Case #85

Task #11: Delivery of minor update proposals for NordDRG 2015

Problem with Cardioversion and anesthesia

Added by Anonymous almost 6 years ago. Updated almost 3 years ago.

Status:AcceptedStart date:2013-09-26
Priority:Error correctionSpent time:-
Assignee:Martti Virtanen
Category:-
Target version:Expert Group 2014
Initiator:Finland Target year:2015
Case type: Owner / responsible:Nordic Casemix Centre
MDC:MDC05 Old forum status:
Target Grouper:COMMON, DEN, EST, FIN, ICE, LAT, NOR

Description

Title: Error correction
CPK ID: 2013
Forum ID: If known (i.e. in reactivation of an old case)
Initiated (date):26.9.2013
Initiator: National DRG Centre in Finland / Kristiina Kahur, Minna-Liisa Sjöblom
Responsible at NPK: Kristiina Kahur, Minna-Liisa Sjöblom
Sent to NordDRG Forum (date): 26.9.2013
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Problem

Previously Cardioversion cases went to the DRG 120O, now we have noticed that in 2014 grouper they will go to DRG 950O.
This will cause big problems in hospitals, because it will change the payment basics.
The reason why this came out now is the change in anesthesia groups in 2014 grouper.
FPXX20 (TFP20) Cardioversion is only code, which have the property OR=0, other similar codes have property OR=2.

Suggestion

We suggest that the code FPXX20 OR=0 property will be changed to OR=2. This will remove the need to use anesthesia code with code FPXX20.

Comment 2013-10-23 Martti Virtanen:

This is a result of the change where anaesthesia codes lost their OR=1 property. The current rule 105D1950 demands at least OR=2 which FPXX20 does not have. The cardioversion can be a minor intervention and OR=0 is probably right. However with anaesthesia it should be assigned to DRG 120O. To achieve this we need a new rule after the current rule 105D1950 (for example 105D1951) which is a copy of current rule 105D1950 but OR is empty and dgprop1 is 00X10.

This is already done in Swedish version but it is missing in all other versions. (In the Swedish version the numbering is not standard, it should be corrected).

I suggest that this is corrected in all versions. Please note, that it will restore the previous DRG assignment, not cause any change.

If any of the countries wishes not to have this change, please inform us at the Nordic Centre as soon as possible. Otherwise the correction will be done in all versions.

Comment 2013-11-18 Fredrik A.S.R. Hanssen:

We do NOT want this change in 2014 for the Norwegian code:
FPGX24 Elektrokonvertering av hjertearytmi

A change to OR=2 would interfere with the logic of DRG 850A.

Comment 2013-11-26 Martti Virtanen:

The solution is not what was supposed by Finland, instead there will be a row with 00X10 and without OR=1 as Sweden already has it. The extra row will not be added to Norwegian version because of the problems with anesthesia coding. See #101 Case 2009-OR-01 Problems with DRG 530-541.

History

#1 Updated by Anonymous almost 6 years ago

  • Status changed from Active to Closed

#2 Updated by Anonymous almost 6 years ago

  • Status changed from Closed to Active

#3 Updated by Anonymous almost 6 years ago

  • Priority changed from Normal to 16

#4 Updated by Anonymous over 5 years ago

  • Subject changed from Problem with Cardioversion to Problem with Cardioversion and anesthesia
  • Target version set to Expert Group 2014
  • Old forum status set to ACTITEM - Active item
  • Owner / responsible Nordic Casemix Centre added
  • Target Grouper COMMON, DEN, EST, FIN, ICE, LAT, SWE added

#6 Updated by Anonymous over 5 years ago

  • Owner / responsible National organisations added

#7 Updated by Anonymous over 5 years ago

  • Old forum status deleted (ACTITEM - Active item)
  • Owner / responsible Nordic Casemix Centre added

#8 Updated by Anonymous over 5 years ago

  • Description updated (diff)
  • Assignee set to Martti Virtanen
  • Priority changed from Normal to Error correction
  • Start date changed from 2013-10-01 to 2013-09-26

#9 Updated by Anonymous over 5 years ago

  • Description updated (diff)

#10 Updated by Anonymous over 5 years ago

  • Case type deleted (Error correction)

#11 Updated by Anonymous over 5 years ago

  • Description updated (diff)
  • Parent task set to #11

#12 Updated by Anonymous over 5 years ago

  • Target year 2015 added
  • Target Grouper NOR added

#13 Updated by Anonymous over 5 years ago

Comment Expert Group 2014-03-25

Accepted by all and change for all national versions.

#14 Updated by Martti Virtanen over 5 years ago

2014-03-26 Martti Virtanen

Technical change

A new rule is added after the current rule 105D1950 (for example 105D1951) which is a copy of current rule 105D1950 but OR is empty and dgprop1 is 00X10. In NOR version no change is made and in SWE version the change has already been made

DRG change

Cardioversion in anaesthesia as outpatient (short therapy) is assigned to DRG 120O (E39O) ‘Other circulatory system o. r. procedures, short therapy’ instead of conservative outpatient DRG’s.

These changes have already been introduced in 2014 version

#15 Updated by Ralph Dahlgren over 5 years ago

The ord number in SWE files fore the planed new rule is 105D19501 and not like the suggestion made by Martti.
MVH Ralph D

#16 Updated by Martti Virtanen over 5 years ago

Martti Virtanen 2014-04-15
The ORD numbering in SWE in now nonstandard and should be changed. An ORD-code that is part of the other (105D1950 is part of 105D19501) has an inherent risk of causing errors.
Either the current 105D1950 must be renamed to 105D19500 or 105D19501 must be 105D1951. Both are OK.

#17 Updated by Anonymous over 4 years ago

  • Status changed from Active to Further active

#18 Updated by Anonymous almost 3 years ago

  • Status changed from Further active to Accepted

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