Case #125

Updated by Anonymous about 5 years ago

CPK ID: 483
Initiated: 2012-12-06
By: The Swedish Society of Hypertension, Stroke and Vascular Medicine / NPK: MF
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*Problem*

The Swedish Society of Hypertension, Stroke and Vascular Medicine has by professor Thomas Kahan from cardiac department at Danderyds hospital asked for a new DRG for percutaneous transluminal renal denervation or that the intervetion would be assigned to an existing DRG that corresponds to its cost. In Sweden were during 2012 about 75 cases and the number is expected to increase. The mean cost has been round 79 000 SEK in Danderyd hospital.

A new code has been established in Sweden: ADA40 ‘Renal sympathetic endovascular denervation’ (ADXD00).

Tabel: Activity in Sweden 2012.

!MDC11-01.jpg!

Swedish DRG medically related to the intervention.

!MDC11-02.jpg!

Based on this evaluation DRG E16N (112A) is best. Name is no problem.

*Technical change*

To be assigned to E16N (112A) the ADA40 needs to have property PROCPR = 05S16. OR-property is not needed.

*DRG change*

Cases with ADA40 (ADXD00) with principal dx from MDC 05 will be assigned to DRG E16N (112A).

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