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Task #995 has been updated by Kristiina Kahur. Nordic Casemix Centre/Kristiina Kahur 6-2-2025ICD-10 codes referring to "skin of XX" belong mostly to MDC09. The exemptions to this rule are the ICD-10 plus codes mentioned in the proposal: C4410 Malignant neoplasm of skin of eyelid, including canthus (used in all versions) C441A Basal cell carcinoma of skin of eyelid, including canthus (used in SWE and FIN version)C441B Squamous cell carcinoma of skin of eyelid, including canthus (used in SWE and FIN version)In addition, there are two codes belonging to MDC02 and used in all versions:D0410/D041 Carcinoma in situ of skin of eyelid, including canthusD2310/D231 Benign neoplasm of skin of eyelid, including canthusI would recommend to consider the change of MDC (and other grouping features) from 02 to 09 of codes D0410 and D2310 as well (if cost data support) to make it consistent among the dg codes concerning skin of certain anatomical area. We would like to change MDC on ICD code C44.1-Malignant neoplasm of skin of eyelid, including canthus from 2 to 9 so that it follows the logic of other C44.- codes. As it is today when grouped we can end up in DRG 037x-Orbital OR procedures (B09x), 041x-Strabismus surgery (B15x) and so on. There are small differences in cost, but mostly in favor of the skin-DRGs.
Nordic Casemix Centre/Kristiina Kahur 6-2-2025
ICD-10 codes referring to "skin of XX" belong mostly to MDC09. The exemptions to this rule are the ICD-10 plus codes mentioned in the proposal: C4410 Malignant neoplasm of skin of eyelid, including canthus (used in all versions) C441A Basal cell carcinoma of skin of eyelid, including canthus (used in SWE and FIN version)C441B Squamous cell carcinoma of skin of eyelid, including canthus (used in SWE and FIN version)In addition, there are two codes belonging to MDC02 and used in all versions:D0410/D041 Carcinoma in situ of skin of eyelid, including canthusD2310/D231 Benign neoplasm of skin of eyelid, including canthus
I would recommend to consider the change of MDC (and other grouping features) from 02 to 09 of codes D0410 and D2310 as well (if cost data support) to make it consistent among the dg codes concerning skin of certain anatomical area.
We would like to change MDC on ICD code C44.1-Malignant neoplasm of skin of eyelid, including canthus from 2 to 9 so that it follows the logic of other C44.- codes. As it is today when grouped we can end up in DRG 037x-Orbital OR procedures (B09x), 041x-Strabismus surgery (B15x) and so on.
There are small differences in cost, but mostly in favor of the skin-DRGs.