Case #610

Subcodes of D758 ‘Other specified diseases of blood and blood-forming organs’

Added by Martti Virtanen 7 months ago. Updated 3 months ago.

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

Description

Problem
D758 'Other specified diseases of blood and blood-forming organs' has got a number of subcodes in the Swedish ICD-10 (D758A 'Basofilia',D758B 'Idiopatic cytopenia of unknown significance', D758C 'Clonal cytopenia of unknown significance', D758D 'Clonal haemtopoesis of intermediate potential' and D758W 'Other specified diseases of blood and blood-forming organs') at he beginning of 2019.

D758W is as usual an exact copy of D758. All subcodes are linked to D7580 in ICD+.

D7580 is on the exclusion list of complication category 16C07 ‘Acute posthemorrhagic anemia’. Thus these national extension codes are also on the exclusion list of 16C07.

D7580 and all subcodes of D758 are also on the exclusion lists of 16C04 ‘Complicated anemia’, 16C05 ‘Complicated coagulation disorder’ and 16C06 ‘Disorder of granulocytes‘

The missing exclusion for 16C07 seems to be a mistake in the Swedish maintenance work.

If the national subcodes are regarded different from D758 then we need to create new codes in ICD+ for them to allow for this change. The ‘W’ code cannot be included.

Suggestion

No change, add subcodes of D758 to exclusion list of 16C07 in NordDRG Swe

If the subcodes are considered to be different from D578 (except D578W) they must have their own codes in ICD+ and exclusions form 16C04, 16C05 and 16C06 must also be considered.

Decision C787 technical changes for subcodes of D758.xlsx (15.1 KB) Ralph Dahlgren, 2019-02-24 16:16

History

#1 Updated by Ralph Dahlgren 4 months ago

2019-02-24 Ralph Dahlgren
Sweden must say thank you again Martti for making comments. This time it turned out that we have missed to include the Swedish subcodes to ICD-10 code D758 in the table 'compl. excl'. The subcodes should all be included for '16C07' and '16G07'.
At the same time we noticed that in our 'comp.cat' we are missing the text to '16G06' and 16G07' which is included in our suggested technical Changes.
If we understand correctly Martti has already done this in Foxpro (NDMS) already.

#2 Updated by Martti Virtanen 3 months ago

2019-03-11 Expert group
The proposal was accepted, it already implemented.

#3 Updated by Martti Virtanen 3 months ago

  • Status changed from Active to Accepted

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