New MCG 24th Edition Guidelines

Effective July 1, 2020, we will begin using the new acute viral illness guidelines that have been added to the 24th edition of MCG. Based on the presenting symptoms or required interventions driving the need for treatment or hospitalization, these guidelines are not a substantive or material change to existing MCG guidelines we use now, such as systemic or infectious condition, pulmonary disease, or adult or pediatric pneumonia guidelines.

 

Inpatient & Surgical Care (ISC)

• Viral Illness, Acute – Inpatient Adult (M-280)
• Viral Illness, Acute – Inpatient Pediatric (P-280)
• Viral Illness, Acute – Observation Care (OC-064)

 

Recovery Facility Care (RFC)

• Viral Illness, Acute – Recovery Facility Care (M-5280)

 

For questions, please contact the provider service number on the back of the member's ID card.

 

521-0720-PN-CNT