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May 2023

COVID-19 DRG enhancements end with public health emergency

The federal Coronavirus Aid, Relief and Economic Security, or CARES, Act implemented a temporary inpatient diagnosis-related group enhancement for Original Medicare payments. The DRG enhancement represented a 20% increase in the weighting factor for inpatient DRG payments for Medicare patients diagnosed with COVID-19.

Blue Cross Blue Shield of Michigan and Blue Care Network applied the DRG enhancement to our Medicare Advantage plans (Medicare Plus Blue℠ and BCN Advantage℠) for both in-network and out-of-network providers.

When the public health emergency ends on May 11, 2023, the DRG enhancement will also end.

For more information on changes occurring with the end of the public health emergency, see our Temporary changes due to the COVID-19 pandemic document.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2022 American Medical Association. All rights reserved.