10.11.A. - DuraGraft® Codes - FY 2024																		
																		
Note:  The applicant provided the following codes and/or MS-DRGs that were used in performing a cost analysis for the Charges section of the new technology add-on payment application.																		
																		
Identified MS-DRGs1 																		
236																		
233																		
234																		
235																		
219																		
220																		
216																		
003																		
231																		
217																		
215																		
232																		
221																		
853																		
001																		
981																		
218																		
982																		
007																		
907																		
037																		
002																		
005																		
011																		
023																		
025																		
026																		
034																		
038																		
039																		
040																		
140																		
143																		
163																		
164																		
166																		
326																		
329																		
335																		
356																		
405																		
417																		
453																		
456																		
459																		
463																		
466																		
469																		
474																		
480																		
481																		
483																		
492																		
500																		
503																		
515																		
516																		
518																		
521																		
522																		
579																		
580																		
616																		
622																		
628																		
650																		
652																		
656																		
659																		
665																		
668																		
673																		
713																		
799																		
817																		
854																		
856																		
908																		
940																		
957																		
969																		
983																		
																		
"1 For the MS-DRG desciptions, refer to Table 5 associated with the applicable fiscal year IPPS/LTCH PPS proposed rule."																		
