CMS finalizes new Medicare DRG reimbursement codes for Carlsmed aprevo lumbar fusion procedures
CARL•CMS finalizes Medicare payment changes for aprevo procedures
CMS finalized FY27 IPPS reimbursement changes that create new MS-DRGs for aprevo lumbar inpatient spinal fusion procedures.
Procedures were reassigned to MS-DRGs 523, 524, 525, covering extensive or complex spinal fusion except cervical across MCC, CC, and no CC/MCC tiers.
New MS-DRG assignments take effect Oct. 1, 2026, setting Medicare inpatient payment rates for eligible aprevo lumbar cases.
