Chýbajúci číselník laterality diagnóz

Organisation: Penta Hospitals SK

Created at: 27.02.2026

Processed at: 02.04.2026

Question

Health insurers have set strict controls on the laterality of dignos. Unfortunately their controls are not always aligned.

For the purpose of unambiguous control, we request the publication of the diagnosis codebook in such a way that the prohibition to mention laterality and the obligation to mention laterality are clearly defined.

Setting up automated controls, reducing error rates.

Answer

Due to recurrent disputes in the determination of laterality of diagnoses and medical procedures, the CKS DRG proceeded to determine the initial draft of the need for coding laterality of entire codes of diagnoses and medical procedures. That proposal is currently being commented on by the Medical Analysis Working Group and will be published by the CKS DRG once the final settings have been determined, and you will be notified of its publication via the CKS DRG Update. It is agreed that the determination of the laterality coding obligation from 2027 onwards will be part of the ZZV and MKCH codes, where their settings will be subject to regular updates based on feedback from users of the classification system.