Case #267

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

Missing outpatient DRG for surgery of spine

Added by Anonymous over 5 years ago. Updated almost 5 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: HD-0057
Initiated: 2014-02-21
Initiator: Analysesenteret, Norway


Problem

For outpatient spine operations where procedure properties are 08S14, 08S15, 08S16 or 08S15, there is no corresponding outpatient DRG. These cases are thus grouped to DRG 468O. Cases with similar procedures on inpatients are grouped to DRG 214A, 214B, 214C, 215B or 215C.

Analysis

Norwegian directorate of health – 2014-02-21

Although these cases seem to be rare at the moment, it is not adequate that an outpatient DRG is missing.

Suggestion

Norwegian directorate of health – 2014-02-21

We suggest that outpatient cases with procedure property 08S13, 08S15, 08S16 and 08S18 are grouped to DRG 215O together with cases with procedure property 08S08.

History

#1 Updated by Anonymous over 5 years ago

  • Parent task set to #11

#2 Updated by Martti Virtanen over 5 years ago

2014-03-13 Martti Virtanen
The outpatient rule for these cases uses the property 08S08 'Back or neck procedure'. All interventions that have 08S14, 08S15 or 08S16 have also (should have anyway) the property 08S08. For inpatients the new properties occur ealier in the logic and they therefore used in the assingment.

#3 Updated by Martti Virtanen over 5 years ago

  • Description updated (diff)

#4 Updated by Anonymous over 5 years ago

Comment Expert Group 2014-03-25

Norway will check the codes and a decision will be made by the end of the meeting.

#5 Updated by Anonymous over 5 years ago

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

Comment Expert Group 2014-03-25

Correction is made by Marttis suggestion.
Proposal is accepted.

#6 Updated by Martti Virtanen over 5 years ago

2014-03-27 Martti Virtanen

The problem turned out to be that ABSC21 ‘Anterior decompression of cervical spine with insertion of interbody fixating implant’ has PROCPROP 08S14 but no 08S08. This causes an error in the outpatient grouping.

Technical change

PROCPROP 08S08 is added to ABSC21 and all linked codes

DRG change

Patient cases with ABSC21 intervention and MDC 08 as outpatients will bi assigned to DRG 215O (H25O) ‘Back & neck procedures, short therapy’

#7 Updated by Anonymous almost 5 years ago

  • Status changed from Active to Accepted

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