Changes about day surgery reimbursement in Norway in 2019

Changes in the funding of day surgery have started in 2018 and will continue in 2019. The changes in 2018 were related mainly to the day surgery volume. The cost weights on selected DRGs (with short stays) were set equal to the cost weight of hospital DRGs.

Since 2019, the scheme will be extended to include benign gynecological interventions. Thus, DRGs 359 and 359O “Operations on the uterus / adnexa in benign disease” will have the same cost weight in 2019.

The following day surgery DRGs will have the same cost weight as hospital DRGs in 2019:

• 6O “Carpal tunnel syndrome surgery, day surgical treatment” (MDC 1)
• 39P “Bilateral lens operations, day surgery” (MDC 2)
• 39Q “Unilateral lens operations, day surgery” (MDC 2)
• 54O “Surgical operations, day surgery” (MDC 3)
• 56O “Plastic operations on the nose, day surgery” (MDC 3)
• 60O “Surgery on tonsils or adenoid tissue> 17 years, day surgery” (MDC 3)
• 521O “Operational correction of obstructive sleep apnea syndrome (OSAS), day surgery” (MDC 3)
• 51O “Surgical surgery on salivary glands, excluding removal of salivary glands, day surgery” (MDC 3)
• 119O “Interventions for varicose veins, day surgery” (MDC 5)
• 162O “Inguinal and femoral hernia surgery" (MDC 6)
• 158O “Single intestine and up on anus and presented intestine, day surgery” (MDC 6)
• 160O “Hernia surgery excluding inguinal and femoral, day surgery” (MDC 6)
• 167O “Appendectomy, day surgery” (MDC 6)
• 494O “Endoscopic or laparoscopic cholecystectomy gallbladder explant, day surgery” (MDC 7)
• 215O “Operations on the column excluding spondylodesis, day surgery” (MDC 8)
• 222O “Other surgery on the knee or leg, day surgery” (MDC 8)
• 230O “Local excision and removal of osteosynthesis from hip / femur, day surgery” (MDC 8)
• 231O “Local excision and removal of osteosynthesis material excluding hip and femur, day surgical treatment” (MDC 8)
• 224P “Operation on humerus / elbow / forearm excluding shoulder prosthesis, day surgery” (MDC 8)
• 224Q “Operation on humerus / elbow / forearm excluding shoulder prosthesis and up fracture treatment, day surgery” (MDC 8)
• 266O “Skin transplants and / or revisions, excluding wounds / cellulite, day surgery” (MDC 9)
• 267O “Perianal Interventions and operations for sacral cyst, day surgery” (MDC 9)
• 288O “Gastrointestinal surgeries for obesity, day surgery” (MDC 10)
• 288P “Other operations for adiposity, day surgery” (MDC 10)
• 311O “Transurethral operations excluding prostate, day surgery” (MDC 11)
• 309O “Minor urinary bladder surgery NEC, day surgery” (MDC 11)
• 314O “Surgery on urethra, day surgery” (MDC 11)
• 340O “Scrotal content for benign illness, day-care treatment” (MDC 12)
• 343O “Circumcision, day surgery” (MDC 12)
• 337O “Transurethral prostatectomy, day surgery” (MDC 12)
• 356O “Reconstructive gynecological interventions, day surgery” (MDC 13)
• 362O “Sterilization via laparoscopy or other endoscopic sterilization, day surgery” (MDC 13)
• 359O “Operation on uterus / adnexa in benign disease in ovarian / adnexa, day surgery” (MDC 13)
• 381O “Abortion, day surgery” (MDC 14)
• 364O “Scraping and tapering, day surgery” (MDC 14)
• 260O “Subtotal mastectomy for malignant tumor, day surgery” (MDC 30)
• 261O “Mamma operation in benign disease excluding biopsy / local excision, day surgery” (MDC 30)
• 262O “Mamma biopsy and local exercise in benign diseases, day surgery” (MDC 30)

See full details here.

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