Preliminary 2023 Norwegian DRG system released

In October 2022, the Norwegian Directorate of Health published a preliminary version of the DRG system (Innsatsstyrt finansiering, ISF) for 2023. The following preliminary documents were published:

• DRG manual (ISF-regelverk);
• ISF basic regulations (Grunnlagsdokument ISF);
• Diagnosis-related groups (DRG) master list;
• Special Service Groups (Særtjenestegrupper, STG) master list. STGs cover specialist health services that take place in other than traditional inpatient and outpatient settings, as extended over a long period of time and so that the patient himself is more responsible for the administration of the treatment (e.g., patient-administered peritoneal dialysis or hemodialysis, telemedicine);
• Service Progress Groups (Tjenesteforløps grupper, TFG) master list. TFGs refer to "bundled payments," so it is an aggregated level above DRG and STG, providing financing of a patient treatment course with several stays and activities (e.g., dialysis treatment, insertion of hip prostheses);
• Grouping logic definition tables.

Eight new DRGs concerning endocrinology, surgical procedures, infection diseases, genetics, and the general area will be added in 2023.

More significant changes are proposed for the STG system, with the creation of 23 new codes related to digital home monitoring, collaborative activities, medical quality registers, and drug treatment.

Two new TFGs related to HIV treatment and ophthalmology will be introduced.

In 2023, to obtain DRG/STG/TFG tariffs for somatic care, cost-weights must be multiplied on a base tariff of 49,484 NOK.

See more information in Norwegian here.

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