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