Medicare Severity Diagnosis Related Groups Reclassification Request (MS-DRGs) (CMS-10775)

ICR 202509-0938-007

OMB: 0938-1431

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10775 MS-DRG classification change requests Form and Instruction	Modified
CMS-10775 Supporting Statement A.docx Supporting Statement A	2025-09-04

IC Document Collections

IC ID	Document Title	Status
248700	MS-DRG classification change requests Form and Instruction	Modified