Case #383

Procedure code PHT32, add procedure property 07S07

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

Status:AcceptedStart date:2015-02-09
Priority:MinorSpent time:-
Assignee:Ralph Dahlgren
Category:-
Target version:Expert Group 2015
Initiator:Sweden Target year:2016
Case type:Minor Owner / responsible:National organisations
MDC:MDC06, MDC07 Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR, SWE

Description

National ID: NPK ID C468
Initiated: 2015-01-02
Initiator: Ralph Dahlgren, The Swedish National Board of Health and Welfare
Responsible at National organization: Ralph Dahlgren, The Swedish National Board of Health and Welfare
Sent to NordDRG Forum: 2015-01-27
Status: ACTITEM - Active item
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Problem
A remark has come from the clinicians why a patient with main diagnosis C7870 'Secondary malignant neoplasm of liver' (Sekundär malign tumör (metastas) i levern och intrahepatiska gallgångarna) and with PHST32/PHT32 'Injection of therapeutic agent into or percutaneous occlusion of portal or mesenterial vein' (Injektion av läkemedel i eller perkutan ocklusion av v. porta) the case will be assigned to DRG Z60O/477 'Rare or incorrect combination of principal diagnosis and procedure'
If using another and in this case wrong procedure code, PCST20/PCT20 'Injection of therapeutic agent into or percutaneous occlusion of coeliac trunk and branches' (Injektion av läkemedel i eller perkutan ocklusion av truncus coeliacus och dess grenar), the case is assigned correctly to DRG G29O-E-C/201O-N-C) 'Other hepatobiliary or pancreas o. r. procedures' (Andra operationer på lever, gallvägar och pankreas).
This is a case of correctly registered data resultin in DRG Z60O-N/477.

Analysis
The Swedish National Board of Health and Welfare 2015-01-02
Obvious error with no need for financial analysis.

Suggestion
The Swedish National Board of Health and Welfare 2015-01-02
Sweden wants this change to NordDRG SWE 2016.
Technical change
Add procedure property 07S07 to the procedure code PHST32 and to all linked national codes.
See Excel file Decision C468 Procedure code PHT32, add procedure property 07S07.
DRG change
Some patients will be grouped to DRG G29E/C/A (Former DRG 201O/N/C) instead of DRG DRG Z60O / N (Former DRG 477)

C468 Decision C468.xlsx (14.9 KB) Anonymous, 2015-02-09 10:11

C468 to Forum.docx (16.8 KB) Anonymous, 2015-02-09 10:11

Case #383 Technical changes.xlsx (12.8 KB) Martti Virtanen, 2015-03-19 10:47

History

#1 Updated by Anonymous almost 5 years ago

  • MDC GEN added

#2 Updated by Martti Virtanen almost 5 years ago

  • Description updated (diff)

2015-03-03 Martti Virtanen
This is an obvious error that needs to be corrected as soon as possible.
The NCSP+ code includes the occlusion of mesenteric veins (that exists only in Norway) that are the asts of portal vein (Danish version). It is probably less common but as PCST20 mentioned above also has the property 06S10 for gastrointestinal problems, it would seem logical to add also 06S10 to PHST32.

#3 Updated by Ralph Dahlgren almost 5 years ago

Sweden accept Martti's proposal to add procpro 06S10 to PHT32.

#4 Updated by Ralph Dahlgren almost 5 years ago

Sweden accept Martti's proposal to add procpro 06S10 to PHT32.

#5 Updated by Martti Virtanen almost 5 years ago

2015-03-13 Expert group/MV
The proposal was accepted with the modification.

Technical change
The interventions PHST32 and all linked codes will get properties 06S10 and 07S07.

DRG change
The intervention is accepted (alone) also in MDC 06 and 07.

#6 Updated by Anonymous almost 4 years ago

  • Target version changed from Minor-Proposals-for-2016 to Expert Group 2015

#7 Updated by Martti Virtanen almost 4 years ago

  • Status changed from Active to Accepted

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