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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 2023

In mid-December 2022, the Danish Health Data Agency (Sundhedsdatastyrelsen) published an update of the Health Care Classification System (Sundheds-væsenets Klassifikations System, SKS). The most significant changes include: 11 new diagnosis codes, 27 new procedure codes, and eight additional codes (Tillægskoder) were added. The newly added procedure codes mainly concern the obstetrics and gynecology, surgical procedures, endocrine, gastrointestinal, and radiology fields, and some other technology groups.

Some examples of the newly added procedure codes are listed below:

  • KLFF01 “Placement of a Word catheter in Bartholin’s gland”;
  • KTPJ05H “Core needle biopsy of axillary lymph node”;
  • BBHF02A “Treatment with automatic insulin pump system (AID)”;
  • ZZ0320 “Delivery of camera pill for bowel examination”;
  • WDTPSFUXX “Tumor scan, F-18-mFBG”;
  • BDDD64 “Remote hearing aid adjustment”;
  • ZZV030A “COPD Assessment Test (CAT)”.

The Danish Health Data Agency 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 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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