Case #186

Case 2010-MDC14-03 Hysteroscopy

Added by Anonymous about 7 years ago.

Status:AcceptedStart date:2014-01-15
Priority:NormalSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2010
Initiator:Sweden Target year:2011
MDC:MDC14 Owner / responsible:
Target Grouper:COMMON Old forum status:CLOSITEM - Closed item

Description

Last updated: 2010-04-09
Status: CLOSITEM - Closed item
Initiated: 2009-03-27
By: Rolf Andersson, Ledningsstaben, Landstinget i Östergötland/CPK, Sweden
Expert Network 2010-03-12 - Change recommended
Board 2010-04-09 - Recommendation accepted

BACKGROUND

CPK ID 299

Problem

In Sweden, outpatient visits with MAA22 (Hysteroskopi med avlägsnande av intrauterint preventivmedel (IUP) från gravid uterus) or MAA98 (Annan hysteroskopisk operation på gravid uterus eller foster) are grouped like visits without any procedures to DRG 857O (Övriga läkarbesök vid graviditet, förlossning och barnsängstid). They should be grouped to DRG 719O (Endoskopi av kvinnliga genitalia, öppenvård) like the hysteroscopy codes in the table below.

  • ULC02 Hysteroskopi
  • ULC05 Hysteroskopi med biopsi
  • ULC12 Mikrohysteroskopi
  • ULC15 Mikrohysteroskopi med biopsi

Analysis by CPK

For medical description, DRG 719O is more appropriate than DRG 857O. Economical analysis was not possible since there were only two cases with MAA22 (and none with MAA98) in the Swedish cost database (2008).

Suggestion

MAA22 and MAA98 should be grouped to DRG 719O. This can be achieved by giving MAA22 and MAA98 a new procedure property (14E19) and the construction of a new rule for DRG 719O, similar to the rule with ord 113D1310, but with mdc exchanged to 14 and procpro1 exchanged to 14E19.

COMMENTS

Expert Network 2010-03-12

The meeting recommended accepting the proposal.

CHANGES

Technical changes

As described in the suggestion.

(MAA22 and MAA98 should be grouped to DRG 719O. This can be achieved by giving MAA22 and MAA98 a new procedure property (14E19) and the construction of a new rule for DRG 719O, similar to the rule with ORD 113D1310, but with mdc exchanged to 14 and procpro1 exchanged to 14E19).

The new procedure property will be 14E19 ‘Endoscopy of female genital tract for obstetrical problem’.

The new rule will be place immediately after the current rule 114D03990.

DRG change

Cases with MAA22 are assigned to DRG 719O.

Introduction

2011

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