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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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A new chapter for vascular surgery procedures will be introduced to the Swedish Classification of Health Care Measures from January 2021

In early December 2020, the Swedish National Board of Health and Welfare announced significant changes in the Swedish Classification of Health Care Measures (KVÅ) structure related to vascular surgery procedure codes.

KVÅ includes two parts – medical procedures (KMÅ) and surgical procedures (KKÅ) divided by chapters based on anatomical principles. Currently, vascular surgical procedures are coded under several chapters:

  • KKÅ chapter P “Operations on peripheral vessels and the lymphatic system”
  • KKÅ chapter F “Operations on the heart and large intrathoracic vessels”
  • KKÅ chapter T “Minor surgery on peripheral vessels and lymphatic system”
  • KMÅ chapter DP “Peripheral vessels and lymphatic system”

From January 01, 2021, Chapter P will be fully deleted and replaced by new Chapter V, “Operations on the aorta, peripheral vessels and lymphatic system”, which includes all vascular surgical procedures, and covers the entire artery tree from the ascending aorta after the coronary arteries' departures.

Codes from Chapter F related to thoracic and thoracoabdominal aorta surgery, code TPH10 “Sclerosing of bone varices”, and codes DP007-DP016 will be replaced by new codes under Chapter V.

Lists of new Chapter V codes and mapping from other chapters, in MS Excel format tables, are published on December 01, 2020.

See more information in Swedish 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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