Case #171

Case 2010-MDC05-02 Atrial fibrillation and flutter not a complicating diagnos

Added by Anonymous over 6 years ago.

Status:AcceptedStart date:2014-01-13
Priority:NormalSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2010
Initiator:Sweden Target year:2011
Case type:Major Owner / responsible:
MDC:MDC05 Old forum status:CLOSITEM - Closed item
Target Grouper:COMMON

Description

Last updated: 2010-04-09
Status:CLOSITEM - Closed item
Initiated: 2009-04-08
By: Barbro Odhé/CPK, Sweden
Expert Network 2010-03-12 - Change recommended
Board 2010-04-09 - Recommendation accepted

BACKGROUND

CPK ID 314

Problem

I21.4 Acute subendocardial myocardial infaction together with the diagnos I48.9 Atrial fibrillation and flutter groups the patient to DRG 125 Diagnostic percutan cardiac procedure w/o circulatory complex dx when AF037 Coronary angiography is done (Koronarangiografi). Clinially it should be grouped to DRG 124 Diagnostic percutan cardiac procedure w circulatory complex dx.

Analysis

Swedish KKP-data support the clinical idea that I48.9 together with cardiac heart diseases and coronary angiography should group to a DRG 124.

Suggestion

The cases with I48.9 in DRG125 should be grouped to DRG 124.

COMMENTS

Expert Network 2010-03-12

The meeting recommended that cases with diagnoses I48.9 should be grouped to DRG 124.

To I21-groups should dg.prop 05X03 be added.

CHANGES

Technical change

I48.9 is given diagnosis property 05X03 ‘Other circulatory system complex diagnoses.

DRG change

Cases with I48.9 and cardiac catheterization are assigned to DRG 124.

Introduction

2011

2010-MDC05-02.jpg (16.9 KB) Anonymous, 2014-01-13 11:55

Also available in: Atom PDF