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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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The 2021 procedure coding system (NCMP-NCSP-NCRP) issued in Norway

18 Nov 2020

In early November 2020, the final version of the procedure coding system for 2021 was issued by the Norwegian Directorate for e-Health. The coding system consists of three parts: NCMP for medical procedures, NCSP for surgical, and NCRP for radiological procedures. The following documents are available:

  • All procedure codes 2020-2021
  • Changes in NCMP 2020-2021
  • Cumulative Changes in NCMP 2006-2021
  • Changes in NCSP 2020-2021
  • Cumulative Changes in NCSP 1999-2021
  • Changes in NCRP 2020-2021

The following changes were made in the surgical procedure coding system (NCSP):

  • Two new surgical procedure codes introduced for laparoscopy:
  • JCE31 “Laparoscopic surgery for oesophageal atresia or congenital tracheoesophageal fistula”
  • JGB21 “Laparoscopic partial recto-sigmoidectomy and abdominoperineal pull-through anastomosis”
  • Two new categories added for knee ligament procedures - for primary reconstruction and revision reconstruction, and 16 new codes added
  • New procedure code NAT27 “Posterior correction of the thoracolumbosacral column with ilium fixation, with an internal instrument”

Two new radiology procedure codes (NCRP) were introduced:

  • PJK40K “Marker insertion in the axillary lymph node, ultrasound-guided” - a new procedure for neoadjuvant treatment of breast cancer
  • SAC0AK “UL Neuromuscular ultrasound” for investigation and follow-up of neuromuscular disease

Nine new medical procedure codes added (NCMP):

  • AXDP05 “Video Head Impulse Test (vHIT)”

High speed video for measuring vestibular reflex during rapid head movements. Including interpretation of video recordings. Note: Introduced at the request of Helse Bergen

  • JAGD55 “Patient-administered peritoneal dialysis”
  • MAFX11 “Lactate measurement in the fetal scalp”
  • WO6100 “Preparation of a new (re) habilitation plan”
  • OCAA00 “Revision of (re) habilitation plan”
  • RXGD50 “Initiation of patient-administered hemodialysis”

Including: training in the use of medical technical equipment Note: There is already a corresponding start-up code for patient-administered peritoneal dialysis, and it is natural that there is also a corresponding start-up code for patient-administered hemodialysis

  • RXGD55 “Patient-administered hemodialysis”
  • WABA30 “Insulation due to radiation protection considerations”

Note: New code for isolation measures for use when the patient has been treated with radioactive medicine or has been exposed to radioactive exposure that may endanger the environment.

  • WMAA11 “Interdisciplinary assessment of known condition”. New code for reporting interdisciplinary assessment when the patient has a known diagnosis and is followed up interdisciplinary.

The coding guide is planned to be issued in December 2020.

See the full details here.

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