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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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National Clinical Coding Standards OPCS-4.9 and ICD-10 for 2021 published in England

In late February 2021, the Delen collaboration platform of NHS Digital issued 2021 National Clinical Coding Standards (NCCS) OPCS-4.9 and ICD-10 reference books that must be used during the procedure and diagnosis coding from April 01, 2021.

The NCCS OPCS-4.9 reference book focuses on the clinical coding standards that must be applied when assigning OPCS-4 codes. Multiple updates of coding recommendations were made in 2021. They mainly concerned endoscopic procedures (gastrointestinal, endobronchial, nasal), transarterial chemoembolization (TACE) of the liver, peripheral vascular procedures using stents and stent-grafts, gynecological procedures using meshes, and bone densitometry.

No significant changes were made in the ICD-10 Reference Book. The COVID-19 National Clinical Coding Standards and Guidance are referenced within the ICD-10 NCCS but not incorporated in it and can be downloaded separately on Delen. So, they can be quickly updated to reflect developing clinical knowledge of COVID-19.

See the full details in English here.

This news is just one of about 300 market access news collected by our team in the subscription services "HTA Alerts" and "Reimbursement Alerts" every two weeks from more than 80 organizations. Access our paid subscription services to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). First EU issues of both newsletters are available for download free-of-charge.

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