Case #162

Case 2011-MDC30-01 Grouping of cases with removal of breast as preeptive measure after cancer in the other breast

Added by Anonymous about 7 years ago.

Status:AcceptedStart date:2014-01-08
Priority:NormalSpent time:-
Target version:Expert Group 2011
Initiator:Norway Target year:2012
MDC: 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
Initiated: 2011-02-18
By: Helsedirektoratet, Norway
Expert Network 2011-03-17 - Change recommended
Board 2011-04-04 - Recommendation accepted


Cases are grouped to DRG 461 because the principal dx is Z400 “Forebyggende kirurgi ved risikofaktorer i forbindelse med ondartede svulster” with DGCAT 23M99. We have received a suggestion that this grouping should be changed. We received this suggestion quite late (17 Feb 2011) and have therefore not had any time to evaluate it, but we suggest that the expert network makes a discussion on the topic.


Expert Network 2011-03-17-18

The meeting recommended acceptance of the proposal that breasts removed prophylactically shall to go to DRG 261.

The case will be closed.


Technical change

New principal diagnosis property 30P01 ’Breast cancer prophylaxis’.

Dx Z40.0 ’Prophylactic surgery for risk-factors related to malignant neoplasm’s’ is given principal diagnosis property 30P01.

Two new rules are added to the logic table:

First rule immediately after current rule 109D50231 with properties:

Second rule immediately after current rule 409D50233 with properties:

DRG change 2011-03-28

Cases with principal dx Z40.0 and mastectomy are assigned to DRG 261 or DRG 261O in short therapy.


NordDRG 2012

2011_MDC30-01_1.jpg (4.9 KB) Anonymous, 2014-01-08 14:01

2011_MDC30-01_2.jpg (3.71 KB) Anonymous, 2014-01-08 14:01

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