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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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DIMDI published the final version of ICD-10-GM 2020

In late September 2019, the DIMDI (German Institute of Medical Documentation and Information) has published the final version of the ICD-10-GM 2020 (International Statistical Classification of Diseases and Related Health Problems, 10th revision, German Modification).

For the new ICD-10-GM 2020 version, 77 suggestions were received, mostly from medical associations and medical specialists, health insurance companies and clinics, as well as other self-governing organizations in the healthcare sector.

The ICD-10-GM, together with the OPS (Operation and Procedure Keys), forms the basis for the reimbursement systems in outpatient and inpatient care in Germany.

Diagnoses must be coded in the outpatient and inpatient area according to the ICD-10-GM. The coding is based on the systematic directory of the ICD-10-GM. The associated Alphabetical Index, with its extensive collection of disease names and synonyms, facilitates the work in practice. Doctors and documentaries in hospitals are obliged to take into account the German Coding Guidelines (DKR) in the currently valid version; in psychiatric and psychosomatic institutions, - the German Coding Guidelines for Psychiatry / Psychosomatics (DKRPsych). The coding guidelines are agreed upon jointly by the self-government partners.

The ICD-10-GM 2020, unlike in previous years, does not include WHO updates, as the WHO does not issue the regular updates for ICD-10 anymore. If there is an urgent need for change, the WHO will, if necessary, announce individual adjustments, which may then be incorporated into the ICD-10-GM.

The most crucial content changes in ICD-10-GM 2020 include:

  • Cytokine release syndrome: a new code for specific mapping was included
  • Macular degeneration: new codes for specific imaging of age-related macular degeneration differentiated according to wet and dry form were implemented
  • Systemic inflammatory response syndrome [SIRS]: alignment of codes according to the WHO version was provided, taking into account the current definition of sepsis
  • HIV pre-exposure prophylaxis: a new code for specific mapping was included

All changes with detailed descriptions are included in the update list. The difference list contains the changes in the final version compared to the preliminary version.

The Alphabetical Index to ICD-10-GM 2020 is adjusted to the changes in the systematic directory and also will be published shortly.

The online version of the ICD-10-GM 2020 can be found here.

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