DRG

In December 2025, the Danish Health Data Authority published the DRG tariff system (Takstsystem) guide, which provides an overall description of billing rules, tariffs, and grouping logic for 2026. Among other changes, 17 new DRGs were introduced in the nephrology and urology, obstetrics and gynecology, and some other fields.

On November 20, 2025, the Institute for the Hospital Remuneration System (InEK) published the DRG catalog (Fallpauschalen-Katalog), which includes the list of DRGs and additional reimbursement categories (ZEs) for 2026. Five new DRGs were introduced in the diagnostic imaging, men’s health, nephrology and urology, and radiotherapy fields. No new MedTech-related ZE categories were added to the catalog.

In December 2025, the Danish Health Data Authority published the DRG tariffs for 2026. In accordance with the released documentation, one new DRG will be introduced in 2026.

In late November – early December 2025, the application period for 2027 OPS (procedure codes) and DRG changes was opened by the Federal Institute for Drugs and Medical Devices (BfArM) and the Institute for Hospital Remuneration Systems (INeK), respectively.

On November 28, 2025, the entity managing the DRG system in Switzerland, SwissDRG, published the final (billing) version of the 2026 DRG system. In total, 19 new DRGs related to cardiovascular, ENT, gastrointestinal, neurology and neurosurgery, obstetrics and gynecology, orthopedics, and some other fields were introduced. Also, four new add-on reimbursement categories were added.

In November 2025, the annual update of the Swedish NordDRG system was published to come into force on January 1, 2026. Five new DRGs were introduced. In 2026, to obtain DRG tariffs, individual DRG cost weights must be multiplied by a base rate of 81,142 SEK.

On November 13, 2025, the National Association of Statutory Health Insurance Physicians (KBV) announced that the 2026 Hybrid DRGs catalog had been approved. A total of 47 new Hybrid DRGs were added, including those for appendectomy, cholecystectomy, as well as minimally invasive procedures on the coronary arteries and peripheral vessels. In the area of orthopedic procedures, Hybrid DRGs have been expanded to include fracture osteosynthesis

On November 17, 2025, NHS England published a draft 2026/27 NHS Payment Scheme (NHSPS) and launched a consultation. While the overall payment model remains, some specific changes are proposed, including new blended payments for urgent and emergency care, radiotherapy, and genomic testing, as well as two new Best Practice Tariffs (BPT) to incentivize day case procedures, and 10 Year Health Plan referral-to-treatment (RTT) priorities. The deadline for comment submission is December 16, 2025.

In October 2025, the Norwegian Directorate of Health released a preliminary version of the DRG system (Innsatsstyrt finansiering, ISF) for 2026. In general, no significant changes were made in the system. Two new DRGs will be added in 2026 concerning cell therapy and radiotherapy.

In August 2025, the updated version of the intra-DRG list was published in France. One new device was registered in the neurovascular field (BOBBY balloon guide catheter). Another change concerned the renewal of the registration for one device.

On July 10, 2025, the National Association of Statutory Health Insurance Physicians (KBV) announced that the extended Evaluation Committee has adopted the framework specifications for calculating Hybrid DRGs for 2026.

On June 30, 2025, the document "Changes and innovations in the 2026 LKF model" (Änderungen und Neuerungen in den LKF-Modellen 2026) was published. The document summarizes the most significant changes and innovations in the LKF model for inpatient and outpatient care. The procedure codes expected to be introduced in 2026 mainly concern e-health, endoscopy, interventional radiology, orthopedics, pulmonology, and robotic fields.