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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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Five new procedure codes added to private reimbursement schedule in England in October/November 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 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 October with a recommended adoption date of 1st of February 2019:

  • Laser correction of refractive error following non-refractive ophthalmic surgery (PRK/LASIK/LASEK) (C4420)
  • Insertion of Urethral Catheterisation Device (UCD) using guidewire into the bladder for difficult or failed catheterization (including cystoscopy) (M4820)
  • Injection of botulinum toxin for hyperhidrosis (S5211)
  • Laparoscopic pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) (J5611)
  • Robotic-assisted pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure) (J5612)

See full details here.

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