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KMAP BULLETIN: New DRG Grouper - January 2021

Date: 01/11/21

KMAP GENERAL BULLETIN 20254 (PDF)

The Medicare Severity Diagnosis-Related Group (MS-DRG) Grouper version 38 will be installed and ready to use for claims processed on and after January 1, 2021.

The following MS-DRGs have been added:

  • 018
  • 019
  • 140
  • 141
  • 142
  • 143
  • 144
  • 145
  • 521
  • 522
  • 650
  • 651

The following MS-DRGs have been revised:

  • 016
  • 273
  • 274

The following MS-DRGs have been deleted:

  • 129
  • 130
  • 131
  • 132
  • 133
  • 134

Note: The effective date of the policy is January 1, 2021. The implementation of State policy by the KanCare Managed Care Organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates, once the policy is implemented.