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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 October 2018

The Danish Health Authority (Sundhedsstyrelsen) quarterly updates the Health Care Classification System (Sundheds-væsenets Klassifikations System, SKS) 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 October, the Danish Health Authority published the latest major procedure code changes. Several new codes for invasive medical procedures and imaging diagnostics are provided below:

  • One new code for surgical intervention – high resolution anoscopy (KUJH02A)
  • Nine new codes for medical procedures, including treatment with anti-CGRPR antibody (BOHJ19M) and treatment with erenumab (BOHJ19M1)
  • Two new codes for ultrasound (US) diagnostics - US-guided needle marking of the axillary lymph node (UXUC49C1) and US-guided insertion of coil into the axillary lymph node (UXUF16)

See full details here.

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