Case #399

Updated by Martti Virtanen almost 5 years ago

We would like partially open the case 92 (see http://documents.norddrg.net/issues/92) concerning the grouping rules of abortion. However, the proposal concerns only DRG 814P (Spontaneous or drug induced abortion), the other proposal remain closed as decided on 18th of March 2014.

The current grouping rules in Finnish 2015 version for DRG 814P are based on DRGPROP 14X31 (Abortion), which has been given to 51 diagnosis codes and six procedure codes. Among the latter is also the code LCH11 (in NCSP+ LCHX12 Peroral introduction of abortifacient).

The cost analysis shows that the mean cost of cases within DRG 814P with proc code LCH11 is ca two times more expensive compared to the rest of cases within DRG 814P without proc code LCH11.
V% of new group would be 35.5%. See more precise results below or in Appendix 1.
!LCH11_cost_analysis.jpg!


Suggestion:
Split the current DRG 814P into two:
1) cases with dx property 14X31 (Abortion) with NCSP LCH11
2)cases with dx property 14X31 (Abortion) without NCSP LCH11
The name of new DRG would be “Drug induced abortion”
The name of existing DRG 814P has to be revised and would be “Spontaneous abortion”

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