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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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Health Care Classification System has been updated by the Danish Health Authority in January 2019

In January, the Danish Health Authority published new codes for the Health Care Classification System, including eight surgical, three medical codes and three codes for imaging diagnostics. These codes are used to classify procedures in the Danish DRG system.

The Danish Health Authority (Sundhedsstyrelsen) updates the Health Care Classification System (Sundheds-væsenets Klassifikations System, SKS) quarterly and publishes the results on its website two weeks before its implementation, while the files with the changes are sent to the hospital systems.

The adjustments are subdivided into the major and minor changes. Minor changes are mostly the text updates, which do not change the meaning of the term and do not require the code closure. The changes are considered as major if they are associated with the implementation of a new code or the code closure.

In January, the Danish Health Authority published the latest significant procedure code changes. Several new codes for invasive medical procedures and imaging diagnostics are provided below:

  • Eight new codes for surgical procedures, including keratomileusis using femtosecond laser (FS-LASIK) (KCGD20B), keratomileusis with extraction of corneal lens (SMILE) (KCGD20C) and adjustment of toric artificial lens (KCJF99A), open and laparoscopic sleeve gastrectomy (KJDF40 and KJDF41), transluminal endoscopic sleeve gastroplasty (KJDF42), embolization of the open thoracic duct (KPJW99A) and heart catheterization, right-sided, with workload (KTFC00B)
  • Three new medical codes for treatment with serum-containing eye drops (BCHY8B), assessment of sink function (ZZ1004) and evaluation using questionnaire (ZZV030)
  • Three new imaging diagnostic codes, including dual-energy clinical mammography (UXRC40B), ultrasound examination of axile (UXUC10A) and perineum (UXUD97)

See full details here.

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