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In the CY 2026 OPPS/ASC proposed rule we stated we believed that since hospitals assign the underlying ICD-10-CM principal diagnosis, and any other secondary diagnosis codes and ICD-10-PCS procedure codes, which determine how patients are assigned to an MS-DRG, hospitals are able to associate those items and services to MS-DRGs for each discharge

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instead, we critically appraised key trials and meta-analyses and weighted interpretation by endpoint hierarchy (albuminuria as a surrogate vs