Case #625

Property COMPL 19C02 should be removed from F729 and F739

Added by Anja Fagervold 11 months ago. Updated 9 months ago.

Status:RejectedStart date:2019-01-31
Priority:MinorSpent time:-
Assignee:Anja Fagervold
Category:-
Target version:-
Initiator:Norway Target year:2020
Case type: Owner / responsible:Nordic Casemix Centre
MDC:MDC19 Old forum status:
Target Grouper:NOR

Description

Problem
Within the ICD-10 codes F70-F79 Mental retardation only the codes
F72.9 Severe mental retardation without mention of impairment of behavior and
F73.9 Profound mental retardation without mention of impairment of behavior
has the property COMPL 19C02 Psychoses

This seems wrong and we want to remove this property.
Then the codes F72.9 and F73.9 will have the same properties as the rest of the F72 and F73 codes:
F72.0 Severe mental retardation with the statement of no, or minimal, impairment of behaviour
F72.1 Severe mental retardation : significant impairment of behaviour requiring attention or treatment
F72.8 Severe mental retardation : other impairments of behavior
F73.0 Profound mental retardation with the statement of no, or minimal, impairment of behaviour
F73.1 Profound mental retardation : significant impairment of behaviour requiring attention or treatment
F73.8 Profound mental retardation : other impairments of behaviour

DGCAT 19M30 Mental retardation
MDC 19 Mental diseases and disorders
DGPROP 19X99 Mental diseases and disorders


Analysis

Norwegian Directorate of Health – 2019-01-31
It is not logic that the codes which have no mention of impairment of behavior should have properties of psychoses. This must be a mistake in the definition table and further analysis does not seem necessary.


Suggestion

Norwegian Directorate of Health – 2019-01-31
COMPL 19C02 Psychoses should be removed from the codes F72.9 and F73.9

Technical changes_case 625.xls (107 KB) Anja Fagervold, 2019-01-31 16:25

History

#2 Updated by Veronika Stemme 10 months ago

Technical error.

#3 Updated by Martti Virtanen 10 months ago

Technical error.

#4 Updated by Veronika Stemme 10 months ago

Veronika Stemme, National Board of Health and Welfare, Sweden, 2019-02-07
Sweden agrees that the ICD-10 codes F72.9 and F73.9 should not have COMPL 19C02 Psychosis, but we think that they should possibly have another COMPL instead. Both codes are included in a case we are working on and will send to forum later in february, including several F-codes that we do think should change COMPL 19C02 Psychoses to another (new) COMPL.

#5 Updated by Veronika Stemme 10 months ago

Veronika Stemme, National Board of Health and Welfare, Sweden, 2019-02-13
Sweden has evaluated all diagnosis codes that have COMPL 19C02 (or 19G02) ‘Psychosis’ and found that many of these diagnosis do not include that the patient has a psychosis and we therefore suggest, because of medical description, that they change COMPL (to a new COMPL). To decide though about COMPL or not for the diagnosis also economic analysis is needed and these analysis are ongoing now. Because the huge amount of data, due to many codes to be analysed, we will not finish this case before the deadline for cases this year, we aim for NordDRG 2021 instead. In the meantime Sweden does not want to implement the changes for the codes F72.9 and F73.9 as suggested by Norway.

#6 Updated by Kristiina Kahur 10 months ago

Finnish National DRG-Centre 2019-2-14

The use of F729 and F739 as secondary diagnosis in Finland is very modest. In 2017, there were only 31 cases which were distributed between 20 different DRGs. It does not allow us do conduct an adequate cost analysis to assess the impact of the proposed change by Norway.
Given that Sweden is working on this issue currently and the scope of the work is larger than those two codes, we would wait for the results and discuss it later.

#7 Updated by Anja Fagervold 10 months ago

Given that both these codes are included in a case Sweden are working on for 2021, we withdraw this case for 2020 and wait for Swedens analysis.

#8 Updated by Martti Virtanen 9 months ago

  • Status changed from Active to Rejected

2019-03-04 NCC (MV)
Case is withdrawn. May be reactivated next year.

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