Belgian INAMI has published updates for the List of reimbursable implants and medical devices in August

31

Aug 2017

New material codes for spinal distraction system and platinum surgical sealant for contact with lung tissue were added to the List of reimbursable devices of the Belgian National Institute for Health and Disability Insurance (INAMI-RIZIV) in August. Codes for application of intramedullary nails were changed, and conditions of reimbursement for valvulotomy and percutaneous closure of the left atrial appendage were amended.

New procedure codes and related conditions of reimbursement have been implemented for the following devices:

Spinal distraction system

  • Devices will be reimbursed via generic tariff under condition of registration in the  Nominative lists 36601 and 36602
  • The following procedure codes have been implemented:
    • 182210 – 182221 “Extendable magnetic rod for bracing to the spine by screws, hooks and/or connectors” with the tariff of €12,000;
    • 182232 – 182243 “Replacement extendable magnetic rod for bracing to the spine by screws, hooks and/or connectors” with the tariff of €12,000;
    • 182254 –  182265 “Extendable magnetic rod for bracing to the spine by screws, hooks and/or connectors, in case of early replacement” with the tariff of €12,000;
    • 182276 – 182280 “Additional magnetic rod for bracing to the spine by screws, hooks and/or connectors” with the tariff of €6,000;
    • 182291 – 182302 “Replacement extendable magnetic rod for bracing to the spine by screws, hooks and/or connectors” with the tariff of €6,000;
    • 182313 – 182324 “Replacement extendable magnetic rod for bracing to the spine by screws, hooks and/or connectors, in case of early replacement” with the tariff of €6,000.
  • There are specific conditions of reimbursement of these technologies, provided in paragraphs L-§30 of the List of reimbursable implants and medical devices.

Surgical adhesive for internal use specifically intended for use in contact with lung tissue

  • Devices will be reimbursed via generic tariff under condition of registration in the Nominative list 32904;
  • The following material codes have been implemented:
    • 182195 – 182206 “Surgical adhesive for internal use specifically intended for use in contact with lung tissue (by intervention)” with the tariff of €518,53 (€285,19 or 55% is reimbursed by patient);
  • There are specific conditions of reimbursement of these technologies, provided in paragraph K-§01 of the List of reimbursable implants and medical devices.

INAMI has modified procedure code 167974 - 167985 “Nail assembled centromedullary telescopic (which stretches as the bone grows)” with the tariff of €3,498. Devices will be reimbursed via generic tariff and under the condition of registration in the Nominative list 36701.

Conditions of reimbursement have been modified for the following procedures:

  • Valvulotomy in paragraph G-§08 of the List of reimbursable implants and medical devices;
  • Percutaneous closure of the left atrial appendage in paragraph F-§23 of the List of reimbursable implants and medical devices.

See the updated version of the List in French and Dutch here.

Subscribe to our newsletter delivered every second week not to miss important reimbursement information.

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Jul 2017

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Jul 2017

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Jul 2017

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Jun 2017

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Jun 2017

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Jun 2017

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Jun 2017

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Jun 2017

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30

May 2017

AETSA aimed to establish recommendations for clinical practice on hip arthroplasty in patients with osteoarthritis through a systematic appraisal of evidence. High-level recommendations for hip arthroplasty and selection of type of implants were made.

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24

May 2017

In 2016, the Federal Joint Committee (G-BA) commissioned the Institute for Quality and Efficiency in Health Care (IQWiG) to perform evaluation of controlled active motion (CAM) in patients with rupture of the anterior cruciate ligament. The final report of assessment was published on May of 2017. No definite conclusion can be made in relation to comparative efficacy and safety of studied technologies due to lack of evidence.

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22

May 2017

Belgian Health Care Knowledge Center has released new clinical guidelines for evaluation and management of low back pain without serious underlying cause and radicular pain (including neurogenic claudication). It has number of implications for medical procedures, including transcutaneous electrical nerve stimulation, radiofrequency denervation, disk replacement, spine fusion and other.

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18

May 2017

Guidelines focused on treatment for recurrent and metastatic cancer, neoadjuvant treatment and the most optimal diagnostic strategy.

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17

May 2017

At the meeting of 18th of April National Commission for Evaluation of Medical Devices and Health Technologies made decisions about add-on reimbursement of 17 medical devices. Ten decisions have been released to date for orthopedic, osteointegrated processing, cardiac and intravascular devices.

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16

May 2017

Changes will be made in nine chapters of Nomenclature. In relation to medical technologies and in-vitro diagnostics, the most important changes include changes in conditions for two ophthalmology and endoscopy codes, new conditions for reimbursement of photodynamic therapy in dermatology, introduction of two new codes for IVDs, and creating of requirements for reimbursement of number of IVD tests in pregnancy.

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15

May 2017

From November 1, 2017, patients practicing urinary self-drilling at home will enjoy better reimbursement conditions.

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10

May 2017

This post presents an extract from our reimbursement analysis for angioplasty of arteries of lower extremities with stenting using bare metal and drug-eluting stents for peripheral arterial disease in England, France and Germany. Procedure is reimbursed via combination of diagnosis-related group (DRG) and add-on reimbursement in England and France and solely via DRG in Germany.

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09

May 2017

A group of researchers from Belgium Health Care Knowledge Center (KCE) published an article about current state and development of organization and financing of urgent care in Belgium, including emergency departments, GP offices and telephone support.

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09

May 2017

National Commission for the Evaluation of Medical Devices and Health Technologies (CNEDiMTS) positively appraised Verrata and Verrate Plus guidewires for add-on reimbursement via LPPR title V. Level of added clinical value was considered moderate (ASA III) in comparison with management strategy, based solely on angiography data. This decision complements decision early this year in relation to St. Jude Medical’s (now Abbott) PressureWire FFR wires.

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08

May 2017

Ministerial decree to enlist Medtronic's IN.PACT Admiral for the LPPR title V for add-on reimbursement was published on 6th of May 2017 in the Official Journal of French Republic. This is not only the first peripheral DCB on the List, but one of the first invasive non-implantable devices to get add-on reimbursement in France.

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05

May 2017

A new decree changed reimbursement approach for critical care in France. Before, it was reimbursed via daily supplements on top of base DRG tariff. New model introduces a mixed payment system with daily supplements and additional annual flat-rate fee, which depends on the size of the intensive care unit and activity in the previous year.

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04

May 2017

Check out reimbursement summary for the most established transcatheter mitral valve repair procedure in England, France and Germany. Reimbursement is established in Germany and France (for one indication). It is in process to be established in England and in France (for other indications).

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01

May 2017

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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26

Apr 2017

KCE issued a report, in which it reviewed provision of day surgery in Belgium, incentives for provision of day surgery in France and England and developed recommendations for incentive policy for day surgery in Belgium to policy-makers.

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24

Apr 2017

In Belgium, number of procedures and devices can only be reimbursed for the hospitals, that meet certain requirements. INAMI has released a new lists of hospitals eligible for reimbursement for a number of procedures and devices in cardiovascular, neuromodulation, urology and orthopedics areas.

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20

Apr 2017

Belgian Health Care Knowledge Center (KCE) has issued report about organizational framework and evidence base for major trauma. Analysis is focused on Belgium, although organizational systems in England, Germany and the Netherlands were reviewed as well.

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19

Apr 2017

The French National Authority for Health (HAS) has released report about evaluation of cardiac defibrillation probes and proposed updated nomenclature.

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17

Apr 2017

Belgian Health Care Knowledge Center issued information about ongoing and planned health technology assessments of medical technologies and IVD tests. They include external cardiac defibrillators, bariatric surgery, OncoType for breast cancer, peripheral drug eluting balloons and others.

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