Case #255

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

Percutaneous and closed fasciotomy

Added by Beata Tana almost 5 years ago. Updated almost 4 years ago.

Status:AcceptedStart date:2014-02-13
Priority:MinorSpent time:-
Assignee:Mats Fernström
Category:-
Target version:Expert Group 2014
Initiator:Sweden Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC:GEN Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE

Description

National ID: CPK ID 539
Initiated: 2013-11-13
Initiator: NPK, Sweden

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Problem

The Swedish National Board of Health and Welfare (SOS) makes own definition tables parallel to the process at the Nordic Casemix Centre (NCC) and the current problem was discovered during routine comparison between SWE2014CC-SOS-PR02 (SOS version) and SWE2014PR0F (NCC version) in the autumn 2013.

The Swedish procedure codes DN010 (Sluten fasciotomi) and TND03 (Perkutan fasciotomi) have been linked to the same NCSP+ code (NXXM00 ’Closed fasciotomy’) in the NCC version for 2014 but they are not the same. DN010 is just a streching after collagenase injection for Dupuytrens disease and no surgical instrument is used. TND03 is a surgical fasciotomy with the use of knife or needle through just a stab in the skin.

Suggestion

NPK, Sweden – 2014-02-06

DN010 should have no other properties than DGPROP 00X99 (as in the SOS version). Thus, OR = 2 and PROCPR = 08V06 should be removed in the NCC version.
TND03 have the right properties in the NCC version and DGPROP 08X14 (Problem of the hand) has to be removed in the SOS version since the procedure is not only for hand problems.

The changes are also specified in Suggestion CPK ID 539.xls.

Suggestion CPK ID 539.xls (38 KB) Beata Tana, 2014-02-18 13:35

History

#2 Updated by Martti Virtanen almost 5 years ago

2014-03-13 Martti Virtanen
Closed fasciotomy is in the English texts used as a synonyme to Percutaneous Needle Fasciotomy in the case of Dupuytren contracture. This from eMedicine:

Percutaneous needle fasciotomy/closed fasciotomy
Percutaneous needle fasciotomy (PNF) is a minimally invasive treatment that is usually performed as an office procedure under local anesthesia. It involves multiple puncture sites and sectioning of the Dupuytren cord using the bevel of a needle.[79, 69, 70, 71]

If DN010 does not include any cutting of the fascia, it needs it's own code in NCSP+ too. This is easy to create now that I understand the meonning of the Swedish code.
None of the other countries has such a code, but they may ofcourse introduce it necessary.
The new code will be: NXXM10 'Streching of Dupuytren contracture with injection' This new code will have no properties (except the generated 00X99)

The TND03 will continue to linked to NXXM00 'Closed fasciotomy' This will retain the existing properties. This code is neither used By any other country.

This will override case #282

#3 Updated by Martti Virtanen almost 5 years ago

  • Description updated (diff)

#4 Updated by Beata Tana almost 5 years ago

  • Parent task set to #11

#5 Updated by Beata Tana almost 5 years ago

Martti Virtanen wrote:

2014-03-13 Martti Virtanen

Closed fasciotomy is in the English texts used as a synonyme to Percutaneous Needle Fasciotomy in the case of Dupuytren contracture. This from eMedicine:

Percutaneous needle fasciotomy/closed fasciotomy
Percutaneous needle fasciotomy (PNF) is a minimally invasive treatment that is usually performed as an office procedure under local anesthesia. It involves multiple puncture sites and sectioning of the Dupuytren cord using the bevel of a needle.[79, 69, 70, 71]

If DN010 does not include any cutting of the fascia, it needs it's own code in NCSP+ too. This is easy to create now that I understand the meonning of the Swedish code.
None of the other countries has such a code, but they may ofcourse introduce it necessary.
The new code will be: NXXM10 'Streching of Dupuytren contracture with injection' This new code will have no properties (except the generated 00X99)

The TND03 will continue to linked to NXXM00 'Closed fasciotomy' This will retain the existing properties. This code is neither used By any other country.

This will override case #282

#6 Updated by Beata Tana almost 5 years ago

Comment Expert Group 2014-03-24

All countries agree on new code called "stretching of Dupuytrens contracture".

All related cases #255, #272 and #282 will be attached as one new case.

#7 Updated by Ralph Dahlgren almost 5 years ago

There are 3 cases dealing with this issue. Case 255, Case 272, Case 282. In case 272 it is pointed out that TND03 by the code itself belongs to the hand even if the preformance can be done in the foot aswell. This means that the code TND03 should have DGPROP 08X14. Just like it is decided in case 272.
MVH Ralph

#8 Updated by Beata Tana almost 5 years ago

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

#9 Updated by Martti Virtanen almost 4 years ago

  • Status changed from Active to Accepted

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