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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

29 Jan 2019

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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