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Task #995 has been updated by Kristiina Kahur. Nordic Casemix Centre/Kristiina Kahur 16-2-2026Countries considering this change should pay attention to eye procedures the above mentioned diagnosis codes can be related to. After the change of MDC02 -> MDC09 of dg codes, the proc codes which do not have MDC09 PROCRP in combination with those dg codes may end up in DRG 477/O. E.g. C441/C4410 in combination with CBSJ40 will be grouped to DRG 477.Countries are recommended to check eye procedures without MDC09 PROCPR (09S02 Plastic procedure or 09S07 Other skin, subcutaneous tissue or breast procedure are the mainly used ones) which can be performed in case the main dg is C441 (and D041 and D231) and consider adding PROCPR 09SXX to the eye procedures. 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 16-2-2026
Countries considering this change should pay attention to eye procedures the above mentioned diagnosis codes can be related to. After the change of MDC02 -> MDC09 of dg codes, the proc codes which do not have MDC09 PROCRP in combination with those dg codes may end up in DRG 477/O.
E.g. C441/C4410 in combination with CBSJ40 will be grouped to DRG 477.
Countries are recommended to check eye procedures without MDC09 PROCPR (09S02 Plastic procedure or 09S07 Other skin, subcutaneous tissue or breast procedure are the mainly used ones) which can be performed in case the main dg is C441 (and D041 and D231) and consider adding PROCPR 09SXX to the eye procedures.
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.