ECMO Reimbursement

ECMO Reimbursement

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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