Updated reimbursement for EKOS procedures
The Centers for Medicare & Medicaid Services (CMS) released the fiscal year 2024 Hospital Inpatient Prospective Payment System (IPPS) final rates and policies. Effective October 1, 2023, EKOS Medical Severity Diagnosis Related Group (MS-DRG) are reassigned to a new category, "Ultrasound Accelerated." The DRG assignment for pulmonary embolism treatment saw a weighted increase of 9%. Reimbursement for EKOS peripheral vascular (including DVT treatment) DRG assignments increased by 36% and 22%.
+168%*
for pulmonary embolism procedures
+227%*
for vascular procedures
Since the fiscal year 2020, qualifying pulmonary embolism procedures increased by +168% and qualifying vascular procedures increased by +227%. The coding guide shows you how to map codes to the appropriate diagnosis-related groups.
References
*Weighted averages based on distribution of MS-DRGs from CMS’ Final IPPS FY 2021, MedPAR Vol 7b