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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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Eight new procedure codes have been added to private reimbursement schedule in England in October 2018

26 Nov 2018

The Clinical Coding and Schedule Development (CCSD) develops and maintains procedural and diagnostics nomenclature for private payers in England. Once codes are added to the Schedule, a rivate insurance company can develop reimbursement tariff for these procedures and tests.

The CCSD Group has approved the following diagnostic codes for publication to the CCSD Schedule in October with a recommended adoption date of 1st February 2019:

  • Arthroscopic subchondroplasty injection under x-ray guidance (W3511)
  • Examination/manipulation of joint under local anaesthetic (W9241)
  • Hysteroscopic/laparoscopic morcellation of uterine leiomyomas (fibroids)
  • (Q1710/ Q1711);
  • Transurethral water vapour ablation for lower urinary tract symptoms (M7070)
  • Transurethral water jet ablation for lower urinary tract symptoms (M7071)
  • Transoral laser microsurgery (F4300)
  • Transoral robot assisted surgery (F4301)

See full details here.

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