Medical actuality - the frequency and process of medical procedures, medical input into validation and coding of gynaecology

We have prepared a visual aid of the process of creating a medical performance in inpatient healthcare, given that 2 teams are involved in this process - the UN team and the CKS DRG team. For ease of grasp, the illustration describes the core competencies that the teams address within their respective agendas and which team you should refer to for each step of the health performance creation and update process. A simplified illustration can be found here.

Wondering how many and which health performances have been reported in inpatient healthcare? We have prepared an overview of the frequency of individual performances from the most recently received data - for the year 2022. An overview of the frequency of health performances from 2022 can be found here.

As the annual benefit submission deadline approaches, we have also finalized the medical inputs for this year's validations. The summary of medical inputs to the 2023 annual benefit validations is provided as a guide for SK-DRG users for internal annual benefit validations prior to submitting the annual benefit to the CKS DRG. If you identify an error, e.g., classifying a procedure as a surgical procedure when the procedure is not performed in operating rooms, please send the above finding to us immediately at cksdrg@health.gov.sk. For an overview of the medical inputs to the validations for the 2023 annual benefit, please click here.

There were 2 questions left unanswered from the gynecology coding workshop, which we are directing as follows in consultation with the experts and the workgroup:

• The administration of parenteral trivalent iron drugs during the hospitalization during which delivery was performed is not in itself a reason for a different management of labour, therefore, when these drugs are administered, unless other anomalies or complications occur, they are coded as principal diagnosis O80.-.
• The administration of oxytocin is coded with respect to the medical indication (diagnosis) for which it was administered with the appropriate diagnosis. For physiological delivery, it is coded as principal diagnosis O80.- in accordance with rule S1504H.