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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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G-DRG proposals were published by the Institute for the Hospital Remuneration System (InEK) at the end of May of 2018

19 Jun 2018

On the 29th of May of 2018, the Institute for the Hospital Remuneration System (InEK) has published a joint document with G-DRG proposals for 2019. According to the decision made on the basis of § 17b KHG, the names of the applicants and procedure proposals for 2019 were released. The provided document consists of the following parts:

  • Proposals provided by numbers
  • Proposals provided by applicants
  • Description of the proposals

Previously, the G-DRG proposal procedure was opened at the end of 2017 and included the following suggestions for changes in the DRG system for 2019:

  • Add-on payment (Zusatzentgelt, ZE)
  • Development of DRG system (including regrouping or split/creation of DRGs)
  • Coding guidelines
  • Complication and Comorbidity Level (CCL) matrix
  • Cost calculation
  • Others

See full details and released document in German here.

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