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Issue Name Issue Type Claim Types States Date Approved Details
Acute Respiratory Failure: MS-DRG 189 (At this time, Medical Necessity is excluded from review.) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 1/11/2010 Details
Amputation for Circulatory System Disorders Except Upper Limb and Toe MS-DRGs 239, 240, 241 (At this time, Medical Necessity is excluded from review) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 4/15/2010 Details
Amputation for Musculoskeletal System and Connective Tissue Disorders MS-DRGs 474, 475, 476 (At this time, Medical Necessity is excluded from review) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 6/10/2010 Details
Atherosclerosis w MCC MS-DRG 302 (Medical Necessity Review and MS-DRG Validation) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 8/6/2010 Details
Blood Transfusions Automated Outpatient Hospital, Physician IL, IN, KY, MI, MN, OH, WI 8/14/2009 Details
Bronchoscopy Services Automated Outpatient Hospital, Physician IL, IN, KY, MI, MN, OH, WI 8/14/2009 Details
CAD versus Unstable Angina MS-DRG 311 (At this time, Medical Necessity is excluded from review) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 3/12/2010 Details
Cardiac Arrhythmia & Conduction Disorders w/MCC or w/CC DRG 138, MS-DRG 308, 309 (Medical Necessity Excluded except for MS-DRG 308) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 12/4/2009 Details
Cardiac Defib Implant W Cardiac Cath W/O AMI/HF/Shock W MCC (At this time, Medical Necessity is excluded from review.) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 1/11/2010 Details
Cardiac Defibrillator Implantation MS-DRG 223, 225, 227 (At this time, Medical Necessity is excluded from review) Complex Inpatient IL, IN, KY, MI, MN, OH, WI 3/12/2010 Details
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