Case #351

Intravascular radioactive therapy of malignancies in liver

Added by Martti Virtanen over 4 years ago. Updated about 3 years ago.

Status:AcceptedStart date:2014-10-20
Priority:Error correctionSpent time:-
Assignee:-
Category:-
Target version:Expert Group 2015
Initiator:Sweden Target year:2015
Case type: Owner / responsible:
MDC:MDC07 Old forum status:
Target Grouper:SWE

Description

Background
This case was discussed at the NordDRG expert meeting in 2014-08. It has been missed in the reporting.

A new technique with intravascular radiotherapy using currently 90Ytrium particles has been developed for liver malignancies and is used at least in Sweden. The method has a new intervention code JJOA00 'Brachytherapy of liver' (DJ026 'Selektiv tillförsel av radioaktiva 90Yttrium mikrosfärer (i)')

This technique can only be used with malignancies bt the principal dx's is not always that of liver malignancy. To avoid problems with this an assignment rule is necessary to assign the cases to correct DRG when other principal diagnoses are used.

Technical change:
A new procedure property 07S09 'Brachytherapy of liver or pancreas' is created

The procedure JJJOA00 is given the new property 07S09.

Three new rules are added immediately after current row 407D150026.
First row: DRG - 203M, ICD - +,PROCPRO1 - 07S09, COMPL - 2
Second row: DRG - 203M, ICD - +,PROCPRO1 - 07S09, COMPL - 1
Third row: DRG - 203M, ICD - +,PROCPRO1 - 07S09

DRG change:
Even cases without principal dx of malignancy are assigned to the Cancer drg's in MDC 07 when liver brachytherapy is perfomed.

History

#1 Updated by Anonymous over 4 years ago

  • Priority changed from Normal to Error correction

#2 Updated by Anonymous over 3 years ago

  • Target version set to Expert Group 2015

#3 Updated by Martti Virtanen about 3 years ago

  • Status changed from Active to Accepted

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