Mapping of Oxygenation related ICD Proc codes

[nzvyagina (Nadya Zvyagina)]

Hi all,

We’ve got a complaint to multiple mapping again. The codes 93.90, 39.65 are now mapped to two concepts - a procedure and Oxygen drug.
As a result the related costs get doubled in this case, as usual.

It is clear that there is no good solution for this right now.

But let’s agree upon the solution for this particular case.

Option 1: Create a record in Cost table for the procedure only. No cost record for Oxygen.
Option 2: Do not create cost records for such codes at all.

Any other ideas? @Dymshyts, @Christian_Reich, @Alexdavv

Thanks!

[Vojtech_Huser (Vojtech (Vojta) Huser)]

intro:
the billing code 93.90 link Athena

mapping (proc and drug)

Your option 1 seems “lesser evil”.

I think the cost of the procedures “includes” the material costs (oxygen in this case).

[Dymshyts (Dmytry Dymshyts)]

@nzvyagina

Option 1: Create a record in Cost table for the procedure only. No cost record for Oxygen.

Agree with this option as well.
@aostropolets is it worth a Themis rule - “When procedure is mapped to Procedure and Drug, then we fill the cost only for Procedure”?

[aostropolets (Anna Ostropolets)]

@Dymshyts, @nzvyagina Should I even mention that I advocate for creating pseudo-visits for such cases? They will inevitably happen here or there in different domains and for different cases. I know that such adjustment requires changes to ETL, but so do disparate solutions to the same problem.

[Dymshyts (Dmytry Dymshyts)]

@aostropolets
Is there more detailed post about these pseudovisits?

[Christian_Reich]

@nzvyagina

Option 1:

Makes sense.

@Dymshyts

Themis rule - “When procedure is mapped to Procedure and Drug, then we fill the cost only for Procedure”?

Definitely, except it should be just a rule for the Cost table.

@aostropolets

creating pseudo-visits for such cases

Why do we need those?