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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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Dutch Healthcare Authority published the fourth release of the 2021 DRG system

01 Oct 2021

The fourth release of the DRG package for the year 2021 (RZ21d) applies to specialist medical care and geriatric rehabilitation care. It includes the update of end and effective dates of healthcare provider codes for Nursing Specialists' care (provided by US nurses who have specific expertise, knowledge, and experience): 

  • The effective date for the new code health care provider code 9135 “RIBIZ Nursing specialist, general health care” was moved from January 1, 2021, to September 1, 2020;
  • The end date for the old codes was moved from December 31, 2020, to December 31, 2021

The following old codes will be replaced by the new code 9135:

  • 9131 “Nurse specialist, acute care for somatic disorders”;
  • 9132 “Nurse specialist, intensive care for somatic disorders”;
  • 9141 “Nurse specialist, acute care for somatic disorders (9100 +9131)”;
  • 9142 “Nursing specialist, intensive care for somatic disorders(9100 + 9132)”.

The changes involve the update of grouping logic tables for a number of medical specialties listed in the release file.

The full details in Dutch can be found here.

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