Case 2009-MDC09-01 Excision of scar caused by burn
|Priority:||Error correction||Spent time:||-|
|Target version:||Expert Group 2010|
|Case type:||Owner / responsible:|
|MDC:||MDC09||Old forum status:||CLOSITEM - Closed item|
Last updated: 2010-04-09
Status: CLOSITEM - Closed item
Error corrected by Nordic Centre
By: Paul Tordai, Aleris/CPK, Sweden
Expert Network 2010-03-12 - Correction recommended
Board 2010-04-09 - Recommendation accepted
CPK ID 317
The procedure codes for excision of scar caused by burn listed below are not properly handled in the NordDRG logic if combined with a principal diagnosis in MDC 09 (for example L910 Keloid scar plus T95 Sequelae of burn, corrosion and frostbite …). Inpatients are grouped to DRG 477 and Swedish outpatients are grouped to a DRG for visits without any significant procedures.
The reason for this is that the codes have no procedure property for MDC 09. They should have the same procedure property (09S02) as the codes for “Excision and repair of scar or web of skin …” (Q*SE20) and “Excision and repair of surgical scar …” (Q*SE30) in addition to the existing properties.
We think that this is an error that can be corrected by the Nordic Casemix Centre in the 2010 version without discussion in the expert network (but it should be documented in the NordDRG Forum).
Nordic Centre, Martti Virtanen 2009-10-07
I agree that this can be changed as an error. The coding is correct and the result is not acceptable.
QXE25 (QXSE25) Excision and repair of scar caused by burn of unspecified region’ has to be added to the list.
Expert Network 2010-03-12
The meeting recommended accepting the correction.