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The requestor suggested the following two options for MS-DRG assignment updates: (1) reassign cases describing the insertion of a neurostimulator generator into the skull in combination with the insertion of a neurostimulator lead into the brain (including cases involving the use of the RNS neurostimulator) from MS-DRG 023 to MS-DRG 021 with a change in title to Intracranial Vascular Procedures with PDX Hemorrhage with CC or Craniectomy with Neurostimulator; or (2) extract all cases from MS-DRG 023 involving a craniectomy/craniotomy with device implant and create a new MS-DRG for these cases

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