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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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Belgian INAMI/RIZIV updated the List of reimbursable implants and medical devices

New material codes for extraction catheters were added to the List of reimbursable devices of the Belgian National Institute for Health and Disability Insurance (INAMI-RIZIV) in September 2019.

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

  • Devices will be reimbursed with a generic tariff, without registration on the nominative list
  • The following material codes have been applied:
  • 174333 - 174344 “One or more extraction catheters with a distal outer diameter greater than or equal to 4 used during delivery 589816-589820 (Percutaneous extraction of a free intravascular or intracardiac foreign body, excluding pharmaceuticals and contrast media, catheter extraction and disposable material) of the nomenclature” with the tariff of €394;
  • 174355 - 174366 “One or more extraction catheters with a distal outer diameter of less than 4 used during delivery 589816-589820 (Percutaneous extraction of a free intravascular or intracardiac foreign body, excluding pharmaceuticals and contrast media, catheter extraction and disposable material) of the nomenclature” with the tariff of €791.
  • There are specific conditions of reimbursement for these technologies, provided in paragraphs G-§11 of the List of reimbursable implants and medical devices.

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

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