Case #220

Case 2009-MDC04-01 ADB40 Implantation of spinal injection device groups to DRG468

Added by Anonymous about 7 years ago.

Status:AcceptedStart date:2014-01-30
Priority:NormalSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2009
Initiator:Sweden Target year:2010
MDC:MDC04 Owner / responsible:
Target Grouper:COMMON, SWE Old forum status:CLOSITEM - Closed item

Description

Last updated: 2009-03-20
Status: CLOSITEM - Closed item
Initiated: 2008-06-10
By: Västra Götalands regionen (Mona-Lis Dalbrekt)/CPK, Sweden
Expert Network 2009-02-26 - Change recommended
Board 2009-03-20 - Recommendation accepted

BACKGROUND

CPK ID 270

Problem

The procedure ABD40 ‘Implantation of spinal injection device’ is used for cancer patients suffering from pain. The cancer can be located almost anywhere but if ABD40 is used together with a primary diagnosis from MDC 04 or MDC 06 (which actually occurs) the case will be grouped to DRG 468 because ADB40 has OR 1 property but no specific procedure properties for MDC 04 and MDC 06.

Suggestion

ABD40 with procedure properties for MDC 04 and MDC06 in addition to the existing properties. There is no need for new DRGs so we could use existing procedure properties, for example:

04S02 (leads to DRG 076/077) and
06S10 (leads to DRG 170/171).

Analysis

An analysis is not necessary since the problem is of minor economical importance (few cases).

COMMENTS:

Expert Network 2009-02-26

The meeting recommended to accept the proposal that for ABD40 add:

04S02 (leads to DRG 076/077) and
06S10 (leads to DRG 170/171).

CHANGES:

Technical changes:

Addition for ABSD40 ‘Implantation of spinal injection device’ of procedure properties:

04S02 ‘Other respiratory system OR procedure’
06S10 ‘Other digestive system OR procedure’

DRG changes:

Cases with ABSD40 are assigned with MDC 04 (Respiratory system) to DRG 076X/077X/077O ‘Other resp system o. r. procedures’ (w cc/wo cc/short therapy) and with MDC 06 (Digestive system) to DRG 170X/171X/171O ‘Other digestive system o. r. procedures’ (w cc/wo cc/short therapy)

Introduction:

2010

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