| CMS FY2025 IPPS Final Rule Summary | |
| 1. DRG Changes: | |
| - DRG 291 weight reduced by 4% | |
| - DRG 470 weight increased by 2% | |
| - DRG 193 reclassified | |
| 2. CC/MCC Changes: | |
| - Acute respiratory failure removed as MCC for certain DRGs | |
| - Severe malnutrition downgraded to CC | |
| 3. ICD-10 Changes: | |
| - New ICD-10 code I50.84 added (End-stage heart failure) | |
| - Code J96.00 removed | |
| 4. CPT Updates: | |
| - CPT 33249 RVU increased by 3% | |
| - CPT 47562 RVU decreased by 2% | |
| 5. HCC Model Changes: | |
| - Diabetes without complications removed from HCC | |
| - COPD weight reduced by 5% | |
| 6. Payment Policy: | |
| - Readmission penalty threshold tightened | |
| - Outpatient packaging expanded |