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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 institute for Sickness and Disability Insurance published the list of hospital facilities meeting the conditions of the List of reimbursable implants and invasive medical devices

Coding for implants and invasive medical devices can be found in the List of reimbursable implants and invasive medical devices, published and maintained by the National institute for Sickness and Disability Insurance (RIZIV-INAMI).

Hospital facilities meeting the criteria are listed according to the field of application:

  1. Neurosurgery (chapter B)
    1. List of hospitals meeting the criteria for neurostimulation benefits for Parkinson's disease and essential tremor (condition of reimbursement B-§03)
    2. List of hospitals that meet the criteria for neurostimulation in case of refractory epilepsy (condition of reimbursement B§09)
    3. List of hospitals meeting the criteria for neurostimulation services in case of obsessive-compulsive disorder (condition of reimbursement B§11)
    4. List of hospitals for services relating to neurostimulation in case of abnormal movements (condition of reimbursement B§12)
  2. Urology and nephrology (chapter D)
    1. List of hospitals meeting the criteria for neurostimulation benefits for lower urinary tract dysfunction (condition of reimbursement D-§06)
  3. Abdominal Surgery and Digestive Pathology (Chapter E)
    1. List of hospitals that meet the criteria for catheter delivery for radiofrequency ablation of Barrett's esophagus dysplasia (condition of reimbursement E-§10)
  4. Thoracic surgery and cardiology (chapter F)
    1. List of hospitals meeting the criteria for provision of implantable cardiac pacemakers and pacemakers, their electrodes and implantable accessories (condition of reimbursement F-§01)
    2. List of hospitals that meet the criteria for coronary stent and coronary dilatation services (condition of reimbursement F-§05)
    3. List of networks meeting the criteria for services 172491-172502 and 172513-172524 concerning devices for the percutaneous recovery of mitral valve sheet coaptation for the treatment of mitral valve regurgitation (condition of reimbursement F-§19 )
    4. List of hospitals meeting the criteria for 172793-172804, 172815-172826, 172830-172841, 172852-172863, 172874-172885 and 172896-172900 for ventricular assist equipment (condition of reimbursement F§22)
    5. List of hospital networks and facilities meeting the criteria for benefit 172734-172745 for devices for an implantable percutaneous valve stent in the aortic position and accessories  (condition of reimbursement F-§09)
    6. List of hospitals that meet the criteria for devices for percutaneous closure of the left atrial appendage for non-valvular atrial fibrillation (condition of reimbursement F-§23)
  5. Vascular surgery (chapter G)
    1. List of hospitals authorized to place abdominal stents (reimbursement condition G-§04)
    2. List of hospitals authorized to place abdominal, thoracic and windowed and multibranch stents (reimbursement condition G-§04)
  6. Orthopedics and traumatology (chapter L)
    1. List of hospitals that meet the criteria for services related to implants for anchoring an external prosthesis (condition of reimbursement L-§29)
    2. List of hospitals meeting the criteria for services relating to magnetic rods for elongated fixation for the spine (condition of reimbursement L-§30)

Areas for which there are not lists of hospitals include:

  • Ophthalmology (chapter A)
  • Otorhinolaryngology (Chapter C)
  • Gynecology (chapter H)
  • Pneumology and Respiratory System (Chapter I)
  • Plastic and reconstructive surgery (chapter J)
  • Surgery in general (chapter K)

See full details here.

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