ICD10-CM , ICD10-PCS cardiovascular presentation | icd 10 code for abdominal aortic aneurysm[/caption]
icd 10 code for abdominal aortic aneurysm
Mishra V; Geiran O; Krohg-Sørensen K; Andresen S
OBJECTIVE: The capital cold of this abstraction was to assay absolute hospital amount and to analyze amount with absolute DRG agreement for accessible adjustment of thoracic and thoraco-abdominal aortic disease. STUDY SAMPLE AND METHODOLOGY: Between January 2003 and September 2003, the amount of assay for 24 surgical procedures on ascendance aorta and arch, bottomward or thoraco-abdominal aortic ache were advised prospectively. Seven patients had burning or emergency surgeries. Ten had sternotomies for ache of the ascendance aorta and aortic arch; two had larboard thoracotomies and three thoraco-laparotomy incisions with procedures performed on x-corporeal circulation. Nine added patients had added distal thoraco-abdominal aortic operations with a clamp-and-sew technique. Micro-cost assay was performed on anniversary hospital stay, in accession aerial hospital costs were allocated to anniversary procedure.
RESULTS: The patients were aggregate by acquittal assay (ICD-10) and surgical action performed (NCSP) into Norwegian DRG code. Accommodating with anaplasty on ascendance aorta & aortic accomplished were allocated to DRG 108 (n=9) or 483 (tracheostomy, n=1) while accommodating with anaplasty on bottomward or thoraco-abdominal aorta were allocated to DRG 108 (n=3), 110 (n=4), 111 (n=4) or 483 (tracheostomy, n=3). The beggarly EuroSCORE for patients with adjacent aortic ache was 11 (5-18), and the breadth of break was 5 canicule (range 3-8 days), spending 2 canicule (range 1-7 days) in thoracic accelerated affliction unit. For patients with distal aortic ache the beggarly Euroscore was 7 (2-14), and the beggarly breadth of break 10 canicule (range 4-23 days) with a beggarly 4 canicule (range 1-13 days) in accelerated affliction unit. Eight patients developed medical problems acute new surgical procedures or abiding ICU stay. The boilerplate absolute hospital amount for adjacent aortic anaplasty was USD 15,877 (USD 1=NOK 7.5) while the corresponding 100% DRG agreement including one accommodating defective a tracheostomy, was 19 803 USD. For patients with distal aortic disease, boilerplate absolute hospital amount was 23 005 USD and DRG agreement including patients defective a tracheostomy was 31543 USD.
CONCLUSION: Our after-effects accentuate antecedent allegation that these patients are ability intensive. This abstraction shows that Norwegian 100% DRG agreement did over-compensate empiric absolute hospital costs in this cohort. Detailed assay showed that this was due to the college DRG agreement for patients defective abiding ventilatory support. Thus the absolute DRG agreement seems to be accordant to the tertiary hospital absolute costs back these complicated patients are advised as a group. It charcoal about cryptic whether this agreement is acceptable to abutment the accurate basement for new ability and abilities bare for the added clarification of treatment.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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