Nordic Casemix Centre

Last updated: 2010-04-09
Status: CLOSITEM - Closed item
Error corrected by Nordic Centre
Initiated: 2009-04-22
By: Monica Carlson, Halmstad/CPK, Sweden
Expert Network 2010-03-12 - Change recommended
Board 2010-04-09 - Recommendation accepted

BACKGROUND

CPK ID 308

Problem

Cases with tracheotomy (GBB00 or GBB03) are grouped to DRG 482 (Trakeostomi vid öron-, näs- och halssjukdomar) when the principal diagnosis code has the pdgpro value 00P11 (Face, mouth or neck diagnosis). For some unknown reason the diagnosis code J10.0 (Influensa med pneumoni, annat identifierat influensavirus) has got the pdgpro value 00P11 although it is not a “Face, mouth or neck diagnosis”. No other codes for flu have the pdgpro value 00P11.

Analysis

There was no patient with the principal diagnosis code J10.0 in DRG 482 in the Swedish cost database for 2008 and in the database for 2007 there was just one patient. The cost for this patient was somewhat closer to the average cost for DRG 483 than for DRG 482, see table below.

Suggestion

We think that the pdgpro value 00P11 for the code J10.0 is an error and it should be removed.

COMMENTS

Expert Network 2010-03-12

The meeting recommended accepting the proposal to remove pdgpro 00P11 from code J10.0

CHANGES

Technical change

Pdgpro 00P11 is removed from J10.0.

DRG changes

Tracheotomy with J10.0 as principal dx will not be assigned to DRG 482.

Introduction

2011