Central Venous catheters
|Target version:||Target version 2018|
|Case type:||Minor||Owner / responsible:|
|MDC:||GEN||Old forum status:|
Central Venous catheter (CVK) will in outpatients with malign diseases report to DRG 877O “Other polyclinical contacts for medium large procedures”, however if we remove the properties for the CVK /VAP procedures PHX15, PHX16,PHX20, PHX21, PHX25 and PHX30 these procedures will report to the original outpatient DRG for patients with malign disease.
We therefore would like to remove the properties from the procedures listed above.
#2 Updated by Kristin Dahlen over 3 years ago
In Norway the cost weight for DRG 877O in many cases are lower than the cost weight of 9## DRGs. In addition to this, the number of cases in DRG 877O in Norway are also quite high, with approx 45 000 cases per year. The DRG 877O as it is will then give a poor medical description, and we think that cases with insertion of Central venous catheters could be grouped to outpatient DRGs according to the main diagnosis.
#4 Updated by Mats Fernström over 3 years ago
Mats Fernström, NPK, Sweden 2017-03-09
We do not support the suggestion to remove the properties. The corresponding Swedish codes for CVK have PROCPRO 40V11 that leads to the Swedish DRG X51O (Vein catheters) and that group is > 20 % more expensive than most of the DRGs for outpatient visits without significant procedures.
PHX30 is in NCSP+ linked to a Swedish code for “Port-á-cath” with PROCPR 40V04 that leads to the Swedish DRG X05O (Implantation of pump or injection port) and that group is 132 % more expensive than the average for the DRGs for outpatient visits without significant procedures.
#6 Updated by Martti Virtanen over 2 years ago
2018-02-21 Martti Virtanen
This case is open for further discussion. Since there is no proposal for techincal changes it is difficult to understand what the issue is.
The properties Mats has mentioned are only used in the Swedis version of NordDRG.
If Norway still is intrested in a change, please define what the change should be.