Case #181
Case 2010-MDC10-02 Extirpation of lipoma in DRG 288B Other procedure for obesity
| Status: | Accepted | Start date: | 2014-01-15 |
|---|---|---|---|
| Priority: | Normal | Spent time: | - |
| Assignee: | - | ||
| Category: | - | ||
| Target version: | Expert Group 2010 | ||
| Initiator: | Sweden | Target year: | 2011 |
| MDC: | MDC10 | Owner / responsible: | |
| Target Grouper: | COMMON | Old forum status: | CLOSITEM - Closed item |
Description
Last updated: 2010-04-09
Status: CLOSITEM - Closed item
Initiated: 2009-08-20
By: Klassif/CPK, Sweden
Expert Network 2010-03-12 - Change recommended
Board 2010-04-09 - Recommendation accepted
BACKGROUND
CPK ID 322
Problem
Someone being operated for a D34.9 Benign neoplasm of thyroid gland and at the same time have a D17.2 Benign lipomatous neoplasm removed will be grouped to DRG 288B Other procedure for obesity. Surgical procedures involved in this case BAA40 Unilateral lobectomy of thyroid gland, QCE10 Excision of lesion of skin of upper limb.
Analysis
Technical explanation: Both surgery procedures belong to the same MDC where the surgery for benign lipomatous neoplasm are ahead in hierarchy.
One solution is to change the hierarchy after weight and then the problem will disappear, or another solution that is easier is to remove procedure property 10S04 from QCE10 and similar surgical procedures.
Suggestion
Remove the procedure property 10S04 from QAE10, QBE10, QCE10 and QDE10.
COMMENTS
Expert Network 2010-03-12
The meeting recommended accepting the proposal.
CHANGES
Technical change
Procedure property 10S04 is removed from QASE99, QBSE99, QCSE99and QDSE99 and corresponding national version codes (QxE10 and QxE99).
DRG change
Cases with QxE10 and QxE99 are not assigned to DRG 288B.
Introduction
2011