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Spinal Frontiers · Regulatory Watch · Other regulatory action

New Medicare MS-DRGs for patient-specific lumbar fusion from 1 October

Other regulatory action · CMS (US Centers for Medicare & Medicaid Services)

25 August 2026

The FY2027 inpatient rule created MS-DRGs 523–525 and new ICD-10-PCS codes for fusions using custom-made, anatomically designed interbody devices, effective 1 October 2026, as reported by manufacturers.

Type
Other regulatory action
Company
CMS (US Centers for Medicare & Medicaid Services)
Device
Custom-made, virtually designed interbody fusion devices
Date
25 August 2026
Jurisdiction
US
Classification
US payment policy (FY2027 IPPS final rule)
Source
SPINEMarketGroup (DeGen Medical statement)

Official source →Source checked

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