surgery, 21 vascular services, 18 orthopedics, 8 onc/hem, 4 neurosurgery, 2 gen med, 2 ENT, 2 radiology
- Oral & Maxillofacial Surgery – 1,514 ENT, 336 orthopedics and 132 new codes
- General Surgery – 461 orthopedics, 407 nephrology, 312 new codes, 25 cardiology, 21 GI, 4 gen med, 3 ENT, 3 OB, 2 cardiovasc/thor surg, 2 onc/hem, 1 each vascular, neurosurgery, urology
- Neurosurgery – 821 orthopedics, 216 new codes, 9 neurology, 8 onc/hem, 7 gen surg, 1 gen med
- ENT – 777 orthopedics, 168 new codes, 81 cardiovascular/thor surg, 13 gen surg
- Onc/hem – 345 new codes, 197 general surgery, 112 orthopedics, 61 cardiovas/surg, 55 ENT, 43 gynecology, 33 gen med, 28 urology, 24 pulmonary, 14 ophthalmology, 12 neurosurgery, 12 GI, 11 cardiology, 4 vascular, 2 neonatology
- Vascular Services – 572 new codes, 252 general surgery, 21, vascular services, 18 orthopedics, 8 onc/hem, 4 neurosurgery, 2 gen med, 2 ENT, 2 radiology
- Gen Med– 108 cardiology, 83 vascular, 55 neonatology, 47 new codes, 23 orthopedics, 13 endocrinology, 9 gen surg, 7 neurology, 4 hem/onc, 1 ea pulmonary, nephrology, OB, neurosurgery
- Orthopedics – 184 new codes, 20 gen surg, 6 neurology, 2 vascular
- Cardiology – 166 cardiovasc/thor surg, 36 new codes, 5 neonatology, 2 vascular, 1 ea neurosurgery and endocrinology
- Urology – 93 nephrology, 14 new codes, 3 gen surg, 1 endocrinology
- GI – 30 new codes, 12 gen surg, 2 vascular, 1 neonatology
- Dental – 36 ENT
- Radiology – 32 new codes, 2 pulmonary
- Pulmonary Med – 21 new codes, 1 ENT, 1 cardiology
- Gynecology – 6 gen surg, 3 new codes
- OB – 2 new codes, 1 vascular
- Neurology – 1 new code
CPT and HCPCS Codes
- 10 new product lines:
- Assessments/Evaluation (HCPCS S and G codes, CPT F codes, 96150-96161, 97802)
- Documentation (CPT F codes, HCPCS G, M, S, and T codes)
- Proc/Professionals Services (HCPCS G, S, T CPT F codes, 98968-98972 telehealth)
- Quality Measures (HCPCS G0913-G0918, G8395-G8635, G8647-G8674, G8694-G8976, G9148-G9153, G9188-G9893)
- Screening, Education (CPT F codes, HCPCS G, M, S, T
- Dermatology – 182 codes, 92 gen med, 69 gen surg, 5 new codes
- Plastic, Oral & Maxillofacial Surg – 515 codes, 260 oral & maxillofacial surg, 109 plastic, 91 gen surg, 31 gen med, 24 new codes
- IP Neonatal intensive care
- IP Peds intensive care
- Inpatient neonate
- 10 deleted product lines:
- Endocrinology
- Interventional Radiology
- Medicine
- Miscellaneous
- Neonatal
- Orthotics
- Pain
- Patient Safety
- Prosthetics
- Rheumatology
- 2 product lines combined – Plastic and oral & maxillofacial surgery
