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Hospital > DRG Information
CMS implemented the creation of 745 new Medicare severity adjusted diagnosis related groups (MS-DRGs) to replace the current 538 CMS-DRGs. The eight CMS-DRGs for spinal procedures were collapsed and split into 13 new MS-DRGs. All changes were effective on October 1, 2007.
Review the new Spinal MS-DRGs and Associated Procedure code listing.
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2008 Spinal MS-DRGs and Average CMS Reimbursements
This table shows the average Medicare rates for spinal DRGs and changes over the past fiscal year.
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| FY'08 MS-DRG | FY'07 CMS-DRG | Description | FY'07 (Relative Weight) | FY'08 (Relative Weight) |
| 453 | 496 | Combined Anterior/ Posterior Spinal Fusion w/ MCC | $33,814
(6.3782) | $45,670
(8.4313) |
| 454 | 496 | Combined Anterior/ Posterior Spinal Fusion w/ CC | $33,814
(6.3782) | $35,648
(6.581) |
| 455 | 496 | Combined Anterior/ Posterior Spinal Fusion w/o CC/MCC | $33,814
(6.3782) | $30,888
(5.7023) |
| 456 | 546 | Combined Anterior/ Posterior Spinal Fusion w/ CC/MCC | $28,529
(5.3812) | $36,655
(6.7669) |
| 457 | 546 | Combined Anterior/ Posterior Spinal Fusion w/ CC/MCC | $28,529
(5.3812) | $29,602
(5.465) |
| 458 | 546 | Spinal Fusion except Cervical w/ Spinal Curvature, Malignancy or 9+ fusions w/o CC/MCC | $28,529
(5.3812) | $26,779
(4.9437) |
| 459 | 497 | Spinal Fusion except Cervical w/ MCC | $20,248
(3.8192) | $26,368
(4.8679) |
| 460 | 498 | Spinal Fusion except Cervical w/o MCC | $15,849
(2.9896) | $18,888
(3.4870) |
| 471 | 519 | Cervical Spinal Fusion w/ MCC | $13,487
(2.5439) | $18,809
(3.4723) |
| 472 | 519 | Cervical Spinal Fusion w/ CC | $13,487
(2.5439) | $13,444
(2.4819) |
| 473 | 520 | Cervical Spinal Fusion w/o CC/MCC | $9,314
(1.7569) | $10,533
(1.9446) |
| 490 | 499 | Back & Neck Procedures except Spinal Fusion w/ CC/MCC or disc device/neurostim | $7,362
(1.3887) | $8,077
(1.4912) |
| 491 | 500 | Back & Neck Procedures except Spinal Fusion w/o CC/MCC | $4,890
(0.9223) | $5,452
(1.0066) |
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