Case 2011-MDC17-01 Merging DRG 411 and 412 to one DRG for “History of malignancy”
|Target version:||Expert Group 2011|
|MDC:||MDC17||Owner / responsible:|
|Target Grouper:||COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE||Old forum status:||CLOSITEM - Closed item|
Last updated: 2011-04-20
Status: CLOSITEM - Closed item
By: Mats Fernström, NPK, Sweden
CPK ID 370
When we studied the effects of the inactive OR property for the codes for greater anaesthesia (see Case 2009-OR-01: http://documents.norddrg.net/issues/101), we had problems with the procedure property 17S02 that activated the OR property. We found out that the best way to solve that problem is to delete DRG 412 (History of malignancy w endoscopy), the only DRG that uses the procedure property 17S02. DRG 412 is not very relevant in a medical perspective and there are few cases in Sweden. Both in a medical and a cost perspective it is OK to let the cases go to DRG 411 (History of malignancy w/o endoscopy), see table below.
DRG 411 and 412 are merged to one group with the DRG code 411N and the text “History of malignancy”.
Expert Network 2011-03-17
The proposal was presented to the Nordic Expert network on the meeting in Reykjavik 2011-03-18 when the inactive OR property was discussed, and the meeting recommended accepting the proposal.
Technical change 2011-03-28
A new DRG 411N with the name “History of malignancy” is created.
The current rule 417D141 is removed. The current rule 417D143 is modified by changing DRG to 411N.
DRG change 2011-03-28
DRG 412 is combined with DRG 411 to DRG 411N. (The procedure property 17S02 wills no more be used and it will automatically disappear from the definition tables.)