Case #697

Combined lung & liver transplantation

Added by Mats Fernström 7 months ago. Updated 6 months ago.

Status:Further activeStart date:2020-04-08
Priority:Error correctionSpent time:-
Assignee:Mats Fernström
Target version:NordDRG 2021
Initiator:Sweden Target year:2021
Case type:Error correction Owner / responsible:National organisations
MDC:GEN Old forum status:
Target Grouper:SWE


Mats Fernström, the National Board of Health and Welfare, Sweden 2020-04-08 (Swe ID C840)
We have recently realized that there are actually cases with combined lung & liver transplantation. With the present logic these cases are grouped to DRG 480/G01N 'Liver transplant' with the average cost 987 272 SEK instead of DRG 495/D01N 'Lung transplant' with the average cost 1 549 705 SEK. We regard this as an error that must be corrected already in the 2021 version of NordDRG. Therefor we will transfer the rule for DRG 495/D01N (ID 400D300300) upwards in the table Drglogic to a place just before the rule for DRG 480/G01N. Se the attached file TC_C840.xlsx.

TC_C840.xlsx (12.9 KB) Mats Fernström, 2020-04-08 13:02

2020-04-22_697_TC_from_NDMS.xlsx (11.1 KB) Kristiina Kahur, 2020-04-22 14:19


#1 Updated by Elina Hermiö 7 months ago

We checked our data and are supporting this error correction. Our data show that lung transplantation is ca 25% more expensive compared to liver transplantations and while performed during the same surgery, it makes clinically and also economically more sense to group those cases into DRG 495 instead of DRG 480.

#2 Updated by Martti Virtanen 6 months ago

  • Status changed from Active to Further active

2020-04-21 Martti Virtanen
This is an error correction and it has been performed in the new NDMS. Any future version of definition tables will include this change.
If any country does not accept the change, we need to find a solustion for that.
For this purpose the case remains open till expert group meeting 2021.

#3 Updated by Kristiina Kahur 6 months ago

Nordic Casemix Centre/Kristiina Kahur 22-4-2020

TC are attached to the ticket.

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