Case #149

Case 2011-MDC08-03 Revision of the procedure property 08S04 "Musculosceletal system or connective tissue biopsy

Added by Anonymous over 7 years ago.

Status:AcceptedStart date:2014-01-07
Priority:NormalSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2011
Initiator:Norway Target year:2012
MDC:MDC08 Owner / responsible:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE Old forum status:CLOSITEM - Closed item

Description

Last updated: 2011-04-20
Status: CLOSITEM - Closed item
Initiated: 2011-03-04
By: Helsedirektoratet, Norway
Expert Network 2011-03-17 - Change recommended
Board 2011-04-04 - Recommendation accepted

BACKGROUND

A case of extensive hand surgery after injury was grouped to DRG 216 "Biopsi". The medical coding was correct (assessed by KITH), and it was obvious that the grouping result was due to the NCSP code NDA02 "Åpen eksplorasjon av bløtdeler i håndledd eller hånd", which have 08S04 "Musculosceletal system or connective tissue biopsy" as one of its properties. On this basis we have evaluated the procedure property
08S04 and propose changes so that the grouping result will be more meaningfull.

Discussion

42 procedures currently have the property procedure property 08S04 "Musculosceletal system or connective tissue biopsy". For most of the codes this is OK, but six of the procedures does not indicate that a biopsy has been performed.

These codes are:

  • AAA00 Eksplorativ kraniotomi
  • NCH92 Annen åpen operasjon på albueledd
  • NDA02 Åpen eksplorasjon av bløtdeler i håndledd eller hånd
  • NEA02 Åpen eksplorasjon av bløtdeler i bekkenet
  • NEA12 Artrotomi i ileosakralledd
  • NGA02 Åpen eksplorasjon av bløtdeler i kne eller legg

Additionally, we find that DRG 216/216O probably has been placed to high in the grouping hierarchy, and that this sholuld be corrected.

Proposal /Technical change

All the mentioned procedures should loose the property 08S04.

New procedure properties should be ascribed to the following codes:

Grouping rules for DRG 216/216O should be moved downwards in the hierarchy.

COMMENTS

Expert Network 2011-03-17

The meeting recommended acceptance of the proposal that proc.prop 08S04 should be removed from AAA00 Eksplorativ kraniotomi, NCH92 Annen åpen operasjon på albueledd, NDA02 Åpen eksplorasjon av bløtdeler i håndledd eller hånd, NEA02 Åpen eksplorasjon av bløtdeler i bekkenet, NEA12 Artrotomi i ileosakralledd and NGA02 Åpen eksplorasjon av bløtdeler i kne eller legg.

New procedure properties should be ascribed to this codes:

The case will be closed.

If it is necessary to change the hierarchy, there will be a new case.

CHANGES

Technical change 2011-03-28

Procedure property 08S04 is removed from the following codes (and linked national version codes) and the codes are given properties as listed below:

DRG change 2011-03-28

Cases with the listed procedures will be assigned to localize DRG’s instead of unspecified biopsies (DRG 216).

Introduction

NordDRG 2012

2011_MDC-08-03_01.jpg (16.5 KB) Anonymous, 2014-01-07 09:59

2011_MDC-08-03_02.jpg (26 KB) Anonymous, 2014-01-07 09:59

2011_MDC-08-03_03.jpg (25.9 KB) Anonymous, 2014-01-07 09:59

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