Case #177

Case 2010-MDC08-02 Hierarchy in MDC 08

Added by Anonymous about 6 years ago.

Status:AcceptedStart date:2014-01-14
Priority:NormalSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2010
Initiator:Sweden Target year:2011
Case type:Major Owner / responsible:
MDC:MDC08 Old forum status:CLOSITEM - Closed item
Target Grouper:COMMON

Description

Last updated: 2010-04-09
Status: CLOSITEM - Closed item
Initiated: 2010-01-07
By: Åsa Eriksson, Örebro/CPK, Sweden
Expert Network 2010-03-12 - Change recommended
Board 2010-04-09 - Recommendation accepted

BACKGROUND

CPK ID 337

Problem

We had a patient with M24.4B (Recidivluxation/subluxation i axelled) that was operated NBH71 (Artroskopisk eller endoskopisk operation för recidiverande luxation eller instabilitet i humeroskapularled). Normally such a case is grouped to DRG 223 (Större operationer på skuldra/armbåge eller andra armoperationer med komplicerande bidiagnos) with the weight 1,3243. This patient, however, had also M65.3 (Trigger finger) which we operated, NDM49 (Klyvning av senskida i handled eller hand) in the same session. Then we got DRG 229 (Hand- och handledsoperationer utom på större leder, ej komplicerat) with the weight 0,8432. It must be wrong that an additional procedure results in a DRG with lesser weight.

Analysis by CPK

This is a hierarchy problem. The rules for DRG 223 in Drglogic must be placed higher up in the table.

Suggestion

The hierarchy for DRGs for surgery on the upper extremity has to be modified according to the weights. See the Swedish weights in the table below.

COMMENTS

Export Network 2010-03-12

The meeting recommended accepting the proposal to move DRG 223 higher in the hierarchy before ord.nr 408D24001 DRG 224.

CHANGES

Technical change

The rules for DRG 223 are moved above DRG 224 rule ORD 408D24001.

DRG change

DRG 223 will take preference to DRG 224,228 and 229.

Introduction

2011

2010-MDC08-02.jpg (88.4 KB) Anonymous, 2014-01-14 10:53

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