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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 July 2022

In mid-June 2022, the Danish Health Data Agency (Sundhedsstyrelsen) published an update of the Health Care Classification System (Sundheds-væsenets Klassifikations System, SKS). The most significant changes include: 30 new diagnosis codes, 27 procedure codes, and 24 additional codes (Tillægskoder) were added. The examples of the most significant changes are provided below.

Some examples of the newly added codes in the orthopedics field are listed below:

  • KNGJ04 “Closed reposition of fracture in the distal part of tibia”;
  • KNGJ24 “External fixation of fracture in the distal part of tibia”;
  • KNGJ64 “Internal fixation with plate, screws of fracture in the distal part of tibia”;
  • KNGJ94 “Other surgical fracture treatment in the distal part of tibia”.

Some examples of the newly added codes in other fields are listed below:

  • BEXY2 “Treatment with platelet-rich fibrin (PRF) membrane”;
  • BJHE21 “Intravesical radiofrequency-induced thermo-chemotherapy (RITE)”;
  • ZZV020N “Assessment of walking function with the New Mobility Score (NMS)”.

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.

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