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    Validating drg 945

    The Centers for Medicare and Medicaid Services (CMS) reminds providers that the medical record must contain sufficient documentation to demonstrate that the beneficiary’s signs and/or symptoms were severe enough to warrant the need for inpatient medical care.To assist in lowering DRG claim errors, providers are reminded to accurately document the medical necessity of services, code correctly and ensure that care is provided in the appropriate setting.The specificity of ICD-10-PCS results in multiple translations for this ICD-9 procedure.

    The services could have been performed in an outpatient setting.Many concepts in current healthcare regulations will require careful consideration during preparations for the impact of ICD-10.With the increased number of codes available-diagnosis codes spanning from three to seven alphanumeric characters, and procedures being seven alphanumeric characters-the successful implementation of a change as far-reaching and detailed as ICD-10 may seem like an overwhelming task.O14.00 Mild to moderate pre-eclampsia, unspecified trimester).ICD-10 cases will most likely be coded to the specific trimester based upon record documentation (e.g.

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