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DTSTAMP:20260625T130741Z
UID:1002@nordcaseforum.easyredmine.com
DTSTART:20260225T000000
DTEND:20260225T000000
CLASS:PUBLIC
CREATED:20260225T145015
DESCRIPTION:In some cases\, female patients are referred for diagnostic lap
 aroscopy\, during which sterilization is performed at the same time. For e
 xample:  Principal diagnosis:  ·&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\
 ;&nbsp\;&nbsp\; N8090 – Endometriosis\, unspecified  Secondary diagnosis
 :  ·&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\; Z3020 – St
 erilization  Procedure codes:  ·&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\
 ;&nbsp\;&nbsp\; JASL21 – Laparoscopic excision or destruction of lesion 
 of the peritoneum  ·&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbs
 p\; LBSD01 – Laparoscopic partial excision of the Fallopian tube&nbsp\; 
 &nbsp\;any LGSA-code.  Grouping (depending on length of stay):  ·&nbsp\;&
 nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\; DRG 362X – Laparoscopic
  or other endoscopic sterilization  ·&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&
 nbsp\;&nbsp\;&nbsp\; DRG 362O – Laparoscopic or other endoscopic sterili
 zation\, short therapy  &nbsp\;  In the Norwegian version (and other count
 ries)\, there is a clear distinction between DRG 361X – Gynecological la
 paroscopy or sterilization via laparotomy / 361O – Gynecological laparos
 copy or sterilization via laparotomy\, short therapy and DRG 362X/362O\, w
 here DRG 361X/361O applies to laparoscopy and DRG 362X/362O applies to ste
 rilization.  In the example presented above\, the main reason for the pati
 ent’s contact with the healthcare service is diagnostic laparoscopy. We 
 therefore believe that the stay should group to DRG 361X/361O not DRG 362X
 /362O.  We also have noted that certain relevant laparoscopy procedures sh
 ould have the grouping property PROCPR 13S03 – Laparoscopy or incisional
  tubal interruption\, but currently have PROCPR 13S08 – Other female rep
 roductive system OR procedure. We therefore propose changing the grouping 
 property from 13S08 to 13S03 for the following procedures:  ·&nbsp\;&nbsp
 \;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\; JASL21 – Laparoscopic extir
 pation or destruction of lesion of the peritoneum  ·&nbsp\;&nbsp\;&nbsp\;
 &nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\; JASL24 – Laparoscopic excision of lo
 cal lesion of the pelvic wall  ·&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\;&nbsp\
 ;&nbsp\;&nbsp\; JASL97 – Other laparoscopic local procedure of the perit
 oneum  This change would result in the example above grouping to DRG 361X/
 361O. See the attached TC.  &nbsp\;  We would also like to discuss whether
  the names of DRG 361X/361O and DRG 362X/362O in the combined version shou
 ld be revised to more clearly reflect this distinction. It appears that su
 ch a distinction already exists in a number of countries\, based on the lo
 cal DRG-names.  &nbsp\;
LAST-MODIFIED:20260331T082345
ORGANIZER:mailto:Vegard.Kvilesjo@helsedir.no
PRIORITY:5
SEQUENCE:0
STATUS:CONFIRMED
SUMMARY:Sterilization and laparoscopy
URL;VALUE=URI:https://nordcaseforum.easyredmine.com/issues/1002
ATTENDEE;CN=Vegard Kvilesjø:mailto:Vegard.Kvilesjo@helsedir.no
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