Case #168

Case 2010-MDC03-02 Cochlea implant as day-surgery

Added by Anonymous almost 8 years ago.

Status:AcceptedStart date:2014-01-13
Priority:NormalSpent time:-
Target version:Expert Group 2010
Initiator:Norway Target year:2011
MDC:MDC03 Owner / responsible:
Target Grouper:COMMON Old forum status:CLOSITEM - Closed item


Last updated: 2010-04-09
Status: CLOSITEM - Closed item
Initiated: 2010-02-19
By: Kristin Dahlen, Helsedirektoratet, Norway
Expert Network 2010-03-12 - Change recommended
Board 2010-04-09 - Recommendation accepted


Cochlea implant surgery is increasingly performed as day surgery. Current grouping logic doesn’t reflect this, and same day visits are grouped in an unspecific manner. Independent of LOS, the implant cost is the main cost driver for these case types. It is therefore no need for establishing a new DRG for this kind of day surgery. Instead, cases should be grouped to DRG 49B independent of LOS.


Add rule for DRG 49B so that cases with LOS= 1 day are grouped the same way as longer stays.


Expert Network 2010-03-12

The meeting recommended accepting the proposal with a new solution. All Cochlea implant should be grouped to the same DRG. No matter of the length of stay the cost is the same. A new short therapy rules for Cochlea implant which leads to DRG 49B.

This change will not affect Sweden.


Technical change

The current rule ORD 403D001 is moved to the short therapy logic of NordDRG before the first MDC 3 rule (currently to ORD 103D00000). ORD 103D000200 shall be removed.

DRG change

Cases with DFSE00 ‘Insertion of cochlear implant’ are assigned to DRG 49B irrespective of duration of hospital contact.



Related issues

Related to Case #373: Insertion of cochlear implant Accepted 2015-02-05

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