Case #303

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

Case #302: Difference in the CC exclusions of corresponding dx’s in different countries

Ventricular tachycardias

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

Status:AcceptedStart date:2014-03-11
Priority:MinorSpent time:-
Assignee:Martti Virtanen
Category:-
Target version:Expert Group 2014
Initiator:Nordic Casemix Centre Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC: Old forum status:
Target Grouper:SWE

Description

In Sweden the I472 has been divided to 3 or 4 categories:

  • I472 Paroxysmal ventrikulär takykardi (original code)
  • I472A Kammartakykardi, kortvarig (short term)
  • I472B Kammartakykardi, långvarig (long term)
  • I472C Kammartakykardi, torsades des pointes (turning points)

ICD-10-plus has 2 categories:

  • I4720 ‘Ventricular tachycardia’
  • I4721 ‘Ventricular tachycardia, repeating or sustained’

The first has exclusion for COMPL 05C09 and 05C39 whereas the latter has exclusion only for 05C39.
It seems that 05C09 ‘Cardiac arrest’ is not really necessary and could be removed from SWE. On the other hand the mapping could also be discussed.

Technical change

Remove 05C09 from I472, I472B and I472C in Swedish version.

DRG change

Extremely unlikely that any change would occur.

History

#1 Updated by Martti Virtanen over 5 years ago

2014-03-18 Martti Virtanen
This case is part of case #254.
Sweden proposes that 05C09 exclusion is given all I472 -group codes. Since I4721 is only used in Sweden I see no problem in using that model.

#2 Updated by Anonymous about 5 years ago

  • Owner / responsible deleted (National organisations)
  • Target Grouper SWE added

Comment Expert Group 2014-03-25

Swedish proposal that 05C09 exclusion is given all I472 -group codes is accepted.
Accepted by all but countries but affecting only Sweden.

#3 Updated by Martti Virtanen about 5 years ago

2014-03-26 Martti Virtanen

Technical change

Add 05C09 complication exclusion to I4721 and all linked codes in SWE version.

Note that I4721 is currently not linked to any codes in the other versions.

DRG change

Cases with principal dx I4721 (I472, I472B and I472C) cannot be complicated by secondary diagnoses with complication category 05C09 ‘Cardiac arrest’.

#4 Updated by Anonymous over 4 years ago

  • Status changed from Active to Accepted

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