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Pravidlá kódovania - Podnet na opravu

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Organisation: FNsP Skalica a.s.

Created at: 13.03.2024

Processed at: 02.04.2026

Area

Coding rules and disputes

Subarea

Initiative for correction

Question

5q403.1 - endometrial destruction by thermoablation, procedure included in the JAS for overnight hospitalisation, the price of the procedure does not reflect the price of the single-use LINA librata device for thermoablation.

Answer

The CKS DRG team has recalculated the relative weights repeatedly since 2022. This is a calculation of the values of relative weights, lower and upper limits of treatment time and other parameters from the Catalogue of case lump sums, which is performed annually on the basis of data from Slovak inpatient health care providers who regularly submit the annual CKS DRG benefit each year. Thus, the price of that procedure has been recalculated repeatedly since the feedback was submitted and reflects the average cost to providers for that procedure. In addition to the above, the performance has also been included as an ASC performance in the CKS DRG, and the correct pricing of ASCs is regularly addressed by the CKS DRG team and we see a gradual increase in the pricing of ASC performances from 2025 onwards.