Case #609

Cutaneous intervention with relation to deep infection – one impossible rule

Added by Martti Virtanen 10 months ago. Updated 6 months ago.

Status:AcceptedStart date:2018-11-28
Priority:MinorSpent time:-
Assignee:-
Category:-
Target version:Target version 2019
Initiator:Nordic Casemix Centre Target year:2019
Case type: Owner / responsible:
MDC: Old forum status:
Target Grouper:FIN

Description

Problem
By rule 190D060030 (Fin) combination of intervention with 08S12 ‘Soft tissue procedure’ without OR=1 but with general anaesthesia (00X10) and with principal property 08P03 ‘Cutaneous diagnosis with relation to deep infection’ should be assigned to DRG 227O (Fin)
All 08P03 codes are skin codes (MDC 09)
All codes with 08S12 that have OR=2 are skin interventions.
The preceding rule 190D060020 takes all cases where 08S12 interventions that have OR=1.
Thus the rule 190D060030 for DRG 227O is impossible because the cases are assigned by previous rules. Those without OR=1 are assigned to MDC 09 DRG’s
Suggestion
Technical change
The rule 190D060030 must be inactivated
DRG change
None

History

#1 Updated by Martti Virtanen 6 months ago

  • Status changed from Active to Accepted

2019-03-11 Expert group
The prosal was accepted.

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