Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Updates to Reason Code Bypass for Editing on Provider Submitted Adjustment Claims Resulting in a Diagnosis Related Group (DRG) Weight Increase

The purpose of this Change Request (CR) is to update the reason code bypass for editing on provider submitted adjustment claims resulting in a DRG weight increase, but the DRG code on the claim is not changed as a result of the adjustment.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 11, 2021

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.