Case #274

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

Error to be corrected for Procedure code JFC41

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

Status:AcceptedStart date:2014-02-27
Priority:Error correctionSpent time:-
Assignee:Ralph Dahlgren
Category:-
Target version:Expert Group 2014
Initiator:Sweden 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: CPK ID 552
Initiated: 2014-02-26
Initiator: The National Board of Health and Welfare Sweden
Responsible at National organization: Ralph Dahlgren, Mats Fernström

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Problem

From the SWEX group a problem concerning the grouping av the procedure code JFC41 was asked.
The code groups to DRG F12E Andra operationer på magsäck, matstrupe och tolvfingertarm, ej komplicerat (Former DRG 155N) because of the PROCPR 06S01 Stomach, esophagus or duodenum procedure which is a obvious mistake and can be changed without any investigation.

Analysis

Undeneath are the grouping rules for JFC40 and JFC41. The same type of surgery but don in two different ways.

Suggestion

The National Board of Health and Welfare Sweden, 2014-02-27

This is an obvious error. Technical changes comes with the file “CPK ID Decision 552 to Forum”.

Decided changes

The National Board of Health and Welfare Sweden, 2014-02-27

Sweden wants this to be corrected in the definitionstables for 2015.

DRG change

Some cases will be mover from DRG F12E Andra operationer på magsäck, matstrupe och tolvfingertarm, ej komplicerat (Former DRG 155N) instead of DRG F09E Mindre tunn- och tjocktarmsoperationer, ej komplicerat (former DRG 153X).

Technical change

JFC41 Laparoskopisk ileorektal anastomos has PROCPR 06S01Stomach, esophagus or duodenum procedure and that should be changes to PROCPR 06S02 Major small or large bowel procedure.
See technical changes in the file "CPK ID 552 Decision to Forum".

Introduction

NordDRG [year] [version]

2014-CPK-ID-552.jpg (51.9 KB) Anonymous, 2014-02-27 13:52

CPK ID 552 Decision to Forum.xls (52.5 KB) Anonymous, 2014-02-27 13:53

History

#1 Updated by Martti Virtanen over 5 years ago

Martti Virtanen 12.3.2014
This is indeed an obvious error, that needs to be corected in all versions.

#2 Updated by Anonymous over 5 years ago

  • Parent task set to #11

#3 Updated by Martti Virtanen about 5 years ago

2014-03-26 Martti Virtanen

Technical change

For JFSC41 'Laparoscopic ileorectostomy' the PROCPR 06S01 'Stomach, esophagus or duodenum procedure' will be removed and replaced by PROCPR 06S02 'Major small or large bowel procedure'.

DRG change

Cases with MDC 6 principal dx and JFSC41 intervention will be assigned to DRG 148-149 (F05E/C/A) 'Major small & large bowel procedures' instead of 155 (F12E/C) 'Other stomach, esophageal and duodenal procedures' as inpatients and to DRG 149O (F05O)'Major small & large bowel procedures, short therapy' instead of 156O (F13O) 'Stomach, esophageal & duodenal procedures, short therapy' as outpatients.

#4 Updated by Anonymous about 5 years ago

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

#5 Updated by Anonymous over 4 years ago

  • Status changed from Active to Accepted

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