NordDRG update proposal template New Issue Tracker: Case Subject: ICD code F93.-, F94.-, F98.- too old for diagnosis Description: National ID: C456 Initiated: 2014-12-09 Initiator: Ralph Dahlgren ---------------------------------------------------------------------------------------------------------------Problem The initiator pointed out that a patient with a diagnos F93.-, F94.- och F98.- used for an adult will group to DRG Z76O / N Patienten är för gammal för diagnosen, in NordDRG both for daycare and incare patients ( Former DRG 477O/N Patient is too old for the diagnosis ). NPK at the Swedish National Board of Health and Welfare has asked KLT (Avdelningen för regler och behörighet, Klassifikationer och terminologi = Department of rules and permissions, Classifications and terminology ) who said that these codes could be used for adult. Analysis The Swedish National Board of Health and Welfare 2014-12-10 ICD codes that has PDGPRO 00P02 Child diagnosis are the ones involved in this problem. In NordDRG patients that is over> 6574 days groups to DRG Z76O / N Patienten är för gammal för diagnosen ( Former DRG 477O/N The patient is too old for the diagnosis, outpatient / in patient ) The following codes that has been questioned is listed below: F930 Separationsångest i barndomen F931 Fobisk ångest i barndomen F932 Social ångest i barndomen F933 Syskonrivalitet F938 Andra specificerade emotionella störningar i barndomen F939 Emotionell störning i barndomen, ospecificerad F941 Reaktiv störning i känslomässig bindning under barndomen F942 Distanslöshet hos barn F948 Andra specificerade störningar av social funktion hos barn F949 Störning av social funktion hos barn, ospecificerad R620 Försenat uppnående av förväntat kroppsligt utvecklingsstadium? F982 Matvägran hos spädbarn och barn F983 Picasyndrom hos spädbarn och barn R620 Försenat uppnående av förväntat kroppsligt utvecklingsstadium There are some more codes that has 00P02 but they cannot be used on adults due to the fact that the child dies from the diagnose or the diagnose will make the patient undergo surgery. Suggestion The Swedish National Board of Health and Welfare 2014-12-10 Suggests that the ICD-codes mentioned earlier that have PDGPRO 00P02 should have this property removed. Decided changes The Swedish National Board of Health and Welfare 2014-12-10 Introduction for Swedish NordDRG 2016 DRG change A few cases will be grouped from DRG Z76O/N to other relevant DRGs. Technical change The property PDGPRO 00P02 should be removed from ICD-10 codes F930, F931, F932, F933, F938, F939, F941, F942, F948, F949, F982, F983, R620. For technical changes se Excell-file “Decision, Technical changes, NPK C456” Status: Active Priority: Minor Assignee: Ralph Dahlgren Target version: Update proposal for NordDRG 2016 discussed at spring meeting 2015 Initiator: Sweden MDC: 19 Target grouper: 2016 Parent task: None Start date: [Sent to NordDRG Forum]: 2015-01-27 Target year: 2016 Owner / responsible: NPK at the Swedish National Board of Health and Welfare Files: Decision, Technical changes, NPK C456 Watchers: Everyone at the Expert group