Case #289

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

Noninvasive respirator treatment

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

Status:AcceptedStart date:2014-02-27
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: Old forum status:
Target Grouper:SWE

Description

National ID: CPK ID 518
Initiated: 2013-09-12
Initiator: Mats Karlsson, SLL, Stockholm, Sweden
Responsible at National organization: Mats Fernström


Problem

The Swedish procedure code DG023 (Respiratorbehandling, non-invasiv) is grouped to DRG D20N/ 475N (Respiratorbehandling för sjukdomar i andningsorganen). However, noninvasive respirator treatment is more like CPAP and BiPAP treatment (see the web site: http://emedicine.medscape.com/article/304235-overview#aw2aab6b3) and in a medical perspective DG023 fits better in DRG D21N/474N (Behandling med CPAP/BiPAP).

Analysis

According to cost data (see table below) DG023 fits somewhat better in DRG D21N also in an economical perspective.

Suggestion

NPK, Sweden – 2014-02-27

The Swedish procedure code DG023 and the corresponding NCSP+ code must be grouped to DRG D21N/474N instead of DRG D20N/ 475N. This is achieved by changing the procedure property 04S03 (Mechanical ventilation) to 04S04 (Positive airway pressure therapy). See Suggestion CPK ID 518.xls.

2014-CPK-ID-518.jpg (31 KB) Anonymous, 2014-03-14 12:45

Suggestion CPK ID 518.xls (37.5 KB) Anonymous, 2014-03-14 12:48

History

#1 Updated by Martti Virtanen over 5 years ago

  • Description updated (diff)

2014-03-18 Martti Virtanen
NCSP+ has code WAA729 'Non invasive respirator therapy' to which DG023 and DM004 (Intubering, övertrycksandning (på nyfödda))have been linked. This procedure has the property 04S04 as proposed here.

#2 Updated by Anonymous about 5 years ago

  • Target Grouper SWE added

Comment Expert Group 2014-03-25

The original swedish proposal is accepted.

#3 Updated by Martti Virtanen about 5 years ago

2014-03-26 Martti Virtanen

Technical change

WAA729 and and all linked codes (SWE) is given PROCPROP 04S04.

DRG change

Cases with ‘Non invasive respiratory therapy’ will be assigned to DRG 474N (D21N) ‘Respiratory system diagnosis with PEEP support‘ instead of 475N (D20N) ‘Respiratory system diagnosis with respirator therapy’

#4 Updated by Anonymous over 4 years ago

  • Status changed from Active to Accepted

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