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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 were added to private reimbursement schedule in England in November

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 private insurance company can develop reimbursement tariff for these procedures and tests.

The CCSD Group has approved the following procedure codes for publication to the CCSD Schedule in November:

  • Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (2 flaps) (B2983)
  • Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (2 flaps per breast) (B2993)
  • Open oophorectomy and salpingectomy, +/- biopsy, e.g., omentum, peritoneum, lymph node (as sole procedure) – bilateral (Q2233)
  • Open oophorectomy and salpingectomy, +/- biopsy, e.g., omentum, peritoneum, lymph node (as sole procedure) – unilateral (Q2232)
  • Transoral laser microsurgery (endoscopic resection) (V3731)
  • Bilateral mastopexy (following reconstruction) (B3132)
  • Surgical correction of hallux valgus using minimal access techniquesunilateral (W7920)
  • Surgical correction of hallux valgus using minimal access techniquesbilateral (W7921)

See full information here

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