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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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2023 DRG (LKF) model published in Austria

On September 22, 2022, the Austrian version of the DRG system (LKF) 2023 model with the relevant supplementary documents was published in Austria. The document "Changes and innovations in the 2023 LKF model" summarizes the most significant changes and innovations in the LKF model for inpatient and outpatient care. The newly added procedure codes mainly concern cardiovascular, extracorporeal treatments, and peripheral vascular fields.

For 2023, the main changes will include the addition of 34 new procedure codes (including five provisional codes), the introduction of seven procedure codes for billing in the day-case settings and one procedure code for billing in outpatient settings, and the addition of two new DRGs, update of cases flat rates, adjustments of the cases daily component calculation and re-evaluation of the length of stay indicators. The 2023 model will enter into force on January 1, 2023.

MTRC published examples of the newly introduced procedure codes and DRGs in mid-July 2022 after analyzing the draft version of the 2023 LKF model (link).

The full details in German can be found here.

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