HR-3291 : Still Just a Bill

Medicare Crosswalk Hospital Code Development Act of 2015

This bill amends Title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid (CMS) to establish a crosswalk between Healthcare Common Procedure Coding System (HCPCS) codes and Medicaid Severity-Diagnosis Related Group (MS-DRG) codes for similar hospital services. (A crosswalk shows users where to put data from one scheme into a different scheme.)

Specifically, CMS must develop HCPCS versions for MS-DRGs that is similar to the Internal Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) codes for such MS-DRGs such that, to the extent possible, the MS-DRG assignment shall be similar for a claim coded with the HCPCS version as an identical claim coded with an ICD-10-PCS code.

CMS must develop and publish a freely available HCPCS/MS-DRG definitions manual and software.

Action Timeline

Action DateTypeTextSource
2015-08-12CommitteeReferred to the Subcommittee on Health.House committee actions
2015-07-31CommitteeReferred to the Subcommittee on Health.House committee actions
2015-07-29IntroReferralReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.House floor actions
2015-07-29IntroReferralReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.House floor actions
2015-07-29IntroReferralIntroduced in HouseLibrary of Congress

Sponsor :

Paul D. Ryan [R] (WI-1)
See Cosponsors

Policy Area :

Health
See Subjects
  • Hospital care
  • Medicare
  • Surgery and anesthesia

Related Bills

See Related Bills