Properties of procedure codes AEA24/AESA24 and AEA27/AESA27 revisited
|Target version:||NordDRG 2020|
|Initiator:||Nordic Casemix Centre||Target year:||2020|
|Case type:||Minor||Owner / responsible:|
|MDC:||Old forum status:|
This is an extension of Case #570 and has relation with case #569ö.
The changes for AEA24/AESA24 ‘Removal of spinal stimulation electrode’ and AEA27/AESA27 ‘Removal of vagus nerve stimulation electrode’ do not function in the NordDRG Swe.
The property 11S15 ‘Other kidney or urinary tract OR procedure‘ is not used in the NordDRG Swe. Instead the rules in Swe version use 11S07 ‘Other kidney or urinary tract OR procedure’. However, 11S07 is also used by other versions. For the original idea, see case #503.
For Swedish version AEA24/AESA24 and AEA27/AESA27 cannot have 11S07 since it would change other versions. 11S15 rules cannot be added to the Swe version, since it would have other effects.
Sweden proposes additionaly the same properties to AEA25/AESA25 'Removal of vagal nerv stimulating electrode'
To solve the problem with 11S07/11S15 we would need a new property (11Sxx) and new rules for the instances where Sweden wants to use the property.
Current Swedish grouper (2019) does not include any rules for 11S15 so the property that is included in the (SOS) tables with 11S15 has no effect.
The changes to AESA25/AEA25 would mean that the intervention would be accepted in MDC 08 (orthopaedics) and MDC 11 (nephrology). Procedure property 06S10 for MDC 06 (gastroenterology) is already included. Although this probably would not cause any practical problems, it is questionable if vagal stimulaition can be aplied in nephrology and even more questionable in otrthopaedics.
#5 Updated by Ralph Dahlgren 2 months ago
2019-02-23 Ralph Dahlgren
The Department of Health and Welfare Sweden 2019-02-23
As Martti pointed out in this case that last year Sweden accepted a case, but didn't follow through with everything.
Sweden has tried to make suggestions for a solution for this case.
The solution includes a new proc pro ‘11S17 Other OR procedure for kidney or urinary tract’, new rows in DRGlogic with like Martti suggested. The procedure codes below gets the new proc pro 11S17.
AEA20 Borttagande av impulsgenerator i stimuleringsutrustning i nervsystemet
AEA23 Borttagande av intrakraniell elektrod
AEA24 Borttagande av spinal stimuleringselektrod
AEA25 Borttagande av stimuleringselektrod
AEA27 Byte av spinal stimuleringselektrod
So this is a suggestion for a solution. The solution can be discussed of course and since that is the case the technical changes has to be looked upon that way.
The Technical changes is included and are called ‘Suggestion Technical Changes #612 C789 to Forum.xlsx’
#7 Updated by Martti Virtanen about 1 month ago
- File Technical changes case #612.xlsx added
2019-02-27 NCC (MV)
The proposal is otherwise OK, but the property 11S15 is used by other versions than Swe and can thus not be taken out.
The new technical changes documentation shows also related rules in other versions.
#8 Updated by Ralph Dahlgren about 1 month ago
2019-02-27 Ralph Dahlgren
The technical Changes is for Sweden that is not going to use 11S15 if I understand correct. We have it in our definitiontables for 2019. And as far as Sweden is concerned why should we not take 11S15 away from some procedurecodes when we do not use it?