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<div class="journal-details-container"> <h4> Task #1002 has been updated by Kristiina Kahur. </h4> <div class="details"> <span><strong>Attachment</strong> <a title="Download file" target="_blank" href="https://nordcaseforum.easyredmine.com/attachments/7049/%231002_TC_NDMS_MBC_EST,NOR.xlsx?t=1774945422">#1002_TC_NDMS_MBC_EST,NOR.xlsx</a> added</span><br/> </div> <div id="journal-5386-notes" class="note"><p><strong>Nordic Casemix/Centre/Kristiina Kahur 31-3-2026</strong></p><p>This change was done in NDMS/MBC in Estonian and Norwegian version as follows:</p><ol> <li>NOR code LGA24* <i>Laparoskopisk sterilisasjon ved fjerning av tubene</i> was remapped from LBSD01 <i>Laparoscopic partial excision of Fallopian tube</i> to LGSA24 <i>Laparoscopic sterilization by removal of the fallopian tubes. </i> </li> <li>In NOR version LGA24/LGSA24 was given the PRCOPR as indicated in TCs</li> <li>In NOR and EST version changes of JASL21/24/97 PROCPRs were made as indicated in TCs</li> </ol><p>Summary of TCs are attached for information.</p><p>This case remains further active for Sweden to conduct an analysis.</p><p> </p><p> </p><p><i>*in TCs LAG24 was corrected to LGA24.</i></p></div></div> <hr/> <p>In some cases, female patients are referred for diagnostic laparoscopy, during which sterilization is performed at the same time. For example:</p><p><strong>Principal diagnosis:</strong></p><p>· N8090 – Endometriosis, unspecified</p><p><strong>Secondary diagnosis:</strong></p><p>· Z3020 – Sterilization</p><p><strong>Procedure codes:</strong></p><p>· JASL21 – Laparoscopic excision or destruction of lesion of the peritoneum</p><p>· <s>LBSD01 – Laparoscopic partial excision of the Fallopian tube </s> any LGSA-code.</p><p><strong>Grouping (depending on length of stay):</strong></p><p>· DRG 362X – Laparoscopic or other endoscopic sterilization</p><p>· DRG 362O – Laparoscopic or other endoscopic sterilization, short therapy</p><p> </p><p>In the Norwegian version (and other countries), there is a clear distinction between <i>DRG 361X – Gynecological laparoscopy or sterilization via laparotomy / 361O – Gynecological laparoscopy or sterilization via laparotomy, short therapy</i> and DRG 362X/362O, where DRG 361X/361O applies to laparoscopy and DRG 362X/362O applies to sterilization.</p><p>In the example presented above, the main reason for the patient’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.</p><p>We also have noted that certain relevant laparoscopy procedures should have the grouping property PROCPR<i> 13S03 – Laparoscopy or incisional tubal interruption</i>, but currently have PROCPR <i>13S08 – Other female reproductive system OR procedure</i>. We therefore propose changing the grouping property from 13S08 to 13S03 for the following procedures:</p><p>· JASL21 – Laparoscopic extirpation or destruction of lesion of the peritoneum</p><p>· JASL24 – Laparoscopic excision of local lesion of the pelvic wall</p><p>· JASL97 – Other laparoscopic local procedure of the peritoneum</p><p>This change would result in the example above grouping to DRG 361X/361O. See the attached TC.</p><p> </p><p>We would also like to discuss whether the names of DRG 361X/361O and DRG 362X/362O in the combined version should be revised to more clearly reflect this distinction. It appears that such a distinction already exists in a number of countries, based on the local DRG-names.</p><p> </p>
