ECMO Reimbursement

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Please see the Federal Register from August 16, 2019 for the Rules and Regulations change regarding ECMO Billing from CMS.
Federal Register - August 16, 2019 - CMS Billing Guidance

1CD-10-PCS Code	Code Description	MS-DRG	MS-DRG
SA1522F	Extracorporeal Oxygenation, Membrane, Central	Pre-MDC MS-DRG 003	ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major OR. Procedure
5A1522G	Extracorporeal Oxygenation, Membrane, Peripheral Veno-arterial	MS-DRG 207	Respiratory System Diagnosis with Ventilator Support >96 Hours or Peripheral Extracorporeal Membrane Oxygenation (ECMO)
		MS-DRG 291	Heart Failure and Shock with MCC or Peripheral Extracorporeal Membrane Oxygenation (ECMO)
		MS-DRG 296	Cardiac Arrest, Unexplained with MCC or Peripheral Extracorporeal Membrane Oxygenation (ECMO)
		MS-DRG 870	Septicemia Or Severe Sepsis with Mechanical Ventilation 96 Hours Or Peripheral Extracorporeal Membrane Oxygenation (ECMO)
SA1522H	Extracorporeal Oxygenation, Membrane, Peripheral Veno-venous	MS-DRG 207	Respiratory System Diagnosis with Ventilator Support >96 Hours or Peripheral Extracorporeal Membrane Oxygenation (ECMO)
		MS-DRG 291	Heart Failure and Shock with MCC or Peripheral Extracorporeal Membrane Oxygenation (ECMO)
		MS-DRG 296	Cardiac Arrest, Unexplained with MCC or Peripheral Extracorporeal Membrane Oxygenation (ECMO)
		MS-DRG 870	Septicemia Or Severe Sepsis with Mechanical Ventilation >96 Hours Or Peripheral Extracorporeal Membrane Oxygenation (ECMO)

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