Pediatric

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Pediatric
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Problem?

• RW a Charge
• High RW New born, Oncology
• ?????????????????????????????????????????
• ???????????
• ???????????
• Diagnosis
• Operation

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Criteria for MDC 15

• Medical DRG
• Major CC diagnosis
• Other CC diagnosis

• Age lt 28 days or
• PDx as
• P codes
• Z38 Liveborn infants according to place of birth
• A33 Tetanus neonatorum
• Q codes (some codes)
• Admission weight
• Specific SDx / Proc for DRG grouping

• Surgical DRG
• Significant procedure
• Minor procedure

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DRG Relative Weight Newborn

• Medical DRG
• Major CC diagnosis
• Other CC diagnosis

• Surgical DRG
• Significant procedure
• Minor procedure

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• ??????????????????????????????????????????????????
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• ???? P00 P04 ???????????????????????????????????
  ???????????? ????????????????????????? morbidity
  ??? ?????????????????????? ?????????????????????
  ??????????????????????????

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Preterm

• ??????????? Birth weight
• ??????? Case refer ?????? Admission weight
• ?????????????????????????????? ???????????????????
  ??????????????
• ??????? Procedure ???????????? DRG

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DRG Relative Weight Newborn

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Birth Asphyxia

• ??????????? asphyxia/respiratory problem
• ?????????? Apgar score ??? 1 ????????????

• ??? Apgar score ??? 1 ???? 0 3 ???????
  
• P21.0 Severe birth asphyxia

• ??? Apgar score ??? 1 ???? 4 7 ???????
  
• P21.1 Mild and moderate birth asphyxia

• ????????????????????? birth asphyxia
  ???????????? Apgar score ??? 1 ???? ???????
  
• P21.9 Birth asphyxia, unspecified

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Injury Birth Trauma?
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Detail
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P14.0 Erb's paralysis
P14.1 Klumpke's paralysis
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Minor procedures for newborns
MDC 15
0102 Ventriculopuncture through
catheter 0109 Other cranial puncture 0331
Spinal tap 247 Apply orthodontic
appliance 3401 Incision of chest wall 3404
Insertion of ICD 3491 Thoracentesis 3891
Arterial catheterization 3892 Umbilical vein
cath 3893 Venous catheterization
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Minor procedures for newborns
MDC 15
3894 Venous cutdown 5491 Paracentesis 5751
Excision of urachus 8871 Diag US of head
neck 8872 Diag US of heart 9390 CPAP 9671 Cont
mech vent lt 96 hrs 9901 Exchange
transfusion 9960 CPR 9962 Other electric
countershock of heart
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Pitfall

• Disease?/normal newborn
• Birth trauma/trauma
• Procedure

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