Case #491

Genital diagnosis T83.4 is not an urinary tract disease

Added by Tiina Pasanen 10 months ago. Updated 5 months ago.

Status:ActiveStart date:2016-12-14
Priority:MinorSpent time:-
Assignee:Veronika Stemme
Category:-
Target version:Expert Group 2017
Initiator:Sweden Target year:2018
Case type:Minor Owner / responsible:National organisations
MDC:MDC11 Old forum status:
Target Grouper:COMMON

Description

National ID: CPK ID665
Initiated: 2016-11-11
Initiator: Veronika Stemme, National Board of Health and Welfare, Sweden

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Problem
The ICD-10-code T83.4 ‘Mechanical complication of other prosthetic devices, implants and grafts in genital tract’ is grouped to DRG M99O ’Övriga läkarbesök vid sjukdomar i njure och urinvägar’. It is not adequate that a genital tract diagnosis leads to a urinary tract DRG.

Analysis
National Board of Health and Welfare, Sweden – 2016-12-01
This a matter of medical description, economical analysis is not needed.

Suggestion
National Board of Health and Welfare, Sweden – 2016-12-01
We suggest that the diagnosis T83.4 ‘Mechanical complication of other prosthetic devices, implants and grafts in genital tract’ should be grouped to DRG-groups for genital tract diseases: DRG N99O ‘Övriga läkarbesök vid sjukdomar i genitalia hos man’ for men and O99O Övriga läkarbesök vid sjukdomar i genitalia hos kvinna’ for women.

Decided changes
National Board of Health and Welfare, Sweden – 2016-12-01
Sweden wants this change to be introduced in the Swedish NordDRG 2018.

DRG change
Cases with the diagnosis T83.4 ‘Mechanical complication of other prosthetic devices, implants and grafts in genital tract’ are now grouped to DRG M99O ’Övriga läkarbesök vid sjukdomar i njure och urinvägar’. After the change they will instead be grouped to DRG N99O ‘Övriga läkarbesök vid sjukdomar i genitalia hos man’ for men and O99O Övriga läkarbesök vid sjukdomar i genitalia hos kvinna’ for women.

Technical change
The following should be changed for the diagnosis T83.4:
MDC 11(Sjukdomar i njure och urinvägar) changed to MDC98 (Sjukdomar i manliga/kvinnliga genitalia)
DGCAT changed from 11M99 to 98M99
DGPROP changed from 11X99 to 98X99
Se file: Technical Changes CPKID 665.xlsx

Technical Changes CPKID 665.xlsx (13.9 KB) Tiina Pasanen, 2016-12-14 11:11

Technical changes case #491.xlsx (14.2 KB) Martti Virtanen, 2017-05-12 14:10

History

#1 Updated by Tiina Pasanen 10 months ago

  • Subject changed from Genital diagnosis T83.4 is not a urinary tract disease to Genital diagnosis T83.4 is not an urinary tract disease
  • Assignee set to Veronika Stemme

#2 Updated by Mats Fernström 8 months ago

Mats Fernström, NPK, Sweden, 2017-03-01
Additional information about the DRG change:
Changing DGCAT will of course also change the grouping of inpatients. Those with the principal diagnosis T834 will go from DRG M68/331/332 ‘Other kidney & urinary tract diagnoses age > 17’ or DRG M69/333 ‘Other kidney & urinary tract diagnoses age 0-17’ to DRG N59/352 ’Other male reproductive system diagnoses’ or DRG O50/369 ‘Menstrual & other female reproductive system disorders’.

#3 Updated by Martti Virtanen 5 months ago

2017-03-13 Expert group
Accepted as proposed
Technical change for combined NordDRG Com

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