BEGIN:VCALENDAR VERSION:2.0 PRODID:icalendar-ruby CALSCALE:GREGORIAN METHOD:PUBLISH X-MS-OLK-FORCEINSPECTOROPEN:FALSE BEGIN:VEVENT DTSTAMP:20260920T202001Z UID:1005@nordcaseforum.easyredmine.com DTSTART:20260325T000000 DTEND:20260325T000000 CLASS:PUBLIC CREATED:20260325T145058 DESCRIPTION:With a reference to #982\, it was decided in EG Spring meeting that we create a new case to allow countries to have a look and check the OR values of all ultrasound codes as they lack consistency - some have OR 1\, some OR 2 but most have OR 0. \; Text written by Sweden/Mats is c opied here: In the Swedish version of NordDRG\, the OR property 2 has a r ather low impact. Out of 4 576 rules in the table drg_logic there are only 120 rules with the letter P. Most of them (109 rules) are about endoscopy . However\, the OR value can be seen as a very rough estimate of resource consumption and then we have thought of a principal thinking:  \; \n Ultrasound procedures that require laparotomy\, laparoscopy\, thoracotomy\ , or incision of the skin could have OR 1. \; \n Ultrasound procedures that require endoscopy could have OR 2. \; \n Ultrasound procedures t hat are performed transcutaneous could have OR 0 (zero) except when needle biopsy is performed\, then OR 2 is probably more adequate. \; \n Wit h this principle in mind\, we tried the following six changes on our patie nt database for 2024: \; \n \nAF032 Intrakoronart ultraljud och doppl er (FNDE1B Intravascular ultrasonography of coronary arteries) from OR 2 t o OR 1. \; \n \nAP052 Intravasalt ultraljud (PXDE1B Endovascular ultra sonography) from OR 2 to OR 1 \; \n \nTKE20 Punktionsbiopsi av prostat a med MR-ultraljudsfusionsteknik\, transrektal (KEXX00 Prostate needle bio psy) from OR 0 to OR 2. \; \n \nTKE23 Punktionsbiopsi av prostata med MR-ultraljudsfusionsteknik\, transperineal (KEXX00 Prostate needle biopsy) from OR 0 to OR 2. \; \n \nXGX10 Intrapleural ultraljudsundersökning (GXDE00 Intrapleural ultrasonography) from OR 2 to OR 1. \; \n \nXPX3 0 Endovaskulärt ultraljud (PXDE1B Endovascular ultrasonography) from OR 2 to OR 1. \; \n The result was that we got a lot of cases in DRG Z60 ‘Annan sällsynt\, eller felaktig\, kombination av huvuddiagnos och åtg ärd’ (DRG 477 ‘Other rare or incorrect combination of principal diagn osis and procedure’) because of the change from OR 2 to OR 1 for FNDE1B\ , PXDE1B and GXDE00. \; The question then is whether these cases real ly are incorrectly primary coded or whether the grouping logic needs to be supplemented with new rules that lead to adequate descriptive DRGs. \ ;  \; Using this as a starting point\, all countries are kindly invi ted to share their thoughts on three principles Mats is suggesting when it comes to determining the OR value of ultrasound procedures and check the data if they support this. If not\, or if countries suggest different appr oach\, please share via this ticket.  \; The task type is currently set to ‘Development initiative.’ LAST-MODIFIED:20260909T074249 ORGANIZER:mailto:kristiina.kahur@nordcase.org PRIORITY:5 SEQUENCE:0 STATUS:CONFIRMED SUMMARY:Defining the principles for determining OR values for ultrasound pr ocedures URL;VALUE=URI:https://nordcaseforum.easyredmine.com/issues/1005 X-MICROSOFT-CDO-BUSYSTATUS:BUSY X-MICROSOFT-CDO-IMPORTANCE:1 X-MICROSOFT-DISALLOW-COUNTER:FALSE X-MS-OLK-AUTOFILLLOCATION:FALSE X-MS-OLK-AUTOSTARTCHECK:FALSE X-MS-OLK-CONFTYPE:0 END:VEVENT END:VCALENDAR