10.21.A. - SeptiCyte RAPID 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.																		
																		
Group 1 & 2 ICD-10-CM Codes:		Group 1 & 2 MS-DRG1 Codes:		Group 3 ICD-10-CM Codes:		Group 3 MS-DRG1 Codes:												
A021		870		A040		175												
A207		871		A041		176												
A227		872		A043		177												
A267 				A044		178												
A327				A048 		179												
A391				A049		207												
A394				A150		208												
A3989				A157		372												
A399				A158		394												
A400				A159		602												
A401				A310		689												
A403				A481		682												
A408				B250 		699												
A409				B371		698												
A4101				E87.2		948												
A4102				G458														
A411				I6781														
A412				I6782														
A413				I6789														
A414				I880														
A4150				J150														
A4152				J151														
A4153				J1520														
A4159				J15211														
A4181				J15212														
A4189				J1529														
A419				J155 														
A5486				J156														
B007				J158														
B377				K352														
I2601				K353														
I2690				K3580														
I2609				K3589														
I2699				K36														
R571 				K37														
R578				K388														
R6510				K389														
R6511				K4010														
R6520				K4011														
R6521				K4040														
R7881				K4041														
				K4110														
				K4111														
				K4140														
				K4141														
				K421														
				K431														
				K434														
				K437														
				K441														
				K451														
				K461														
				K550														
				K558														
				K559														
				K593														
				K610														
				K611														
				K613														
				K614														
				K630														
				K632														
				K639														
				K650														
				K651														
				K652														
				K653														
				K654														
				K658														
				K659														
				K660														
				K669														
				K67														
				K6819														
				K689														
				K913														
				K9181														
				K9189														
				K9289														
				K929														
				K9400														
				K9402														
				K9412														
				K9422														
				K9432														
				K9501														
				K9581														
				L0201														
				L02211														
				L02212														
				L02213														
				L02214														
				L02215														
				L02216														
				L02219														
				L0231														
				L02411														
				L02412														
				L02413														
				L02414														
				L02415														
				L02416														
				L02419														
				L02511														
				L02512														
				L02519														
				L02611														
				L02612														
				L02619														
				L02811														
				L02818														
				L0291 														
				L03021														
				L03022														
				L03029														
				L03041														
				L03042														
				L03049														
				L03121														
				L03124														
				L03125														
				L03126														
				L03129														
				L03212														
				L03222														
				L03321														
				L03322														
				L03323														
				L03324														
				L03325														
				L03327														
				L03327														
				L03329														
				L03891														
				L03898														
				L0391														
				N000														
				N001														
				N002														
				N003														
				N004														
				N005														
				N006														
				N007														
				N008														
				N009														
				N010														
				N011														
				N012														
				N013														
				N014														
				N015														
				N016														
				N017														
				N018														
				N019														
				N040														
				N041														
				N042														
				N043														
				N044														
				N045														
				N046														
				N047														
				N048														
				N049														
				N050														
				N051														
				N052														
				N053														
				N054														
				N055														
				N056														
				N057														
				N058														
				N059														
				N10														
				N12														
				N151														
				N170														
				N172														
				N178														
				N179														
				N186														
				N19														
				N158														
				N159														
				N16														
				N3000														
				N3001														
				N3080														
				N3081														
				N3090														
				N3091														
				N340														
				N342														
				N822														
				N823														
				N824														
				N995511														
				R34														
				R4182														
				S31600A														
				S31601A														
				S31602A														
				S31603A														
				S31604A														
				S31605A														
				S31609A														
				S31610A														
				S31611A														
				S31612A														
				S31613A														
				S31614A														
				S31615A														
				S31619A														
				S31620A														
				S31621A														
				S31622A														
				S31623A														
				S31624A														
				S31625A														
				S31629A														
				S31630A														
				S31631A														
				S31632A														
				S31633A														
				S31634A														
				S31635A														
				S31639A														
				S31640A														
				S31641A														
				S31642A														
				S31643A														
				S31644A														
				S31645A														
				S31649A														
				S36430A														
				S36430S														
				S36438A														
				S36438S														
				S36439A														
				S36438S														
				T8351XA														
				T83459XA														
				T836XXA														
				T8613														
																		
"1 For the MS-DRG desciptions, refer to Table 5 associated with the applicable fiscal year IPPS/LTCH PPS proposed rule."																		
