Het volume van chirurgische ingrepen en de impact ervan op ... - KCE

130 Volume Outcome KCE reports 113
2. CEA:
The ICD-9-CM procedure codes for CEA (3812, 3832, 3842) can also be
used for jugular veins, while the NIHDI code can be used to invoice
endarterectomies of the vertebral arteries. In addition, this NIHDI code is
sometimes applied for the invoicing of CAS. Therefore, the procedure codes
need to be associated with the above mentioned diagnostic codes, and the
CAS cases have to be excluded.
→ algorithm: principal diagnostic 433.10 OR 433.11
NOT CAS
AND NIHDI procedure 235082 OR ICD-9-CM procedure code 3812,
3832, 3842
A total of 3 368 stays are thus selected with these algorithms (after exclusions of 4
stays not classified in the MDC 01 Diseases and Disorders of the nervous system).
Results of procedure definition for CEA/CAS: 3 368 stays selected, of which:
- Carotid Stenting (CAS): 508 stays (15%)
- Carotid Endarterectomy (CEA): 2 860 stays (85%)
Virtually all (98%) of the selected stays are in the APR-DRG 024 “Extracranial vascular
procedures” (Table 6.3).
Table 6.3: CEA/CAS: All APR-DRG of selected stays
APR-DRG Number Percent
024-EXTRACRANIAL VASCULAR PROCEDURES / 1 – P 3 294 97.80
021-CRANIOTOMY EXCEPT FOR TRAUMA / 1 – P 46 1.37
026-NERVOUS SYST PROC FOR CRANIAL NERV & OTH NERV SYS
DISORD / 1 – P
10 0.30
046-NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT / 1
– M
9 0.27
950-EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS / 0
– P
5 0.15
952-NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL 2 0.06
DIAGNOSIS / 0 – P
023-SPINAL PROCEDURES / 1 – P 1 0.03
045-CVA W INFARCT / 1 – M 1 0.03