Comment Letter

Neurosurgery Provides Comments on MS-DRG Assignment for LITT Procedures

  • Reimbursement and Practice Management

Ms. Chiquita Brooks-LaSure, Administrator
Centers for Medicare & Medicaid Services
U.S. Department of Health and Human Services
ATTN: CMS-1771-F
P.O. Box 8013 Baltimore, MD 21244-1850

Submitted electronically via https://www.mearis.cms.gov

SUBJECT: Fiscal Year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) Final Rule (CMS-1771-F). Additional Comments on MR-DRGs 025—027 for Laser Interstitial Thermal Therapy (LITT) procedures

Dear Administrator Brooks-LaSure:

On behalf of the American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgeons (CNS), we appreciate the opportunity to comment on the MS-DRG assignments for Laser Interstitial Thermal Therapy (LITT) procedures.

We are pleased that in the FY 2023 IPPS final rule, the agency confirmed its plans to reassign new ICD10 PCS codes for LITT of the brain to MS-DRGs 025-027. We strongly support this action. This change acknowledges that the use of LITT in the brain is aligned in terms of cost and clinical concerns with the other neurosurgical procedures grouped to MS-DRGs 025-027.

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