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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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Four new procedure codes were added to private reimbursement schedule in England in January

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 procedure codes for publication to the CCSD Schedule in January:

  • Robotic assisted laparoscopic pelvic lymphadenectomy (T8560);
  • Ligation of the intersphincteric fistula tract (LIFT) for the treatment of anal Fistula (H5560);
  • Eminectomy of temporomandibular joint – unilateral (V0721);
  • Eminectomy of temporomandibular joint – bilateral (V0722).

See full details here.

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