Case #235

Updated by Anonymous over 7 years ago

National ID: CPK ID 527
Initiated: 2013-11-13
Initiator: NPK, Sweden

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*Problem*

_The The Swedish National Board of Health and Welfare (SOS) makes own definition tables parallel to the process at the Nordic Casemix Centre (NCC) and the current problem was discovered during routine comparison between SWE2014CC-SOS-PR02 (SOS version) and SWE2014PR0F (NCC version) in the autumn 2013._ 2013.

Late in the updating process for NordDRG 2014 we noticed that PROCPR for ZZL00 (Free graft of amniotic membrane) had been changed in the Swedish NCC version for 2014 compared to the 2013 version. The PROCPR value 08S20 (Other musculosceletal system or connective tissue OR procedure) had been changed to 02S03 (Extraocular procedure but not procedure of the orbit). We did not introduce the change in the SOS version since it hadn’t been discussed or documented. Later Martti explained that amniotic membrane graft seems only to be used in eye surgery.

It is true that amniotic membrane is used mostly in eye surgery but it is also used in orthopedic and skin surgery
[[http://www.podiatrytoday.com/can-amniotic-membrane-graft-have-impact-lower-extremity-surgery]].

Thus it is OK to add 02S03 but 08S20 mustn’t be removed. In addition 09S01 should be added.

*Suggestion*

*NPK, Sweden – 2014-01-29*

For the procedure code ZZL00, the PROCPR value 08S20 is reinserted in the NCC version and PROCPR 02S03 is inserted in the SOS version. PROCPR 09S01 is inserted in both versions.

*Technical change*

As described above. The changes are also specified in +Suggestion CPK ID 527.xls+.

*Introduction*

NordDRG [year] [version]

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