Case #292

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

Z412 (circumcision) must have OR

Added by Anonymous over 7 years ago. Updated over 6 years ago.

Status:AcceptedStart date:2014-02-13
Priority:MinorSpent time:-
Assignee:Mats Fernström
Target version:Expert Group 2014
Initiator:Sweden Target year:2015
MDC: Owner / responsible:Nordic Casemix Centre
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE Old forum status:


National ID: CPK ID 546
Initiated: 2013-11-13


The Swedish National Board of Health and Welfare (SOS) makes own definition tables parallel to the process at the Nordic Casemix Centre (NCC) and the current problem was discovered during routine comparison between SWE2014CC-SOS-PR02 (SOS version) and SWE2014PR0F (NCC version) in the autumn 2013.

In the NCC version 2014, the code Z412 (Routine and ritual circumcision) has lost its OR property that it used to have. OR=1 is necessary, however, for the cases to be grouped to DRG N20/343 (Circumcision) according to the present Drglogic.


NPK, Sweden – 2014-02-06

OR=1 is reinserted for the diagnosis code Z412 as specified in Suggestion CPK ID 546.xls.

National organizations may decide to introduce the change in their own version.
Otherwise the organization is NCC.

DRG change

Cases with Z412 that wrongly have been grouped to a conservative DRG during 2014 will correctly be grouped to DRG N20/343.

Technical change

Technical description in text format.
There must also be technical changes according to the NCC Excel template. This Excel file should be named “Decision” plus the ID of the case.


NordDRG [year] [version]

Suggestion CPK ID 546.xls (33.5 KB) Anonymous, 2014-03-14 13:18


#1 Updated by Martti Virtanen over 7 years ago

  • Description updated (diff)

2014-03-19 Martti Virtanen
This is the last case of a diagnosis with OR=1 property and it would be logical not to have such codes.

There are 2 problems in the coding system that cause this situation:
1) The dx has procedure information that does not belong to the diagnosis classification.
2) The intervention code that should be used has diagnostic information that makes it’s use in this situation problematic
KGSH10 ‘Operation for phimosis’

KGSH10 is obviously called ‘circumcision’ but probably for political reasons it has been formulated this way.
I agree with Mats, we cannot change the basic coding systems and seems that we have to maintain the current model.

This the same case as #299

#2 Updated by Martti Virtanen over 7 years ago

  • Priority changed from Major to Minor

#3 Updated by Anonymous over 7 years ago

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

Comment Expert Group 2014-03-25

Change will be to keep the rule, keep the property as done in year 2013 grouper until the primary coding is corrected.
Change the code text to "circumcision" (Sweden).
This proposal is accepted.

#4 Updated by Martti Virtanen over 7 years ago

2014-03-27 Martti Virtanen

To complete the analysis the code KGSV20 ‘Ritual circumcision’ is present in all other versions than Swedish. Since this is still not a problem in any other country, the properties of Z4120 will be retained in all versions.

Technical change

Z4120 will retain properties OR=1 and PROCPROP 12S05

DRG change

Cases with ritual circumcision are assigned to correct DRG even in the absence of proper intervention code.

#5 Updated by Martti Virtanen over 7 years ago

2014-06-05 Martti Virtanen
The procedure property was 14S05 that is obviously wrong. The correct property is 12S05 'Circucision'.
I have corrected the decission above accordingly.

#6 Updated by Anonymous over 6 years ago

  • Status changed from Active to Accepted

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