Case #530

U19A changed to U05N by addition of NDL49

Added by Ralph Dahlgren over 4 years ago. Updated over 3 years ago.

Status:AcceptedStart date:2017-02-03
Priority:MinorSpent time:-
Assignee:Ralph Dahlgren
Category:-
Target version:Minor-Proposals-for-2016
Initiator:Sweden Target year:2018
MDC:MDC21 Owner / responsible:National organisations
Target Grouper:SWE Old forum status:

Description

Problem
A patient with knife injuries, a defensive injury on left hand, but also has a stab in the back of left thorax. Undergoes a thoracotomy with drainage. This due to a serious damage to blood vessels in the chest (diagnostic code S 25.5).
When the procedure code NDL49 Sutur eller reinsertion av sena vid handled eller i hand (Suture or reinsertion of tendon at the wrist or hand) or any procedure with procpro 21S03 also is registered the patient will be grouped to
Out of medical perspective and the use of resources it is desirable that this patient should be grouped to DRG U19A Andra operationer el. åtgärder i större anestesi efter skada, mycket komplicerat (Other op/procedure after injury very compl.)

Analysis
The National Board of Health and Welfare, Sweden 2017-02-01
There is no need for further economic analysis when this is primarily a medical issue that has to be corrected.
Suggestion
The National Board of Health and Welfare, Sweden 2017-02-01
Move the row for DRG U05N Handkirurgiska ingrepp efter skada (Hand surgery after injury ) so that the procedures with grouping propertiy 21S03 are grouped after the rows of DRG U19A Andra operationer el. åtgärder i större anestesi efter skada, mycket komplicerat (Other op/procedure after injury very compl.).
Decided changes
The National Board of Health and Welfare, Sweden 2017-02-01
DRG change
After the change the procedures with the grouping property 21S03, concerning hand surgery in combination with procedures 21S04, 21S05, 21S09 will be grouped to DRG U19A Andra operationer el. åtgärder i större anestesi efter skada, mycket komplicerat (Other op/procedure after injury very compl.) instead of DRG U05N Handkirurgiska ingrepp efter skada (Hand surgery after injury ).

Technical change
Move the two rows for DRG U05N Handkirurgiska ingrepp efter skada (Hand surgery after injury ) below the DRGlogic ord 421D081231 U19E Andra operationer el. åtgärder i större anestesi efter skada, ej komplicerat. The new ord will be 421D081240 and 421D081245.

C612 Decision tecnical changes.xlsx (13.3 KB) Anonymous, 2017-02-06 12:25

C612 to Forum.docx (21.1 KB) Anonymous, 2017-02-06 12:25

TC #530 C612.xlsx (12.9 KB) Ralph Dahlgren, 2017-04-11 13:19

Technical changes case #530.xlsx (21.5 KB) Martti Virtanen, 2017-04-18 15:01

History

#1 Updated by Anonymous over 4 years ago

#2 Updated by Ralph Dahlgren over 4 years ago

20170411. While going through the case again and comparing the file DRGlogic and in column "ord" the first technical Changes has an error. The ord in the first technical Changes are already in use.
Enclose here the updated technical Changes with new ord as follow: 421D081243 and 421D081245.

#3 Updated by Martti Virtanen over 4 years ago

2017-03-13 Expert group
The proposed change was accepted for Sweden only. Other countries may join if they wish.
The technical changes documentation shows all affecte rules.
it is worth to note that Swedish proposed version leaves for DRG 443x /U05 after the new position of the rules. Is that intended?

#4 Updated by Ralph Dahlgren over 4 years ago

2017-04-19. Thank you for asking that question but Sweden want these rows to be placed there. The intention is to have some rules for DRG 443x /U05 just below as you pointed out.

#5 Updated by Martti Virtanen over 3 years ago

  • Status changed from Active to Accepted

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