Case #125

Task #11: Delivery of minor update proposals for NordDRG 2015

Percutaneous transluminal renal denervation

Added by Anonymous over 5 years ago. Updated over 4 years ago.

Status:AcceptedStart date:2013-12-06
Priority:MinorSpent time:-
Assignee:Martti Virtanen
Category:-
Target version:Expert Group 2014
Initiator:Sweden Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC:MDC05 Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE

Description

CPK ID: 483
By: The Swedish Society of Hypertension, Stroke and Vascular Medicine / NPK: MF
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Problem

The Swedish Society of Hypertension, Stroke and Vascular Medicine has by professor Thomas Kahan from cardiac department at Danderyds hospital asked for a new DRG for percutaneous transluminal renal denervation or that the intervetion would be assigned to an existing DRG that corresponds to its cost. In Sweden were during 2012 about 75 cases and the number is expected to increase. The mean cost has been round 79 000 SEK in Danderyd hospital.

A new code has been established in Sweden: ADA40 ‘Renal sympathetic endovascular denervation’ (ADXD00).

Tabel: Activity in Sweden 2012.

Swedish DRG medically related to the intervention.

Based on this evaluation DRG E16N (112A) is best. Name is no problem.

Technical change

To be assigned to E16N (112A) the ADA40 needs to have property PROCPR = 05S16 'Other percutaneous cardiovascular procedures'. OR-property is not needed.
The name of DRG 112A is changed to 'Other percutaneous cardiovascular procedures '

DRG change

Cases with ADA40 (ADXD00) with principal dx from MDC 05 will be assigned to DRG E16N (112A)'Other percutaneous cardiovascular procedures'.

MDC11-01.jpg (29.4 KB) Anonymous, 2013-12-12 13:33

MDC11-02.jpg (17.5 KB) Anonymous, 2013-12-12 13:34

History

#1 Updated by Anonymous over 5 years ago

  • Assignee set to Martti Virtanen
  • Priority changed from Normal to Minor
  • Start date changed from 2013-12-12 to 2013-12-05

#2 Updated by Anonymous over 5 years ago

  • Description updated (diff)
  • Start date changed from 2013-12-05 to 2013-12-06
  • Case type deleted (Minor)

#3 Updated by Martti Virtanen over 5 years ago

  • Description updated (diff)

Martti Virtanen 12.3.2014
ADXD00 'Renal sympathetic endovascular denervation' is linked to KPCW10A in DEN, KA1LT in FIN and ADPE00 in NOR in addition to the ADA40 in SWE version. Thus all these codes will get the property 05S16.
I see no problem with this but all countries should accept the change.

#4 Updated by Anonymous over 5 years ago

  • Parent task set to #11

#5 Updated by Martti Virtanen over 5 years ago

  • Description updated (diff)
  • MDC MDC05 added

2014-03-24 Expert group
The proposal is supported by the expert group.
The name of DRG 112A has an error. The correct name is 'Other percutaneous cardiovascular procedures'

Technical change

To be assigned to E16N (112A) the ADA40 needs to have property PROCPR = 05S16 'Other percutaneous cardiovascular procedures'. OR-property is not needed.
The name of DRG 112A is changed to 'Other percutaneous cardiovascular procedures '

DRG change

Cases with ADA40 (ADXD00) with principal dx from MDC 05 will be assigned to DRG E16N (112A)'Other percutaneous cardiovascular procedures'.

#6 Updated by Anonymous over 5 years ago

Comment Expert Group 2014-03-24

Change in all groupers and all countries accept proposal.

#7 Updated by Anonymous over 4 years ago

  • Status changed from Active to Accepted

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