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<div class="journal-details-container"> <h4> Task #944 has been updated by Kristiina Kahur. </h4> <div id="journal-4837-notes" class="note"><p><strong>Nordic Casemix Center/Kristiina Kahur 11-2-2025</strong></p><p>Current proposal concerns LGSA-codes which have PROCPR 13S03 <i>Laparoscopy or incisional tubal interruption</i>. It suggests to remove PROCPR 13S03 by replacing it with PROCPR 13S07 <i>Endoscopic tubal interruption</i> and make respective corrections in DRG names.</p><p>DRG 361N (O25N) <i>Gynecological laparoscopy or sterilization in laparatomy</i> is used only in SWE version. Respective DRG code in other versions is 361X (361) <i>Gynecological laparoscopy or sterilization in laparatomy</i>.</p><p>There are nine NCSP+ codes meant for female steriliz(s)ation, all start with LGSA (LGA in national versions):</p><p>LGSA00 Sterilisation by ligature of Fallopian tubes<br>LGSA10 Sterilisation by destruction or division of Fallopian tubes<br>LGSA11 Laparoscopic sterilisation by destruction or division of Fallopian tubes<br>LGSA20 Sterilisation by constriction of Fallopian tubes<br>LGSA21 Laparoscopic sterilisation by constriction of Fallopian tubes<br>LGSA22 Hysteroscopic sterilisation<br>LGSA96 Other female sterilisation<br>LGSA97 Other laparoscopic female sterilisation<br>LGSA98 Other transluminal endoscopic sterilisation</p><p>The codes have PROCPR 13S03 <i>Laparoscopy or incisional tubal interruption</i> or 13S07<i> Endoscopic tubal interruption</i> depending on the technique/type of surgery. <br>Endoscopy is a broader term that includes various procedures for examining or treating internal organs through natural openings or small incisions. Laparoscopy is a subset of endoscopy that specifically refers to procedures done in the abdominal or pelvic cavity using small incisions.</p><p>LGSA-codes with PROCPR 13S03 <i>Laparoscopy or incisional tubal interruption</i> are:<br>LGSA00 Sterilisation by ligature of Fallopian tubes<br>LGSA10 Sterilisation by destruction or division of Fallopian tubes<br>LGSA20 Sterilisation by constriction of Fallopian tubes<br>LGSA96 Other female sterilisation</p><p>In addition to LGSA-codes there are also other codes with PROCRP 13S03 <i>Laparoscopy or incisional tubal interruption</i>:<br>JADE01 Laparoscopic ultrasonography<br>JASH01 Laparoscopy<br>JASH02 Second look laparoscopy<br>JASH05 Laparoscopy with biopsy<br>JASH21 Staging laparoscopy<br>JASL01 Laparoscopic biopsy of peritoneum<br>JASL11 Laparoscopy and removal of foreign body<br>LASA01 Laparoscopic puncture of ovarian cyst<br>LBSA07 Salpingoscopy<br>LESA01 Culdoscopy</p><p>LGSA-codes with PROCPR 13S07<i> Endoscopic tubal interruptio</i>n are:<br>LGSA11 Laparoscopic sterilisation by destruction or division of Fallopian tubes<br>LGSA21 Laparoscopic sterilisation by constriction of Fallopian tubes<br>LGSA22 Hysteroscopic sterilisation<br>LGSA97 Other laparoscopic female sterilisation<br>LGSA98 Other transluminal endoscopic sterilisation<br>No other proc codes have PRCOPR 13S07.</p><p>From a clinical and clarity perspective, this change would be logical. However, a national-level cost analysis should be conducted (if possible) to support the proposed change.</p><p>FYI, there is no separate DRGs for female sterilisation in AR-DRG (Australia) and MS-DRG (USA) system. However, there is a DRG for male sterilization interventions in AR-DRG.</p><p> </p></div></div> <hr/> <p>There are two DRGs that include sterilization procedures that are quite similar:<br>O25N (361N) Gynecological laparoscopy or sterilization in laparotomy<br>O25O (361O) Gynecological laparoscopy or sterilization in laparotomy, short therapy<br>O27N (362X) Laparoscopic or other endoscopic sterilization<br>O27O (362O) Laparoscopic or other endoscopic sterilization, short therapy</p><p>We would like to refine them and move the sterilization-procedures to DRG O27N/O (362X/O).</p><p>Our suggestion is to change PROCPR from 13S03 to 13S07 on the following procedures:<br>LGA00 (LGSA00) Sterilisation by ligature of Fallopian tubes<br>LGA10 (LGSA10) Sterilisation by destruction or division of Fallopian tubes<br>LGA20 (LGSA20) Sterilisation by constriction of Fallopian tubes<br>LGA96 (LGSA96) Other female sterilisation</p><p>And change the DRG names to:<br>O25N (361N) Gynecological laparoscopy<br>O25O (361O) Gynecological laparoscopy, short therapy<br>O27N (362X) Sterilization<br>O27O (362O) Sterilization, short therapy</p>
