CMS seeks comments on hip fracture diagnosis code list: 5 notes

Orthopedic Sports Medicine

CMS is seeking comments on an ICD-9-CM code list for hip fracture diagnoses, according to an AHA News Now report.

Here are five notes:


1. The code list was developed in connection with its new bundled payment initiative for hip and knee replacements.


2. The new model, called the Comprehensive Care for Joint Replacement Payment Model, will begin April 1.


3. The hip fracture diagnosis code list will be used to determine the cost per episode historically, which will be used to develop the initial target prices for the CJR model.


4. CMS will assess suggested codes and decide whether they are sufficiently specific.


5. The draft code list is available on the CJR website and comments must be submitted by 5 p.m. EST on Nov. 30.


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