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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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2022 DRG (LKF) model published in Austria

In late September 2021, the Austrian version of the DRG system (LKF) 2022 model with the relevant supplementary documents was published in Austria. The document "Changes and innovations in the 2022 LKF model" (Änderungen und Neuerungen in den LKF-Modellen 2022) summarizes the most significant changes and innovations in the LKF model for inpatient and outpatient care. The newly added procedure codes concern mainly the cardiovascular, E-Health, and gastrointestinal area.

For 2022, the main changes comprise the addition of 66 new procedure codes (including two provisional codes), the introduction of eight new procedure codes for billing in the day-case settings and two procedure codes for billing in outpatient settings, the addition of ten new DRGs, update of cases flat rates, adjustments of the cases daily component calculation and re-evaluation of the length of stay indicators. The 2022 model will enter into force on January 1, 2022. MTRC published examples of the newly introduced procedure codes and DRGs in mid-June 2021, after analysing the draft version of the 2022 LKF model (link).

The full details in German can be found here.

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