Case #266

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

Brachytherapy of the eye - Hierarchy problem

Added by Anonymous about 5 years ago. Updated about 4 years ago.

Status:AcceptedStart date:2014-02-24
Priority:MinorSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2014
Initiator:Norway Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC: Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE

Description

National ID:
Initiated: 2013-11-12
Initiator: Oslo University Hospital HF
Responsible at National organization: The Norwegian Directorate of Health

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Problem

There seems to be a small hierarchy problem for DRG 36C – Brachytherapy of the eye. When combined with some other procedures, brachytherapy cases (CKE60) are grouped to DRG 36D instead of 36C.

Relevant procedure codes:

CKE65 Fjerning av brakyterapeutisk plate fra øye
CKD10 Insufflasjon av corpus vitreum
CKD50 Endodiatermi av retina
CKD75 Retinotomi
CKD40 Endofotokoagulasjon av retina

Analysis

The Norwegian Directorate of Health – 2014-02-24

We do not possess detailed cost data, but a simple LOS-analysis indicates higher costs for brachytherapy of the eye than for cases with procedures related to DRG 36D.

Aggregated cost data used when calculating national cost weights, indicate the same.

Suggestion

The Norwegian Directorate of Health – 2014-02-24

The hierarchy for DRG 36C and 36D is changed so that the rule for 36C comes first.

Decided changes

DRG change

Quite a few cases will move from DRG 36D to 36C.

Technical change

Introduction

NordDRG

2014-02_Norway_update_proposal_1.jpg (9.06 KB) Anonymous, 2014-02-27 10:21

History

#1 Updated by Anonymous about 5 years ago

  • Priority changed from Major to Minor

#2 Updated by Anonymous about 5 years ago

  • Parent task set to #11

#3 Updated by Martti Virtanen about 5 years ago

2014-03-17 Martti Virtanen
In principle OK. The Finish data supports the proposal.

#4 Updated by Anonymous about 5 years ago

Comment Expert Group 2014-03-24

Sweden agrees with proposal.
Finland will have to look at it again because codes in proposal are confusing.
Comment from Finland by the end of meeting.

#5 Updated by Anonymous about 5 years ago

Beata Tana wrote:

Comment Expert Group 2014-03-24

Sweden agrees with proposal.
Finland will have to look at it again because codes in proposal are confusing.
Comment from Finland by the end of meeting.

Comment Expert Group 2014-03-24

Finland accepts the proposal.

#6 Updated by Martti Virtanen about 5 years ago

2014-03-27 Martti Virtanen

Technical change

Current rule ORD 402D034 is changed to 402D033000 and ORD 402D033 is changed to 402D034000 i.e. they are switched.

DRG change

Patient cases with both local radiotherapy of the eye (PROCPRO 02S22) and major eye surgery (PROCPRO 02S24) will be assigned to DRG 036C (B29N) ‘Brachytherapy at eye’ instead of DRG 036D (B01N) ‘Major eye procedure’.

#7 Updated by Anonymous about 4 years ago

  • Status changed from Active to Accepted

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