There is only one key theme describing market access for medical technologies in Lithuania:
- Reimbursement: payment mechanism via the DRG system, add-on reimbursement
Hospital care is reimbursed via the DRG system.
DRGs are determined by the combination of a procedure code (List of surgical and medical procedures, an adjustment of the Australian ACHI classification) and a diagnosis code (ICD-10-AM). The procedure coding list and the DRG system are maintained by the Lithuanian Health Insurance Fund, but the possibilities for establishing new codes and DRGs are limited, as the entire system is adopted from Australia (AR-DRG system; in theory, every four years). DRG cost weights are updated annually.In addition, certain high cost devices (mostly implants) are reimbursed in addition to the DRG tariff.
The payment system is maintained by the Lithuanian Health Insurance Fund.
Specifics for IVD tests
In-vitro diagnostic tests provided in ambulatory settings are reimbursed on a fee-for-service basis via the List of specialist consultations, maintained by the Lithuanian Health Insurance Fund.
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