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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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Changes in the Danish Health Care Classification System in January 2022

In mid-December 2021, the Danish Health Data Agency (Sundhedsstyrelsen) published the Health Care Classification System (Sundheds-væsenets Klassifikations System, SKS). The most significant changes include: 41 new diagnosis codes and 21 procedure codes were added. The newly added procedure codes concern mainly spine area and orthopedic procedures. The examples of the most significant changes are provided below. Some newly added codes in the orthopedics field include:

  • KNCM39 Excision of synovial cyst in elbow/forearm;
  • KNDM39B Excision of synovial cyst in hand;
  • KNGM39 Excision of synovial cyst in knee/lower leg;
  • KNHM39B Excision of synovial cyst in the foot.

Examples of newly introduced codes for the interventions on the spine:

  • KNAM39C Excision of synovial cyst in the cervical spine;
  • KNAM39D Excision of synovial cyst in thoracic spine;
  • KNAM39E Excision of synovial cyst in the lumbar spine.

The Danish Health Authority updates the Health Care Classification System quarterly. It publishes the results on its website two weeks before the implementation, while the files with the changes are sent to the hospital systems.

The adjustments are subdivided into major and minor changes. Minor changes are mostly the text updates, which do not change the meaning of the term and do not require code closure. The changes are considered major if associated with implementing a new code or code closure.

The full details in Danish can be found here.

This news is just one of about 300 market access news collected by our team in the subscription services "HTA Alerts" and "Reimbursement Alerts" every two weeks from more than 80 organizations. Access our paid subscription services to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news).

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