Case #219

Task #11: Delivery of minor update proposals for NordDRG 2015

Dysfunction of tracheostomy

Added by Anonymous about 7 years ago. Updated about 6 years ago.

Status:AcceptedStart date:2014-01-27
Priority:MinorSpent time:-
Assignee:Ralph Dahlgren
Category:-
Target version:Expert Group 2014
Initiator:Sweden Target year:2015
MDC:MDC03 Owner / responsible:Nordic Casemix Centre
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE Old forum status:

Description

National ID: 363

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Problem

From the users of NordDRG a question is asked concerning a patient who has undergone surgery for laryngealcancer -95 with laryngectomi and jejunuminterponat. Got a speaking valve but this has been extracted due to poor function. Thereafter developed a fistula, trakeoesofageal fistula, where the former speaking valve sat. Now admitted to close the fistula. The codes that are used is J950 Dysfunktion av trakeostomi (Dysfunction of tracheostomy), Z85.0A Malign tumör i matstrupen i den egna sjukhistorien (Malignant neoplasm of the esophagus in medical history), procedure code ENC50 Slutning av farynxfistel kirurgisk (Surgical closure of pharyngeal fistula).

This groups to DRG Z60N Annan sällsynt, eller felaktig, kombination av huvuddiagnos och åtgärd (Former DRG 477 Other rare or incorrect combination of primary diagnosis and action).

Analysis

The ICD-code J95.0 must have dgprop 08X30 'Orthopaedic lesion of facial area' property to be grouped into DRG C29O Andra operationer i öron, näsa, mun och hals (063O Other operations in the ears, nose, mouth and throat, outpatient) or DRG C29N Andra operationer i öron, näsa, mun och hals (063X Other operations in the ears, nose, mouth and throat, inpatient). J95.0 has already COMPL 04G99 and is an MCC diagnosis so that is not the problem.

Suggestion

The Swedish National Board of Health and Welfare 2014-01-27

We want J95.0 in combination with ENC50 to be able to group to DRG C29N/O (Former DRG 063/063O). To be able to do that we suggest that J95.0 get the DGPROP 08X30 . While looking at this case we noticed that Q392 Medfödd trakeoesofageal fistel utan atresi also must have DGPROP 08X30.

The Swedish National Board of Health and Welfare and it´s collaborationg Swedish partners 2014-01-27 want this change to be introduced 2015

Technical change

J95.0 and Q392 should get the DGPROP 08X30 'Orthopaedic lesion of facial area'

DRG change

A few cases will be transferred from DRG Z60/Z60O (477) to DRG C29/C29O (063X/063O).

Introduction:

NordDRG [2015] [SWE]

CPK ID 363 Decision.xlsx (13.9 KB) Anonymous, 2014-01-29 13:50

History

#1 Updated by Anonymous about 7 years ago

  • Assignee set to Ralph Dahlgren
  • Priority changed from Normal to Minor
  • Start date changed from 2014-01-29 to 2014-01-27
  • Old forum status deleted (ACTITEM - Active item)

#2 Updated by Anonymous almost 7 years ago

  • Case type deleted (Minor)

#3 Updated by Anonymous almost 7 years ago

  • Description updated (diff)

#4 Updated by Martti Virtanen almost 7 years ago

  • Description updated (diff)

Martti Virtanen 2013-03-12
This is actually an obvious error that needs to be corrected. The combinations represented are obviously correct and must be assigned to a normal DRG.
The proposed model is acceptable and I support it.
For decission it is good to point out that there are some theoretical other effects. The property 08X30 is used in association to discussed examples in some other DRG's. The effect on these round 10 groups is however only theoretical.

#5 Updated by Anonymous almost 7 years ago

  • Parent task set to #11

#6 Updated by Anonymous almost 7 years ago

Comment Expert Group 2014-03-24

No need for new diagnosis property.
The suggestion is accepted by all countries.

#7 Updated by Anonymous almost 7 years ago

  • Target Grouper COMMON, DEN, EST, FIN, ICE, LAT, NOR added

#8 Updated by Martti Virtanen almost 7 years ago

2014-03-27 Martti Virtanen

Technical change

J9500 and Q3920 shall get the DGPROP 08X30 'Orthopaedic lesion of facial area'

DRG change

A few cases will be transferred from DRG Z60/Z60O (477) to DRG C29/C29O (063X/063O).

#9 Updated by Anonymous about 6 years ago

  • Status changed from Active to Accepted

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