Task #11: Delivery of minor update proposals for NordDRG 2015
Noninvasive respirator treatment
|Target version:||Expert Group 2014|
|Case type:||Owner / responsible:||Nordic Casemix Centre|
|MDC:||Old forum status:|
National ID: CPK ID 518
Initiator: Mats Karlsson, SLL, Stockholm, Sweden
Responsible at National organization: Mats Fernström
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).
According to cost data (see table below) DG023 fits somewhat better in DRG D21N also in an economical perspective.
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 .
#3 Updated by Martti Virtanen about 5 years ago
2014-03-26 Martti Virtanen
WAA729 and and all linked codes (SWE) is given PROCPROP 04S04.
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’